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Child Abuse, a Post-mortem Forensic Perspective

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Forensic Imaging

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Child abuse is defined by the WHO as all forms of physical and/or emotional ill-treatment, sexual abuse, neglect or negligent treatment or commercial or other exploitation, resulting in actual or potential harm to the child’s health, survival, development or dignity in the context of a relationship of responsibility, trust or power (World Health Organisation 2016). It is a world-wide problem that affects all societal levels and in its most severe form can result in the death of a child. This chapter will discuss and explain child abuse from a forensic point of view in post-mortem imaging.

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References

  • Adalian P, Piercecchi-Marti MD, Bourliere-Najean B, Panuel M, Fredouille C, Dutour O, Leonetti G (2001) Postmortem assessment of fetal diaphyseal femoral length: validation of a radiographic methodology. J Forensic Sci 46:215–219

    Article  CAS  PubMed  Google Scholar 

  • Ampanozi G, Thali YA, Schweitzer W, Hatch GM, Ebert LC, Thali MJ, Ruder TD (2017) Accuracy of non-contrast PMCT for determining cause of death. Forensic Sci Med Pathol 13:284–292

    Article  PubMed  Google Scholar 

  • Arthurs OJ, Barber JL, Taylor AM, Sebire NJ (2015b) Normal perinatal and paediatric postmortem magnetic resonance imaging appearances. Pediatr Radiol 45:527–535

    Article  PubMed  PubMed Central  Google Scholar 

  • Arthurs OJ, Guy A, Thayyil S, Wade A, Jones R, Norman W, Scott R, Robertson NJ, Jacques TS, Chong WK, Gunny R, Saunders D, Olsen OE, Owens CM, Offiah AC, Chitty LS, Taylor AM, Sebire NJ (2016) Comparison of diagnostic performance for perinatal and paediatric post-mortem imaging: CT versus MRI. Eur Radiol 26:2327–2336

    Article  PubMed  Google Scholar 

  • Arthurs OJ, Hutchinson JC, Sebire NJ (2017) Current issues in postmortem imaging of perinatal and forensic childhood deaths. Forensic Sci Med Pathol 13:58–66

    Article  PubMed  PubMed Central  Google Scholar 

  • Arthurs OJ, Thayyil S, Addison S, Wade A, Jones R, Norman W, Scott R, Robertson NJ, Chitty LS, Taylor AM, Sebire NJ, Offiah AC (2014a) Diagnostic accuracy of post-mortem MRI for musculoskeletal abnormalities in fetuses and children. Prenat Diagn

    Google Scholar 

  • Arthurs OJ, Thayyil S, Olsen OE, Addison S, Wade A, Jones R, Norman W, Scott RJ, Robertson NJ, Taylor AM, Chitty LS, Sebire NJ, Owens CM (2014b) Diagnostic accuracy of post-mortem MRI for thoracic abnormalities in fetuses and children. Eur Radiol 24:2876–2884

    Article  PubMed  PubMed Central  Google Scholar 

  • Arthurs OJ, Thayyil S, Owens CM, Olsen OE, Wade A, Addison S, Jones R, Norman W, Scott RJ, Robertson NJ, Taylor AM, Chitty LS, Sebire NJ (2015c) Diagnostic accuracy of post mortem MRI for abdominal abnormalities in foetuses and children. Eur J Radiol 84:474–481

    Article  PubMed  Google Scholar 

  • Arthurs OJ, Thayyil S, Pauliah SS, Jacques TS, Chong WK, Gunny R, Saunders D, Addison S, Lally P, Cady E, Jones R, Norman W, Scott R, Robertson NJ, Wade A, Chitty L, Taylor AM, Sebire NJ (2015a) Diagnostic accuracy and limitations of post-mortem MRI for neurological abnormalities in fetuses and children. Clin Radiol 70:872–880

    Article  CAS  PubMed  Google Scholar 

  • Baber Y, Iles L, O'Donnell C (2015) Determining live birth: an unusual case. Am J Forensic Med Pathol 36:262–264

    Article  PubMed  Google Scholar 

  • de Bakker HM, Roelandt GHJ, Soerdjbalie-Maikoe V, van Rijn RR, de Bakker BS (2019) The value of post-mortem computed tomography of burned victims in a forensic setting. Eur Radiol 29:1912–1921

    Article  PubMed  Google Scholar 

  • Barsness KA, Cha ES, Bensard DD, Calkins CM, Partrick DA, Karrer FM, Strain JD (2003) The positive predictive value of rib fractures as an indicator of nonaccidental trauma in children. J Trauma 54:1107–1110

