ORCID Profile
0000-0003-4508-8803
Current Organisations
SKG Radiology
,
University of Sheffield
,
University of Western Australia
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University of Notre Dame Australia
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Publications
Asymptomatic and Under Pressure
Publisher: Elsevier BV
Date: 11-2018
The curious case of the disappearing IVC: A case report and review of the aetiology of Inferior Vena Cava Agenesis
Publisher: EduRad
Date: 26-04-2014
Abstract: We report the case of a previously well 18-year-old male who presented to the Emergency Department with lower limb pain. An ultrasound demonstrated extensive left sided deep vein thrombosis and computed tomography demonstrated inferior vena cava agenesis, leading to the diagnosis of inferior vena cava agenesis associated deep vein thrombosis. The aetiology of inferior vena cava agenesis is explored in depth.
Disaster Response Team FAST Skills Training with a PortableUltrasound Simulator Compared to Traditional Training: Pilot Study
Publisher: Western Journal of Emergency Medicine
Date: 23-03-2015
Do children with suspected shunt failure also require a radiographic shunt series if head CT is going to be, or has been, performed?
Publisher: BMJ
Date: 26-10-2020
The assessment of fetal brain growth in diabetic pregnancy using in utero magnetic resonance imaging
Publisher: Elsevier BV
Date: 05-2017
DOI: 10.1016/J.CRAD.2016.12.004
Abstract: To assess fetal brain growth over the third trimester in pregnant women with diabetes using in utero magnetic resonance imaging (iuMRI) to determine if greater brain growth occurs in type 1 (T1DM) when compared to gestational (GDM) diabetes mellitus. Each consented participant was scanned at three fixed times during the third trimester using iuMRI. One hundred and fifty-seven patients were approached, 48 participants were recruited, and 36 complete data sets were analysed. Three-dimensional (3D) iuMRI volume data sets were manually segmented using software to construct models of the fetal brain from which brain volumes could be calculated. Inter-rater analysis was performed, and volume differences and growth rates were compared between T1DM and GDM. Recruitment proved difficult with low uptake and high attrition rates (77.1%). Inter-rater analysis revealed excellent correlation (intraclass correlation coefficient=0.93, p<0.001) and agreement with no significant difference between operators (p=0.194). There was no evidence of increased brain volume in the T1DM group. Growth rates between visit 1 and 3 for T1DM and GDM were not significantly different (p=0.095). T1DM brain volumes were not significantly larger than GDM volumes and there was no significant ergence of brain growth over the third trimester. Constructing volume models from 3D iuMRI acquisitions is a novel technique that can be used to assess fetal brain growth. No specialist software or knowledge is required. Larger studies attempting to recruit pregnant women in the later stages of pregnancy should employ multicentre recruitment to overcome recruitment difficulties and high attrition rates.
Lines on a posteroanterior chest radiograph
Publisher: BMJ
Date: 18-03-2015
DOI: 10.1136/BMJ.H1437
The Revised METRIQ Score: A Quality Evaluation Tool for Online Educational Resources
Publisher: Wiley
Date: 30-07-2019
DOI: 10.1002/AET2.10376
Re: Assessment of interpretation of paediatric skeletal radiographs in the emergency room
Publisher: Elsevier BV
Date: 09-2019
Rate and severity of radiological features of physical abuse in children during the first UK-wide COVID-19 enforced national lockdown
Publisher: BMJ
Date: 17-02-2022
DOI: 10.1136/ARCHDISCHILD-2021-323444
Abstract: Rate and severity of radiological features of physical abuse in children during the first UK-wide COVID-19 enforced national lockdown. To assess the number, type and outcome of radiological investigations for children presenting to hospital with suspected physical abuse (SPA including abusive head trauma) during the first national COVID-19 enforced lockdown compared with the prelockdown period. Multicentre, retrospective, observational, interrupted time series analysis. Eight secondary/tertiary paediatric centres between January 2018 and July 2020 inclusive. 1587 hospital assessed children undergoing radiographic skeletal surveys (SkS) and head CT imaging performed for SPA/child protection concerns. Incidence and severity of fractures identified on SkS head injury (composed of incidence rates and ratios of skull fracture, intracranial haemorrhage (ICH) and hypoxic ischaemic injury (HII)) on head CT imaging and ratio of antemortem and postmortem SkS. 1587 SkS were performed: 1282 (81%) antemortem, 762 (48%) male, and positive findings in 582 (37%). Median patient age was 6 months. There were 1.7 fractures/child prelockdown versus 1.1 fractures/child during lockdown. There was no difference between positive/negative SkS rates, the absolute ratio of antemortem ostmortem SkS or absolute numbers of head injury occurring between January 2018 and February 2020 and the lockdown period April–July 2020. Likewise, prelockdown incidence and rates of skull fracture 30/244 (12%), ICH 28/220 (13%) and HIE 10/205 (5%) were similar to lockdown, 142/1304 (11%), 171/1152 (15%) and 68/1089 (6%), respectively. The first UK COVID-19 lockdown did not lead to an increase in either the number of antemortem or postmortem radiological investigations performed for SPA, or the number or severity of fractures and intracranial injuries identified by these investigations.
