Recognizing Child Abuse in Radiology

This book is both a personal review of experience in the diagnosis of child abuse and its differential diagnosis, intended to instruct beginners, and a reliable source of information for the more experienced health care provider. Emphasis is placed on normal findings that simulate abuse, true and false diagnoses of metabolic bone disease as the cause of fractures, abusive head trauma, and the problem of zealous abuse-denying "experts." Plain radiography is emphasized, with appropriate mention of, ultrasound, CT, MRI, - in detecting childhood abuse is clearly explained, and individual chapters focus on neuroradiological evaluation and the radiological assessment of abdominal, thoracic, and subcutaneous abnormalities. Guidance is provided on how to exclude a range of alternative diagnoses, on the documentation of concerns over potential abuse, and on the needs of the clinician in relation to the radiologist. Recognizing Child Abuse in Radiology will be of value for radiologists in training and practice, for health care workers, and for other interested professionals.

Marguerite M. Care, MD is an assistant professor in the Department of Radiology, Division of Neuroradiology, at Cincinnati Children’s Hospital Medical Center. Care joined the CCHMC faculty after completing a pediatric radiology fellowship in 1998 and a pediatric neuroradiology fellowship in 2000 at Cincinnati Children’s Hospital Medical Center. She has been the radiology representative to the multidisciplinary Child Abuse Team at the CCHMC Mayerson Center since 1998 and has recently become the radiology representation to the CCHMC Trauma Surgical Program. Care has a major interest in the neuroimaging findings in child abuse and has presented at both local and national meetings on this topic. She also has research interests in Tuberous Sclerosis with her neurology colleagues. Care serves on the CCHMC Radiology Department education committee with a primary role in third year medical student education for the department.