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The diagnosis of abuse in children relies heavily on the presence of skeletal and extraskeletal injuries. However, some lesions are not seen by initial skeletal survey. And the investigators have to complete the skeletal survey with either bone-scan or CT scan or whole-body MRI. whole-body MRI has proved its worth in the pediatric population for the evaluation of skeletal and extraskeletal lesions in children with cancer or infectious diseases. Thus, whole-body MRI would allowed to have total picture of children without ionising radiation exposure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| whole body MRI | Other | diagnostic whole body MRI, and skeletal imaging following guidelines (whole body radiographic and scintigraphic screening) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| diagnostic whole body MRI | Other | diagnostic whole body MRI, both STIR and diffusion weighted |
|
| Measure | Description | Time Frame |
|---|---|---|
| sensibility of MRI for detecting skeletal injuries | standard skeletal imaging is used as reference | one week |
| positive predictive value of MRI for detecting skeletal injuries | standard skeletal imaging is used as reference | one week |
| Measure | Description | Time Frame |
|---|---|---|
| sensibility of MRI for detecting children with skeletal injuries | standard skeletal imaging is used as reference | one week |
| specificity of MRI for detecting children with skeletal injuries | standard skeletal imaging is used as reference |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Catherine Treguier, MD | Rennes University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Rennes | Rennes | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33912993 | Result | Proisy M, Vivier PH, Morel B, Bruneau B, Sembely-Taveau C, Vacheresse S, Devillers A, Lecloirec J, Bodet-Milin C, Dubois M, Hamonic S, Bajeux E, Ganivet A, Adamsbaum C, Treguier C; PEDIMA study research group. Whole-body MR imaging in suspected physical child abuse: comparison with skeletal survey and bone scintigraphy findings from the PEDIMA prospective multicentre study. Eur Radiol. 2021 Nov;31(11):8069-8080. doi: 10.1007/s00330-021-07896-9. Epub 2021 Apr 29. |
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| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D004194 | Disease |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| one week |
| predictive positive value of MRI for detecting children with skeletal injuries | standard skeletal imaging is used as reference | one week |
| predictive negative value of MRI for detecting children with skeletal injuries | standard skeletal imaging is used as reference | one week |