Bilateral incudomalleolar dislocations: an unusual cause of deafness
Publisher: BMJ
Date: 03-2017
Adrenal haemorrhage as a complication of COVID-19 infection
Publisher: BMJ
Date: 11-2020
Abstract: We report an unusual complication of COVID-19 infection in a 53-year-old Caucasian man. He presented with shortness of breath, fever and pleuritic chest pain. A CT pulmonary angiogram (CTPA) demonstrated acute bilateral pulmonary embolism and bilateral multifocal parenchymal ground glass change consistent with COVID-19 (SARS-CoV-2) infection. Right adrenal haemorrhage was suspected on the CTPA which was confirmed on triple-phase abdominal CT imaging. A short Synacthen test revealed normal adrenal function. He was treated initially with an intravenous heparin infusion, which was changed to apixaban with a planned outpatient review in 3 months’ time. He made an uncomplicated recovery and was discharged. Follow-up imaging nearly 5 months later showed near complete resolution of the right adrenal haemorrhage with no CT evidence of an underlying adrenal lesion.
Pediatric Cerebral Cavernous Malformations
Publisher: Elsevier BV
Date: 03-2021
DOI: 10.1016/J.PEDIATRNEUROL.2020.11.004
Abstract: Cerebral cavernous malformations are the second most common vascular malformations in the central nervous system, and over one-third are found in children. Lesions may be solitary or multiple, be discovered incidentally, be sporadic, or be secondary to familial cavernomatosis or radiation therapy. Children may present with focal seizures, intracranial hemorrhage, or focal neurological deficits without radiological evidence of recent hemorrhage. We present several children with cerebral cavernous malformations and explore the challenges of their diagnosis in children, their key imaging features, the role of follow-up imaging, and their subsequent management including stereotactic radiosurgery and microsurgical resection. In idual patient risk stratification is advocated for all affected children and their families.
Should postnatal ultrasound be performed when isolated echogenic bowel has been reported on the antenatal ultrasound?
Publisher: BMJ
Date: 26-09-2019
The European Diploma in Paediatric Radiology: a candidate’s experience
Publisher: Springer Science and Business Media LLC
Date: 29-01-2022
Re: Imaging and reporting considerations for suspected physical abuse (non-accidental injury) in infants and young children. Part 1: initial considerations and appendicular skeleton. A reply
Publisher: Elsevier BV
Date: 05-2017
Wegener's granulomatosis in primary care.