    Article  PubMed  Google Scholar 

  • Ben-Sasi K, Chitty LS, Franck LS, Thayyil S, Judge-Kronis L, Taylor AM, Sebire NJ (2013) Acceptability of a minimally invasive perinatal/paediatric autopsy: healthcare professionals' views and implications for practice. Prenat Diagn 33:307–312

    Article  CAS  PubMed  Google Scholar 

  • Born M, Schwier F, Stoever B, Mentzel HJ, Freiberg J (2020) The German evidence-based child protection guideline—imaging in suspected child abuse. Rofo 192:343–348

    Article  PubMed  Google Scholar 

  • Brink FW, Thackeray JD, Bridge JA, Letson MM, Scribano PV (2015) Child advocacy center multidisciplinary team decision and its association to child protective services outcomes. Child Abuse Negl 46:174–181

    Article  PubMed  Google Scholar 

  • Bulloch B, Schubert CJ, Brophy PD, Johnson N, Reed MH, Shapiro RA (2000) Cause and clinical characteristics of rib fractures in infants. Pediatrics 105:E48

    Article  CAS  PubMed  Google Scholar 

  • Cadzow SP, Armstrong KL (2000) Rib fractures in infants: red alert! The clinical features, investigations and child protection outcomes. J Paediatr Child Health 36:322–326

    Article  CAS  PubMed  Google Scholar 

  • Caffey J (1957) Some traumatic lesions in growing bones other than fractures and dislocations: clinical and radiological features: the Mackenzie Davidson Memorial Lecture. Br J Radiol 30:225–238

    Article  CAS  PubMed  Google Scholar 

  • Cain TM (2015) What are the greatest challenges or barriers to applying postmortem imaging in paediatric radiology? Pediatr Radiol 45:481

    Article  PubMed  Google Scholar 

  • Carty H, Pierce A (2002) Non-accidental injury: a retrospective analysis of a large cohort. Eur Radiol 12:2919–2925

    Article  PubMed  Google Scholar 

  • Chapman S (2015) What are the greatest challenges and/or barriers to applying postmortem imaging in paediatric radiology? Pediatr Radiol 45:478

    Article  PubMed  Google Scholar 

  • Charlier P, Chaillot PF, Watier L, Menetrier M, Carlier R, Cavard S, Herve C, de la Grandmaison GL, Huynh-Charlier I (2013) Is post-mortem ultrasonography a useful tool for forensic purposes? Med Sci Law 53:227–234

    Article  PubMed  Google Scholar 

  • Choi HY, Kim JH, Park JY, Jung EY, No JH, Oh KJ, Hong JS (2016) Simple mathematical formulae for estimation of median values of fetal biometry at each gestational age. Obstet Gynecol Sci 59:91–96

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Choudhary AK (2020) Understanding the importance of spinal injury in abusive head trauma (AHT). Pediatr Radiol 50:15–16

    Article  PubMed  Google Scholar 

  • Choudhary AK, Bradford RK, Dias MS, Moore GJ, Boal DK (2012) Spinal subdural hemorrhage in abusive head trauma: a retrospective study. Radiology 262:216–223

    Article  PubMed  Google Scholar 

  • Del Fante Z, De Matteis A, Fazio V, Di Fazio N, Quattrocchi A, Romano S, Arcangeli M, dell'Aquila M (2019) The importance of post mortem computed tomography (PMCT) in the reconstruction of the bullet trajectory. Clin Ter 170:e129–e133

    PubMed  Google Scholar 

  • Draus JM Jr (2017) A multidisciplinary child protection team improves the care of nonaccidental trauma patients. Am Surg 83:477–481

    Article  PubMed  Google Scholar 

  • Drury A, Cunningham C (2018) Determining when a fracture occurred: does the method matter? Analysis of the similarity of three different methods for estimating time since fracture of juvenile long bones. J Forensic Legal Med 53:97–105

    Article  Google Scholar 

  • Filograna L, Tartaglione T, Vetrugno G, Guerra C, Fileni A, Bonomo L (2015) Freshwater drowning in a child: a case study demonstrating the role of post-mortem computed tomography. Med Sci Law 55:304–311

    Article  PubMed  Google Scholar 

  • Flach PM, Thali MJ, Germerott T (2014) Times have changed! Forensic radiology--a new challenge for radiology and forensic pathology. AJR Am J Roentgenol 202:W325–W334

