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Child Protection and Radiography: Clinical and Technical Issues

NCJ Number
168530
Journal
Child Abuse Review Volume: 6 Issue: 3 Dated: August 1997 Pages: 191-198
Author(s)
J Sudbery; V Hancock; C Eaton; P Hogg
Date Published
1997
Length
8 pages
Annotation
This article considers the role of the radiographer in the diagnosis of child abuse; it addresses issues that arise in this field and highlights the implications for those responsible for the management of child protection systems.
Abstract
Child protection investigators cannot always assume that the given account indicates the nature and extent of injuries. Issues arise as to which parts of the body to image, which modalities to use (X-ray, ultrasound, radionuclide imaging, magnetic resonance imaging, and computed tomography), and how extensively to image the child. One of the primary professional responsibilities of the radiographer is to limit radiation exposure. The achievement of the best possible image with the minimum radiation dosage may require child restraint, immobilization, and sometimes sedation. To determine the most appropriate method of imaging child abuse, the advantages and disadvantages of each modality must be assessed. Radiographers must have an understanding of local child protection procedures applicable to all hospital staff. For radiographers, this involves the implementation of procedures that specify who can request skeletal surveys and the conditions under which they should be done. 24 references