Publisher: SAGE Publications
Date: 12-2010
Examining Reliability and Validity of an Online Score (ALiEM AIR) for Rating Free Open Access Medical Education Resources
Publisher: Elsevier BV
Date: 12-2016
DOI: 10.1016/J.ANNEMERGMED.2016.02.018
Abstract: Since 2014, Academic Life in Emergency Medicine (ALiEM) has used the Approved Instructional Resources (AIR) score to critically appraise online content. The primary goals of this study are to determine the interrater reliability (IRR) of the ALiEM AIR rating score and determine its correlation with expert educator gestalt. We also determine the minimum number of educator-raters needed to achieve acceptable reliability. Eight educators each rated 83 online educational posts with the ALiEM AIR scale. Items include accuracy, usage of evidence-based medicine, referencing, utility, and the Best Evidence in Emergency Medicine rating score. A generalizability study was conducted to determine IRR and rating variance contributions of facets such as rater, blogs, posts, and topic. A randomized selection of 40 blog posts previously rated through ALiEM AIR was then rated again by a blinded group of expert medical educators according to their gestalt. Their gestalt impression was subsequently correlated with the ALiEM AIR score. The IRR for the ALiEM AIR rating scale was 0.81 during the 6-month pilot period. Decision studies showed that at least 9 raters were required to achieve this reliability. Spearman correlations between mean AIR score and the mean expert gestalt ratings were 0.40 for recommendation for learners and 0.35 for their colleagues. The ALiEM AIR scale is a moderately to highly reliable, 5-question tool when used by medical educators for rating online resources. The score displays a fair correlation with expert educator gestalt in regard to the quality of the resources. The score displays a fair correlation with educator gestalt.
Shortage of paediatric radiologists acting as an expert witness: position statement from the British Society of Paediatric Radiology (BSPR) National Working Group on Imaging in Suspected Physical Abus
Publisher: Elsevier BV
Date: 07-2019
DOI: 10.1016/J.CRAD.2019.04.016
Abstract: One of the most challenging areas of radiological imaging in children is the diagnosis of physical abuse. There is a dearth of paediatric radiologists willing to act as expert witnesses, particularly in the family courts. There are a number of reasons why radiologists may not be interested or willing to put themselves forward to work as expert witnesses in this field. A group of imaging experts recently formed the "British Society of Paediatric Radiology (BSPR) Working Group on Imaging in Suspected Physical Abuse (SPA)". The group comprises radiologists and neuroradiologists with current or previous experience of providing expert witness reports to the court in cases of SPA. The group met in January 2019 to explore pragmatic solutions to the chronic inefficiencies in both medical and legal practices and the challenges that arise from working in a legal arena with different structures, goals, and assessment criteria. Key issues concerned organisational inefficiencies, variable support from National Health Service Trusts and the Royal College of Radiologists to conduct this work, and the risk/benefit of involvement. This work is important for the patient, parents, and society in general, and highly rewarding for clinical practitioners who are involved, but there are several issues with current practices that discourage active participation. With several members of the group either retired or close to retirement, the shortage of experts is becoming a pressing issue within the UK, which requires an engaged multidisciplinary group to come up with creative solutions. Here, the group provide a consensus opinion highlighting the current barriers and potential facilitators to increasing the number of radiologists willing to provide opinions to the court.
Quantification of total fetal brain volume using 3D MR imaging data acquired in utero
Publisher: Wiley
Date: 29-11-2016
DOI: 10.1002/PD.4961
Abstract: Interpretation of magnetic resonance (MR) imaging of the fetal brain in utero is primarily undertaken using 2D images to provide anatomical information about structural abnormalities. It is now possible to obtain 3D image acquisitions that allow measurement of fetal brain volumes that are potentially useful clinically. The aim of our current work is to provide reference values of total brain volumes obtained from a cohort of low risk fetuses with no abnormalities on ante-natal ultrasonography and in utero MR imaging. Images from volume MR acquisitions of 132 fetuses were used to extract brain volumes by manual segmentation. Reproducibility and reliability were assessed by analysis of the results of two subgroups who had repeated measurements made by the primary and a secondary observer. Intra-observer and inter-observer agreement was high with no statistically significant differences between and within observers (p = 0.476 and p = 0.427, respectively). The results of the brain volume assessments are presented graphically with mean and 95% prediction limits alongside estimates of normal growth rates. We have shown that fetal brain volumes can be reliably extracted from in utero MR (iuMR) imaging 3D datasets with a high degree of reproducibility. The resultant data could potentially be used as a reference tool in the clinical setting. © 2016 John Wiley & Sons, Ltd.