    Article  PubMed  Google Scholar 

  • Furness ME, Weckert RC, Parker SA, Knowles S (1989) Ultrasound in the perinatal necropsy. J Med Genet 26:368–372

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Grabherr S, Heinemann A, Vogel H, Rutty G, Morgan B, Wozniak K, Dedouit F, Fischer F, Lochner S, Wittig H, Guglielmi G, Eplinius F, Michaud K, Palmiere C, Chevallier C, Mangin P, Grimm JM (2018) Postmortem CT angiography compared with autopsy: a forensic multicenter study. Radiology 288:270–276

    Article  PubMed  Google Scholar 

  • Guddat SS, Gapert R, Tsokos M, Oesterhelweg L (2013) Proof of live birth using postmortem multislice computed tomography (pmMSCT) in cases of suspected neonaticide: advantages of diagnostic imaging compared to conventional autopsy. Forensic Sci Med Pathol 9:3–12

    Article  PubMed  Google Scholar 

  • Halliday KE, Broderick NJ, Somers JM, Hawkes R (2011) Dating fractures in infants. Clin Radiol 66:1049–1054

    Article  CAS  PubMed  Google Scholar 

  • Hatch GM (2015) What are the greatest challenges or barriers to applying post-mortem imaging in pediatric radiology? Pediatr Radiol 45:480

    Article  PubMed  Google Scholar 

  • Hong TS, Reyes JA, Moineddin R, Chiasson DA, Berdon WE, Babyn PS (2011) Value of postmortem thoracic CT over radiography in imaging of pediatric rib fractures. Pediatr Radiol 41(6):736–748

    Article  PubMed  Google Scholar 

  • Ishida M, Gonoi W, Shirota G, Abe H, Shintani-Domoto Y, Ikemura M, Ushiku T, Abe O (2020) Utility of unenhanced postmortem computed tomography for investigation of in-hospital nontraumatic death in children up to 3 years of age at a single Japanese tertiary care hospital. Medicine (Baltimore) 99:e20130

    Article  Google Scholar 

  • Johnsen SL, Wilsgaard T, Rasmussen S, Sollien R, Kiserud T (2006) Longitudinal reference charts for growth of the fetal head, abdomen and femur. Eur J Obstet Gynecol Reprod Biol 127:172–185

    Article  PubMed  Google Scholar 

  • Kemp AM, Jaspan T, Griffiths J, Stoodley N, Mann MK, Tempest V, Maguire SA (2011) Neuroimaging: what neuroradiological features distinguish abusive from non-abusive head trauma? A systematic review. Arch Dis Child 96:1103–1112

    Article  CAS  PubMed  Google Scholar 

  • Kemp AM, Joshi AH, Mann M, Tempest V, Liu A, Holden S, Maguire S (2010) What are the clinical and radiological characteristics of spinal injuries from physical abuse: a systematic review. Arch Dis Child 95:355–360

    Article  CAS  PubMed  Google Scholar 

  • Klein WM, Bosboom DG, Koopmanschap DH, Nievelstein RA, Nikkels PG, van Rijn RR (2015) Normal pediatric postmortem CT appearances. Pediatr Radiol 45:517–526

    Article  PubMed  Google Scholar 

  • Klein WM, Duijst WLJM, Erwich JJHM, Hofman PAM, Kint PAM, Kroll JJF, Nikkels PGJ, Renken NS, Van Rijn RR, Rosier Y, Scheeren CIE, Stomp SJ, van der Valk P (2018) Klinische postmortem radiologie. Federatie Medisch Specialisten. https://richtlijnendatabase.nl/richtlijn/klinische_postmortem_radiologie

  • Kleinman PK (2015) Diagnostic imaging of child abuse. Cambridge University Press, Cambridge

    Book  Google Scholar 

  • Kleinman PK, Marks SC, Blackbourne B (1986) The metaphyseal lesion in abused infants: a radiologic-histopathologic study. AJR Am J Roentgenol 146:895–905

    Article  CAS  PubMed  Google Scholar 

  • Kleinman PK, Perez-Rossello JM, Newton AW, Feldman HA, Kleinman PL (2011) Prevalence of the classic metaphyseal lesion in infants at low versus high risk for abuse. AJR Am J Roentgenol 197:1005–1008

    Article  PubMed  Google Scholar 

  • Krentz BV, Alamo L, Grimm J, Dédouit F, Bruguier C, Chevallier C, Egger C, Da Silva LFF, Grabherr S (2016) Performance of post-mortem CT compared to autopsy in children. Int J Legal Med 130:1089–1099

