Traumatic Injuries
Conditions
Keywords
traumatic injuries, Whole-body MRI, Skeletal survey, Children, Diagnostic
Brief summary
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.
Interventions
diagnostic whole body MRI, both STIR and diffusion weighted
Sponsors
Study design
Eligibility
Inclusion criteria
* Infant hospitalised for sub-dural hematoma or skeletal injuries due to non accidental traumatism or skin lesions or abdominal injuries of undetermined origin
Exclusion criteria
* Sub-dural hematoma of accidental origin or skeletal injuries of accidental * Origin or known origin of lesions. * Subject already included in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| sensibility of MRI for detecting skeletal injuries | one week | standard skeletal imaging is used as reference |
| positive predictive value of MRI for detecting skeletal injuries | one week | standard skeletal imaging is used as reference |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| sensibility of MRI for detecting children with skeletal injuries | one week | standard skeletal imaging is used as reference |
| specificity of MRI for detecting children with skeletal injuries | one week | standard skeletal imaging is used as reference |
| predictive positive value of MRI for detecting children with skeletal injuries | one week | standard skeletal imaging is used as reference |
| predictive negative value of MRI for detecting children with skeletal injuries | one week | standard skeletal imaging is used as reference |
Countries
France