在怀疑儿童身体虐待的情况下进行尸体影像检查:系统性审查
Brendan S Kelly1,2, Rick R van Rijn3, Harry Bliss4
1Department of Radiology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
European radiology
|January 23, 2026
概括
尸体解剖后 (PM) 影像技术有助于检测尸体解剖中遗漏的儿童身体虐待伤害. 然而,目前的证据受到研究偏见和异质性的限制,需要标准化方法和前性试验.
科学领域:
- 法医放射学 法医放射学
- 儿科病理学 儿科病理学
- 儿童虐待调查调查 儿童虐待调查
背景情况:
- 尸检后 (PM) 影像越来越多地用于儿科法医调查.
- 对于疑似儿童身体虐待的诊断成果的证据需要综合和质量评估.
研究的目的:
- 审查和综合目前关于PM成像在疑似儿童身体虐待的诊断实用性的证据.
- 评估现有研究的质量,并确定该领域的挑战.
主要方法:
- 根据PRISMA指南进行了系统审查,搜索数据库直到2024年12月.
- 包括至少10名儿童的原始研究,这些儿童因涉嫌虐待而接受PM成像.
- 数据提取和偏差风险评估 (ROBINS-I) 由专家进行;由于异质性,使用了描述性综合.
主要成果:
- 包括18项使用PM放射,PMCT或PMMR的研究.
- 大多数研究都是回顾性研究,偏差风险中等至高.
- PM成像模式检测到微妙的骨折和软组织损伤,但与尸检结果的相关性至关重要.
结论:
- 在儿童虐待案件中,PM成像可以揭示在解剖期间错过的伤害.
- 标准化成像协议和更大的前性试验对于提高诊断准确性和建立最佳实践至关重要.
- 目前的证据受到研究异质性和偏见的限制,突出了需要更高质量的研究.
相关概念视频
Review and Preview
8.3K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.3K
Review and Preview
10.9K
Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
10.9K
Drug Abuse and Addiction: Pharmacological Phenomena
1.2K
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
1.2K
Physical and Chemical Properties of Matter
165.7K
The characteristics that enable us to distinguish one substance from another are called properties.
165.7K
Random and Systematic Errors
14.6K
Scientists always try their best to record measurements with the utmost accuracy and precision. However, sometimes errors do occur. These errors can be random or systematic. Random errors are observed due to the inconsistency or fluctuation in the measurement process, or variations in the quantity itself that is being measured. Such errors fluctuate from being greater than or less than the true value in repeated measurements. Consider a scientist measuring the length of an earthworm using a...
14.6K
Systematic Sampling Method
12.7K
Sampling is a technique to select a portion (or subset) of the larger population and study that portion (the sample) to gain information about the population. Data are the result of sampling from a population. The sampling method ensures that samples are drawn without bias and accurately represent the population. Because measuring the entire population in a study is not practical, researchers use samples to represent the population of interest.
Systematic sampling is one of the simplest methods...
Systematic sampling is one of the simplest methods...
12.7K