    Article  PubMed  Google Scholar 

  • Latten BGH, Bakers FCH, Hofman PAM, Zur Hausen A, Kubat B (2019) The needle in the haystack: histology of post-mortem computed tomography guided biopsies versus autopsy derived tissue. Forensic Sci Int 302:109882

    Article  PubMed  Google Scholar 

  • Mokrane FZ, Dercle L, Meyrignac O, Crubézy É, Rousseau H, Telmon N, Dedouit F (2018) Towards multi-phase postmortem CT angiography in children: a study on a porcine model. Int J Legal Med 132:1391–1403

    Article  CAS  PubMed  Google Scholar 

  • Offiah AC, Adamsbaum C, van Rijn RR (2014) ESPR adopts British guidelines for imaging in suspected non-accidental injury as the European standard. Pediatr Radiol 44:1338

    Article  PubMed  Google Scholar 

  • Okland I, Nakling J, Gjessing HK, Grottum P, Eik-Nes SH (2012) Advantages of the population-based approach to pregnancy dating: results from 23,020 ultrasound examinations. Ultrasound Obstet Gynecol 39:563–568

    Article  CAS  PubMed  Google Scholar 

  • Phillips B, Ong BB (2018) “Was the infant Born alive?” A review of postmortem techniques used to determine live birth in cases of suspected neonaticide. Acad Forensic Pathol 8:874–893

    Article  PubMed  PubMed Central  Google Scholar 

  • Prodhomme O, Baud C, Saguintaah M, Béchard-Sevette N, Bolivar J, David S, Taleb-Arrada DI, Couture A (2015) Principles of fetal post mortem ultrasound: a personal review. J Forensic Radiol Imaging 3:12–15

    Article  Google Scholar 

  • Proisy M, Marchand AJ, Loget P, Bouvet R, Roussey M, Pele F, Rozel C, Treguier C, Darnault P, Bruneau B (2013) Whole-body post-mortem computed tomography compared with autopsy in the investigation of unexpected death in infants and children. Eur Radiol 23:1711–1719

    Article  PubMed  Google Scholar 

  • Prosser I, Lawson Z, Evans A, Harrison S, Morris S, Maguire S, Kemp AM (2012) A timetable for the radiologic features of fracture healing in young children. AJR Am J Roentgenol 198:1014–1020

    Article  PubMed  Google Scholar 

  • Prosser I, Maguire S, Harrison SK, Mann M, Sibert JR, Kemp AM (2005) How old is this fracture? Radiologic dating of fractures in children: a systematic review. AJR Am J Roentgenol 184:1282–1286

    Article  PubMed  Google Scholar 

  • Resnick PJ (1970) Murder of the newborn: a psychiatric review of neonaticide. Psychiatry 126:1414–1420

    CAS  Google Scholar 

  • van Rijn RR, Beek EJ, van de Putte EM, Teeuw AH, Nikkels PGJ, Duijst W, Nievelstein RA (2017) The value of postmortem computed tomography in paediatric natural cause of death: a Dutch observational study. Pediatr Radiol 47:1514–1522

    Article  PubMed  PubMed Central  Google Scholar 

  • Ruder TD (2015) What are the greatest challenges or barriers to applying post-mortem imaging in pediatric radiology? Pediatr Radiol 45:479

    Article  PubMed  Google Scholar 

  • Ruest S, Kanaan G, Moore JL, Goldberg AP (2019) The prevalence of rib fractures incidentally identified by chest radiograph among infants and toddlers. J Pediatr 204:208–213

    Article  PubMed  Google Scholar 

  • Sarda-Quarello L, Bartoli C, Laurent PE, Torrents J, Piercecchi-Marti MD, Sigaudy S, Ariey-Bonnet D, Gorincour G (2016) Whole body perinatal postmortem CT angiography. Diagn Interv Imaging 97:121–124

    Article  CAS  PubMed  Google Scholar 

  • Scheuer JL, Musgrave JH, Evans SP (1980) The estimation of late fetal and perinatal age from limb bone length by linear and logarithmic regression. Ann Hum Biol 7:257–265

    Article  CAS  PubMed  Google Scholar 

  • Sebire NJ, Weber MA, Thayyil S, Mushtaq I, Taylor A, Chitty LS (2012) Minimally invasive perinatal autopsies using magnetic resonance imaging and endoscopic postmortem examination (“keyhole autopsy”): feasibility and initial experience. J Matern Fetal Neonatal Med 25:513–518

