"Skeletal survey"

Post-mortem skeletal survey (PMSS) versus post-mortem computed tomography (PMCT) for the detection of corner metaphyseal lesions (CML) in children. Corner metaphyseal lesions (CMLs) are specific for child abuse but challenging to detect on radiographs. The accuracy of CT for CML detection is unknown. Our aim was to compare diagnostic accuracy for CML detection on post-mortem skeletal surveys or unexplained deaths should include radiographs of the limbs to exclude CMLs. In order to avoid missing evidence that could indicate child abuse as a contributory cause for death in children, radiographs of the limbs should be performed to exclude CMLs, even if a PMCT is being acquired. • Corner metaphyseal lesions (CMLs) are indicative for abuse, but challenging to detect. Skeletal surveys (i.e. radiographs

Yield of Postmortem Skeletal Surveys in Infants Presenting to Emergency Care With Sudden and Unexpected Death. Child abuse should be considered in cases of sudden unexpected infant death (SUID). Postmortem skeletal surveys (PM-SS) are recommended to evaluate for abusive fractures in SUID. Little is known about the yield of PM-SS among infants presenting to emergency care with SUID. Our

The Likelihood of an Occult Fracture in Skeletal Surveys Obtained in Children More Than 2 Years Old With Concerns of Physical Abuse. Skeletal surveys are necessary in the evaluation for physical abuse in children less than 2 years old, but when to obtain a skeletal survey in older children is less clear. A retrospective study of patients older than 2 years who underwent skeletal survey over a 3 -year period after implementation of an electronic health record physical abuse order set was conducted. Data were analyzed using descriptive statistics and compared with data from a cohort before order set implementation. The radiation dose of a skeletal survey in a 5-year old was calculated using a previously published technique. There were 325 skeletal surveys, a marked increase in the rate

Selective Skeletal Surveys for Infants With Skull Fractures: Examining the Rates of Return to Medical Care for Concern of Physical Abuse. This study aimed to describe which infants with a skull fracture (1) receive a child abuse pediatrician (CAP) consultation, (2) receive a skeletal survey, and (3) re-present to medical care before age 3 years with concerns for physical abuse. We conducted was contacted for 272 (74%) and 76 (20.8%) infants who received a skeletal survey. Factors associated with skeletal survey acquisition included younger age (<6 months), no history to explain the skull fracture, other injuries on examination, and social risk factors. Six children (1.6%) re-presented to medical care with concerns of physical abuse before age 3 years. Five of these infants did not have

Whole-body MR imaging in suspected physical child abuse: comparison with skeletal survey and bone scintigraphy findings from the PEDIMA prospective multicentre study. To assess the contribution of whole-body magnetic resonance imaging (WBMRI) and bone scintigraphy (BS) in addition to skeletal survey (SS) in detecting traumatic bone lesions and soft-tissue injuries in suspected child abuse

Diagnostic performance of ¹⁸ F-FDG-PET/CT compared to standard skeletal survey for detecting bone destruction in smouldering multiple myeloma: time to move forward. Skeletal survey (SS) continues to be used in the community to detect bone disease in patients with multiple myeloma (MM). While the false-negative rate is high, the specificity of SS is less well characterised. Here, we

Skeletal Survey Yield in Young Children with Femur Fractures. Fractures are common in children, and it can be difficult to distinguish unintentional injuries from child abuse. We describe circumstances of injury, prevalence of suspicion for physical abuse, and use of imaging to identify additional occult fractures in young children with femur fractures. We reviewed the medical records with suspicious injuries had head trauma, versus 0 of 105 with unintentional injuries. Of the 8 with occult fractures identified on a skeletal survey (designated suspicious for abuse), all were ≤ 12 months old and none were walking independently. Most children with femur fractures suspicious for abuse were ≤ 12 months old and not walking independently. Skeletal surveys identified additional fractures in 7

Improving Follow-up Skeletal Survey Compliance in Suspected Nonaccidental Trauma Patients: What’s the FUSS About? Nonaccidental trauma (NAT) victims account for a significant percentage of our pediatric trauma population. The skeletal survey (SS) and follow-up skeletal survey (FUSS) are essential in the evaluation of selected NAT patients. We identified that our clinically indicated FUSS

Whole-body computed tomography versus conventional skeletal survey in patients with multiple myeloma: a study of the International Myeloma Working Group For decades, conventional skeletal survey (CSS) has been the standard imaging technique for multiple myeloma (MM). However, recently whole-body computed tomography (WBCT) has been implemented into the diagnostic criteria of MM. This analysis

Effective Radiation Dose in a Skeletal Survey Performed for Suspected Child Abuse. Effective dose of a skeletal survey in infants using digital radiography was estimated to be 0.2 mSv using Monte Carlo simulation. Radiation risk from this procedure is, therefore, low. Radiation concern should not be an overriding factor when deciding whether skeletal survey is needed in cases of possible physical