The Social Media Index as an Indicator of Quality for Emergency Medicine Blogs: A METRIQ Study
Publisher: Elsevier BV
Date: 12-2018
DOI: 10.1016/J.ANNEMERGMED.2018.05.003
Abstract: Online educational resources such as blogs are increasingly used for education by emergency medicine clinicians. The Social Media Index was developed to quantify their relative impact. The Medical Education Translational Resources: Indicators of Quality (METRIQ) study was conducted in part to determine the association between the Social Media Index score and quality as measured by gestalt and previously derived quality instruments. Ten blogs were randomly selected from a list of emergency medicine and critical care Web sites. The 2 most recent clinically oriented blog posts published on these blogs were evaluated with gestalt, the Academic Life in Emergency Medicine Approved Instructional Resources (ALiEM AIR) score, and the METRIQ-8 score. Volunteer raters (including medical students, emergency medicine residents, and emergency medicine attending physicians) were identified with a multimodal recruitment methodology. The Social Media Index was calculated in February 2016, November 2016, April 2017, and December 2017. Pearson's correlations were calculated between the Social Media Index and the average rater gestalt, ALiEM AIR score, and METRIQ-8 score. A total of 309 of 330 raters completed all ratings (93.6%). The Social Media Index correlated moderately to strongly with the mean rater gestalt ratings (range 0.69 to 0.76) and moderately with the mean rater ALiEM AIR score (range 0.55 to 0.61) and METRIQ-8 score (range 0.53 to 0.57) during the month of the blog post's selection and for 2 years after. The Social Media Index's correlation with multiple quality evaluation instruments over time supports the hypothesis that it is associated with overall Web site quality. It can play a role in guiding in iduals to high-quality resources that can be reviewed with critical appraisal techniques.
Surfer's exostosis in a child who does not surf
Publisher: Elsevier BV
Date: 06-2018
Professional practice and awareness of child abuse among radiologists and radiologic technologists: results from Saudi Arabia
Publisher: Springer Science and Business Media LLC
Date: 15-12-2022
DOI: 10.1007/S00247-022-05561-X
Abstract: The knowledge, awareness and professionalism of health care providers in the field of child protection are crucial in identifying and reporting suspected child abuse. Radiologic technologists and radiologists play a vital role in the diagnosis of suspected physical child abuse. To assess current practice, knowledge and awareness of child abuse among radiologic technologists and radiologists in Saudi Arabia. We distributed an internet-based questionnaire to radiologic technologists and radiologists working in Saudi Arabia via national radiology societies and social media channels over a 6-week period (27 October to 8 December 2021). Survey questions covered knowledge regarding child abuse, professional practice in radiology departments in Saudi Arabia in cases of suspected physical abuse (SPA), and knowledge of the national legislation and reporting and acting procedures in child abuse. A total of 315 respondents (224 radiologic technologists and 91 radiologists) participated in this study. The median score for knowledge of abuse was higher amongst radiologists (4.8) than radiologic technologists (4.0) P 0.001. In total, 210 (93.8%) radiologic technologists and 61 (67.0%) radiologists reported that there was no protocol (i.e. skeletal survey) at their hospital for imaging children with SPA. Most radiologic technologists had no training in paediatric radiology (165/224, 73.7%) and most radiologists had received no training in evaluating imaging performed for SPA (73/91, 80.2%). More than half of respondents — 131 (58.5%) radiologic technologists and 44 (48.4%) radiologists — were not familiar with the reporting and acting procedures at their hospitals in cases of child abuse. Although radiologic technologists and radiologists in Saudi Arabia have good knowledge and awareness of child abuse in general, they lack specific knowledge of the reporting and acting procedures at their hospitals in cases of suspected child abuse. National imaging guidelines and training courses are needed to develop appropriate skills in the recognition, imaging and reporting of SPA in infants and young children in Saudi Arabia.
Re: A comprehensive toolkit for imaging children who may have been abused: new guidance from the Royal College of Radiologists and the Society and College of Radiographers
Publisher: Elsevier BV
Date: 07-2018
Intra-articular displacement of an avulsed medial (internal) epicondyle ossification centre in the paediatric elbow: a radiographic finding not to be missed
Publisher: BMJ
Date: 11-2019
Abstract: We present the case of an 11-year-old girl who was presented to the Emergency Department with right elbow pain and swelling following a fall. Radiography demonstrated intra-articular displacement of an avulsed medial epicondyle ossification centre, which was not readily identified at presentation. She proceeded to an uncomplicated open reduction and internal fixation.
Controversial aspects of imaging in child abuse: a second roundtable discussion from the ESPR child abuse taskforce
Publisher: Springer Science and Business Media LLC
Date: 07-03-2023
DOI: 10.1007/S00247-023-05618-5
Abstract: This second roundtable discussion was convened at the 56th European Society of Paediatric Radiology (ESPR) 2022 Annual Meeting in Marseille, France, to discuss controversial aspects of imaging in child abuse. The following topics were discussed: Fracture dating—the published literature is broadly similar with respect to the identification of the radiographic stages of bony healing. The non-expert/general radiologist is encouraged to use broad descriptors of fracture healing (acute, healing or old) within their reports, rather than attempting to date fractures. The more experienced/expert radiologist, who may provide a timeframe/range to assist the courts, should be aware that any published timeframes are not absolute and that recent research indicates that the rate of healing may differ according to the bone affected and the age of the patient. Whole spine imaging in suspected abusive head trauma—this is recommended to enable a complete assessment of the neuraxis when abusive head trauma is suspected or diagnosed, particularly in the presence of intracranial and cervical subdural haemorrhage and cervical ligamentous injury. Cranial imaging in suspected physical abuse—both computed tomography (CT) and magnetic resonance imaging (MRI) remain complimentary depending on the clinical context in which they are used with CT remaining first-line in the assessment of children with (suspected abusive) head trauma prior to an early MRI. MRI is superior in its assessment of parenchymal injury and may be employed as first-line in age appropriate asymptomatic siblings of a child with suspected physical abuse.
Fifteen-minute consultation: A structured approach to the child with palpable cervical lymph nodes
Publisher: BMJ
Date: 17-02-2023
DOI: 10.1136/ARCHDISCHILD-2020-321378
Abstract: Palpable cervical lymph nodes are common in children and are a frequent reason for presentation to both primary and secondary care. Enlarged lymph nodes are most commonly the result of self-limiting infection, and in children, are rarely the first indicator of a malignant process. This article presents an evidenced-based approach to evaluating these patients.
Why choose psychiatry? Report on a qualitative workshop
Publisher: Cambridge University Press (CUP)
Date: 04-2013
DOI: 10.1192/PB.37.4.146
Avoiding skull radiographs in infants with suspected inflicted injury who also undergo head CT: “a no-brainer?”
Publisher: Springer Science and Business Media LLC
Date: 03-12-2019
DOI: 10.1007/S00330-019-06579-W
Abstract: To assess whether head CT with 3D reconstruction can replace skull radiographs (SXR) in the imaging investigation of suspected physical abuse (SPA)/abusive head trauma (AHT). PACS was interrogated for antemortem skeletal surveys performed for SPA, patients younger than 2 years, SXR and CT performed within 4 days of each other. Paired SXR and CT were independently reviewed. One reviewer analysed CT without and (3 months later) with 3D reconstructions. SXR and CT expert consensus review formed the gold standard. Observer reliability was calculated. A total of 104 SXR/CT examination pairs were identified, mean age 6.75 months (range 4 days to 2 years) 21 (20%) had skull fractures two fractures on CT were missed on SXR. There were no fractures on SXR that were not seen on CT. For SXR and CT, respectively: PPV reviewer 1, 95% confidence interval (CI) 48–82% and 85–100% reviewer 2, 67–98% and 82–100% and NPV reviewer 1, 95%, CI 88–98% and 96–100% reviewer 2, 88–97% and 88–98%. Inter- and intra-observer reliability were respectively the following: SXR, excellent (kappa = 0.831) and good (kappa = 0.694) CT, excellent (kappa = 0.831) and perfect (kappa = 1). All results were statistically significant ( p 0.001). CT has greater diagnostic accuracy than SXR in detecting skull fractures which is increased on concurrent review of 3D reconstructions and should be performed in every case of SPA/AHT. SXR does not add further diagnostic information and can be omitted from the skeletal survey when CT with 3D reconstruction is going to be, or has been, performed. • Head CT with 3D reconstruction is more sensitive and specific for the diagnosis of skull fractures. • Skull radiographs can be safely omitted from the initial skeletal survey performed for suspected physical abuse when head CT with 3D reconstruction is going to be, or has been, performed .