    Article  PubMed  Google Scholar 

  • Shelmerdine SC, Arthurs OJ, Gilpin I, Norman W, Jones R, Taylor AM, Sebire NJ, Chitty LS (2019c) Is traditional perinatal autopsy needed after detailed fetal ultrasound and post-mortem MRI? Prenat Diagn 39:818–829

    Article  PubMed  Google Scholar 

  • Shelmerdine SC, Davendralingam N, Palm L, Minden T, Cary N, Sebire NJ, Arthurs OJ (2019a) Diagnostic accuracy of postmortem CT of children: a retrospective single-center study. AJR Am J Roentgenol:1–13

    Google Scholar 

  • Shelmerdine SC, Gerrard CY, Rao P, Lynch M, Kroll J, Martin D, Miller E, Filograna L, Martinez RM, Ukpo O, Daly B, Hyodoh H, Johnson K, Watt A, Taranath A, Brown S, Perry D, Boel LWT, Borowska-Solonynko A, van Rijn R, Klein W, Whitby E, Arthurs OJ (2019d) Joint European Society of Paediatric Radiology (ESPR) and International Society for Forensic Radiology and Imaging (ISFRI) guidelines: paediatric postmortem computed tomography imaging protocol. Pediatr Radiol 49:694–701

    Article  PubMed  PubMed Central  Google Scholar 

  • Shelmerdine SC, Gerrard CY, Rao P, Lynch M, Kroll JJF, Martin D, Miller E, Filograna L, Martinez RM, Ukpo O, Daly B, Hyodoh H, Johnson K, Watt A, Taranath A, Brown SD, Perry DH, Thorup Boel LW, Borowska-Solonynko A, van Rijn RR, Klein WM, Whitby A, Arthurs OJ (2019e) Joint European Society of Paediatric Radiology (ESPR) and International Society for Forensic Radiology and Imaging (ISFRI) guidelines: paediatric post-mortem computed tomography (CT) imaging protocol. Pediatr Radiol 49(5):694–701

    Article  PubMed  PubMed Central  Google Scholar 

  • Shelmerdine SC, Hutchinson JC, Sebire NJ, Jacques TS, Arthurs OJ (2017) Post-mortem magnetic resonance (PMMR) imaging of the brain in fetuses and children with histopathological correlation. Clin Radiol 72:1025–1037

    Article  CAS  PubMed  Google Scholar 

  • Shelmerdine SC, Langan D, Hutchinson JC, Hickson M, Pawley K, Suich J, Palm L, Sebire NJ, Wade A, Arthurs OJ (2018) Chest radiographs versus CT for the detection of rib fractures in children (DRIFT): a diagnostic accuracy observational study. Lancet Child Adolesc Health 2:802–811

    Article  PubMed  PubMed Central  Google Scholar 

  • Shelmerdine SC, Sebire NJ, Arthurs OJ (2019b) Perinatal post mortem ultrasound (PMUS): a practical approach. Insights Imaging 10:35

    Article  PubMed  PubMed Central  Google Scholar 

  • Sieswerda-Hoogendoorn T, Beenen LF, van Rijn RR (2015) Normal cranial postmortem CT findings in children. Forensic Sci Int 246:43–49

    Article  CAS  PubMed  Google Scholar 

  • Sieswerda-Hoogendoorn T, Soerdjbalie-Maikoe V, de Bakker H, van Rijn RR (2014) Postmortem CT compared to autopsy in children; concordance in a forensic setting. Int J Legal Med 128(6):957–965

    Article  PubMed  Google Scholar 

  • Sieswerda-Hoogendoorn T, Soerdjbalie-Maikoe V, Maes A, van Rijn RR (2013) The value of post-mortem CT in neonaticide in case of severe decomposition: description of 12 cases. Forensic Sci Int 233:298–303

    Article  CAS  PubMed  Google Scholar 

  • Sonnemans LJP, Vester MEM, Kolsteren EEM, Erwich J, Nikkels PGJ, Kint PAM, van Rijn RR, Klein WM (2018) Dutch guideline for clinical foetal-neonatal and paediatric post-mortem radiology, including a review of literature. Eur J Pediatr 177:791–803

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Taylor AM, Sebire NJ, Ashworth MT, Schievano S, Scott RJ, Wade A, Chitty LS, Robertson N, Thayyil S (2014) Postmortem cardiovascular magnetic resonance imaging in fetuses and children: a masked comparison study with conventional autopsy. Circulation 129:1937–1944