Development of Guidelines for Skeletal Survey in Young Children With Intracranial Hemorrhage. As evidenced by the variation and disparities in evaluation, there is uncertainty in determining which young children with intracranial hemorrhage (ICH) should undergo evaluation with skeletal survey (SS) for additional injuries concerning for abuse. We aimed to develop guidelines for performing initial

Development of Hospital-Based Guidelines for Skeletal Survey in Young Children With Bruises. To develop guidelines for performing an initial skeletal survey (SS) for children <24 months of age presenting with bruising in the hospital setting, combining available evidence with expert opinion. Applying the Rand/UCLA Appropriateness Method, a multispecialty panel of 10 experts relied on evidence

Assessing myeloma bone disease with whole-body diffusion-weighted imaging: comparison with x-ray skeletal survey by region and relationship with laboratory estimates of disease burden To estimate and compare the extent of myeloma bone disease by skeletal region using whole-body diffusion-weighted imaging (WB-DWI) and skeletal survey (SS) and record interobserver agreement, and to investigate

Comparison of FDG-PET/CT, CT, MRI, bone scan and skeletal survey in the detection of bone lesions in Langerhans cell histiocytosis: a systematic review and meta-analysis. PROSPEROInternational prospective register of systematic reviews Print | PDFComparison of FDG-PET/CT, CT, MRI, bone scan and skeletal survey in the detection of bone lesions in Langerhans cell histiocytosis: a systematic by the PROSPERO team does not endorse content. Therefore, automatically published records should be treated as any other PROSPERO registration. Further detail is provided here.CitationSara Kurkowska, Agnieszka Marciniak, Paolo Cremonese, Maria Strojny, Karolina Skonieczna-Żydecka, Bożena Birkenfeld, Hanna Piwowarska-Bilska. Comparison of FDG-PET/CT, CT, MRI, bone scan and skeletal survey in the detection

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Yield of Skeletal Survey by Age in Children Referred to Abuse Specialists. To determine rates of skeletal survey completion and injury identification as a function of age among children who underwent subspecialty evaluation for concerns of physical abuse. This was a retrospective secondary analysis of an observational study of 2609 children <60 months of age who underwent evaluation for possible physical abuse. We measured rates of skeletal survey completion and fracture identification for children separated by age into 6-month cohorts. Among 2609 subjects, 2036 (78%) had skeletal survey and 458 (18%) had at least one new fracture identified. For all age groups up to 36 months, skeletal survey was obtained in >50% of subjects, but rates decreased to less than 35% for subjects >36 months. New

Sensitivity of the Limited View Follow-up Skeletal Survey. Reducing radiation exposure to minimize risk has been emphasized in recent years. In child abuse, the risk of missing occult injuries is often believed to outweigh radiation risk associated with skeletal surveys. Our hypothesis was that there would be no clinically significant difference in results from a limited view, follow-up skeletal survey (SS2) protocol, which omits spine and pelvis views unless these views have findings on the initial skeletal survey (SS1), compared with a traditional SS2 protocol for radiographic evaluation of suspected physical abuse. This study was a retrospective record review involving 5 child protection teams. Consultations for suspected physical abuse were reviewed to identify subjects <24 months of age

Development of Guidelines for Skeletal Survey in Young Children With Fractures. To develop guidelines for performing initial skeletal survey (SS) in children <24 months old with fractures, based on available evidence and collective judgment of experts from diverse pediatric specialties. Following the Rand/UCLA Method, a multispecialty panel of 13 experts applied evidence from a literature review appropriate, but also necessary. Panelists agreed that SS is "appropriate" for 191 (80%) of 240 scenarios rated and "necessary" for 175 (92%) of the appropriate scenarios. Skeletal survey is necessary if a fracture is attributed to abuse, domestic violence, or being hit by a toy. With few exceptions, SS is necessary in children without a history of trauma. In children <12 months old, SS is necessary

Are Skeletal Surveys Useful in the Evaluation for Physical Abuse in Children BestBets: Are Skeletal Surveys Useful in the Evaluation for Physical Abuse in Children * * Are Skeletal Surveys Useful in the Evaluation for Physical Abuse in Children * Report By: Peter David Himmel MD - Resident Physician * Search checked by James DeCou MD, Helen DeVos Children's Hospital - Pediatric Trauma Director * Institution: Grand Rapids Medical Education and Research/ Michigan State University * Date Submitted: 5th June 2011 * Date Completed: 23rd October 2011 * Last Modified: 23rd October 2011 * Status: Green (complete)Three Part QuestionIn [children where there is a suspicion of non-accidental trauma] are [skeletal surveys] useful [in picking up occult fractures].Clinical ScenarioA 6 month-old-female is brought

The Utility and Use of Follow-Up Skeletal Surveys After Suspected Non-Accidental Trauma in the Pediatric Population: A Systematic Review The Utility and Use of Follow-Up Skeletal Surveys After Suspected Non-Accidental Trauma in the Pediatric Population: A Systematic Review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted