1. Chest radiographs versus CT for the detection of rib fractures in children (DRIFT): a diagnostic accuracy observational study
- Author
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Shelmerdine, Susan C, Langan, Dean, Hutchinson, John C, Hickson, Melissa, Pawley, Kerry, Suich, Joseph, Palm, Liina, Sebire, Neil J, Wade, Angela, Arthurs, Owen J, Johnson, K, McLoughlin, E, Lacroix, C, Sutaria, P, Logan, P, Verhagen, MV, Arfeen, F, Ljutikov, A, Anjari, M, Gupta, A, Soo, MJ, Corral Guajardo, G, Alsabban, Z, Majeed, NM, Cuscaden, C, Abdeen, M, Al-Ali, YS, Jerew, S, Kirby, A, Choi, S, Gaunt, T, Dodd, C, Halliday, K, Hartley, L, Macdonald, K, Preston, L, Duncan, KA, Sethi, BA, Quigley, AJ, Amarnath, J, Barber, JL, Ashwin, CJ, Keaney, C, Lam, CZ, Marie, E, Perez Matta, MM, and Williams, MC
- Abstract
Internationally, chest radiography is the standard investigation for identifying rib fractures in suspected physical abuse in infants. Several small observation studies in children have found that chest CT can provide greater accuracy than radiography for fracture detection, potentially aiding medicolegal proceedings in abuse cases; however, to our knowledge, this greater accuracy has not been comprehensively evaluated. We aimed to determine differences in rib fracture detection rates between post-mortem chest radiographs and chest CT images, using forensic autopsy as the reference standard.
- Published
- 2018
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