    Article  PubMed  Google Scholar 

  • Teeuw AH, Sieswerda-Hoogendoorn T, Aaftink D, Burgers IAV, Vrolijk-Bosschaart TF, Brilleslijper-Kater SN, Heymans HSA, van Rijn RR (2017) Assessments carried out by a child abuse and neglect team in an Amsterdam teaching hospital led to interventions in most of the reported cases. Acta Paediatr 106:1118–1127

    Article  PubMed  Google Scholar 

  • Thayyil S, Chitty LS, Robertson NJ, Taylor AM, Sebire NJ (2010) Minimally invasive fetal postmortem examination using magnetic resonance imaging and computerised tomography: current evidence and practical issues. Prenat Diagn 30:713–718

    Article  CAS  PubMed  Google Scholar 

  • Thayyil S, Sebire NJ, Chitty LS, Wade A, Chong W, Olsen O, Gunny RS, Offiah AC, Owens CM, Saunders DE, Scott RJ, Jones R, Norman W, Addison S, Bainbridge A, Cady EB, Vita ED, Robertson NJ, Taylor AM (2013) Post-mortem MRI versus conventional autopsy in fetuses and children: a prospective validation study. Lancet 382:223–233

    Article  PubMed  Google Scholar 

  • Thayyil S, Sebire NJ, Chitty LS, Wade A, Olsen O, Gunny RS, Offiah A, Saunders DE, Owens CM, Chong WK, Robertson NJ, Taylor AM (2011) Post mortem magnetic resonance imaging in the fetus, infant and child: a comparative study with conventional autopsy (MaRIAS protocol). BMC Pediatr 11:120

    Article  PubMed  PubMed Central  Google Scholar 

  • The Royal College of Radiologists (RCR) and the Society and College of Radiographers (SCoR) (2017) The radiological investigation of suspected physical abuse in children. https://www.rcr.ac.uk/publication/radiological-investigation-suspected-physical-abuse-children

  • Tsai A, Connolly SA, Ecklund K, Johnston PR, Kleinman PK (2019) Subperiosteal new bone formation with the distal tibial classic metaphyseal lesion: prevalence on radiographic skeletal surveys. Pediatr Radiol 49(4):551–558

    Article  PubMed  Google Scholar 

  • Tsai A, Johnston PR, Perez-Rossello JM, Breen MA, Kleinman PK (2018) The distal tibial classic metaphyseal lesion: medial versus lateral cortical injury. Pediatr Radiol 48:973–978

    Article  PubMed  Google Scholar 

  • Vander Plaetsen S, De Letter E, Piette M, Van Parys G, Casselman JW, Verstraete K (2015) Post-mortem evaluation of drowning with whole body CT. Forensic Sci Int 249:35–41

    Article  PubMed  Google Scholar 

  • Wallace GH, Makoroff KL, Malott HA, Shapiro RA (2007) Hospital-based multidisciplinary teams can prevent unnecessary child abuse reports and out-of-home placements. Child Abuse Negl 31:623–629

    Article  PubMed  Google Scholar 

  • Weustink AC, Hunink MG, van Dijke CF, Renken NS, Krestin GP, Oosterhuis JW (2009) Minimally invasive autopsy: an alternative to conventional autopsy? Radiology 250:897–904

    Article  PubMed  Google Scholar 

  • Wootton-Gorges SL, Soares BP, Alazraki AL, Anupindi SA, Blount JP, Booth TN, Dempsey ME, Falcone RA Jr, Hayes LL, Kulkarni AV, Partap S, Rigsby CK, Ryan ME, Safdar NM, Trout AT, Widmann RF, Karmazyn BK, Palasis S (2017) ACR appropriateness criteria(®) suspected physical abuse-child. J Am Coll Radiol 14:S338–s349

    Article  PubMed  Google Scholar 

  • World Health Organisation (2016) Child maltreatment; fact sheet. http://www.who.int/mediacentre/factsheets/fs150/en/. Accessed 12 Jan 2018

  • Wozniak KJ, Moskala A, Kluza P, Romaszko K, Lopatin O, Rzepecka-Wozniak E (2015) Whole-body post-mortem computed tomography angiography of a newborn revealing transposition of great arteries. Int J Legal Med 129:1253–1258

    Article  PubMed  Google Scholar 

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van Rijn, R.R., Robben, S.G.F., Fronczek, J., Klein, W.M. (2022). Child Abuse, a Post-mortem Forensic Perspective. In: Dedouit, F., Yen, K., Heinze, S. (eds) Forensic Imaging. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/978-3-030-83352-7_9

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