RECOGNIZING CHILD ABUSE IN RADIOLOGY

1. Introduction and Generalities
2. Normal Skeletal Findings Not to Be Confused with Abuse
3. Fractures Raising the Question of Abuse
4. Metabolic Bone Disease and Other Alternative Reasons for Fractures
5. Thorax, Abdomen, and Soft Tissues
6. Skull, Subdurals, and Brain
7. The Spine
8. Zealous Abuse Deniers; Neglect, Siblings

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.

Features
• Helps the reader to ensure that neither child abuse nor alternative diagnoses are missed
• Draws on experience gained during approximately 50 years of practice
• Rebuts zealous physicians and lawyers who aim to deny diagnoses of child abuse

Authors
• Alan E. Oestreich, MD, is a pediatric radiologist since 1980 at the Cincinnati Children’s Hospital Medical Center in Cincinnati, Ohio, and is Emeritus Professor of radiology at the University of Cincinnati College of Medicine. From 1972 – 1979 he was pediatric radiologist at the University of Missouri-Columbia. He a Fellow of the American College of Radiology, Honorary Member of the European Society of Paediatric Radiology, emeritus member of the Society for Pediatric Radiology, and past chairman of the Radiology Section of the National Medical Association. He is a member of the Child Abuse Team at Cincinnati Children’s Hospital. He has written and lectured extensively on the subject of radiology of child abuse. Among his previous books are An Atlas of Pediatric Orthopedic Radiology, with co-author Alvin Crawford, MD. He received his MD from the Johns Hopkins Medical School in 1965.
• Marguerite M. Caré, MD is an assistant professor in the Department of Radiology, Division of Neuroradiology, at Cincinnati Children’s Hospital Medical Center. Caré 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. Caré 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. Caré serves on the CCHMC Radiology Department education committee with a primary role in third year medical student education for the department.