Extensor Digitorum Brevis Manus presenting as a symptomatic lump on the dorsum of the hand
Publisher: Elsevier BV
Date: 11-2020
European Society of Paediatric Radiology (ESPR) Child Abuse Taskforce Committee: a response to Miller et al.
Publisher: Walter de Gruyter GmbH
Date: 29-06-2020
Quality Evaluation Scores are no more Reliable than Gestalt in Evaluating the Quality of Emergency Medicine Blogs: A METRIQ Study
Publisher: Informa UK Limited
Date: 30-01-2018
DOI: 10.1080/10401334.2017.1414609
Abstract: Construct: We investigated the quality of emergency medicine (EM) blogs as educational resources. Online medical education resources such as blogs are increasingly used by EM trainees and clinicians. However, quality evaluations of these resources using gestalt are unreliable. We investigated the reliability of two previously derived quality evaluation instruments for blogs. Sixty English-language EM websites that published clinically oriented blog posts between January 1 and February 24, 2016, were identified. A random number generator selected 10 websites, and the 2 most recent clinically oriented blog posts from each site were evaluated using gestalt, the Academic Life in Emergency Medicine (ALiEM) Approved Instructional Resources (AIR) score, and the Medical Education Translational Resources: Impact and Quality (METRIQ-8) score, by a s le of medical students, EM residents, and EM attendings. Each rater evaluated all 20 blog posts with gestalt and 15 of the 20 blog posts with the ALiEM AIR and METRIQ-8 scores. Pearson's correlations were calculated between the average scores for each metric. Single-measure intraclass correlation coefficients (ICCs) evaluated the reliability of each instrument. Our study included 121 medical students, 88 EM residents, and 100 EM attendings who completed ratings. The average gestalt rating of each blog post correlated strongly with the average scores for ALiEM AIR (r = .94) and METRIQ-8 (r = .91). Single-measure ICCs were fair for gestalt (0.37, IQR 0.25-0.56), ALiEM AIR (0.41, IQR 0.29-0.60) and METRIQ-8 (0.40, IQR 0.28-0.59). The average scores of each blog post correlated strongly with gestalt ratings. However, neither ALiEM AIR nor METRIQ-8 showed higher reliability than gestalt. Improved reliability may be possible through rater training and instrument refinement.
An unusual cause of finger swelling
Publisher: BMJ
Date: 04-07-2017
The diagnostic performance of chest computed tomography in the detection of rib fractures in children investigated for suspected physical abuse: a systematic review and meta-analysis
Publisher: Springer Science and Business Media LLC
Date: 16-03-2021
DOI: 10.1007/S00330-021-07775-3
Abstract: To assess the diagnostic performance of chest CT in the detection of rib fractures in children investigated for suspected physical abuse (SPA). Medline, Web of Science and Cochrane databases were searched from January 1980 to April 2020. The QUADAS-2 tool was used to assess the quality of the eligible English-only studies following which a formal narrative synthesis was constructed. Studies reporting true-positive, false-positive, true-negative, and false-negative results were included in the meta-analysis. Overall sensitivity and specificity of chest CT for rib fracture detection were calculated, irrespective of fracture location, and were pooled using a univariate random-effects meta-analysis. The diagnostic accuracy of specific locations along the rib arc (anterior, lateral or posterior) was assessed separately. Of 242 identified studies, 4 met the inclusion criteria. Of these, 2 were included in the meta-analysis. Chest CT identified 142 rib fractures compared to 79 detected by initial skeletal survey chest radiographs in live children with SPA. Post-mortem CT (PMCT) has low sensitivity (34%) but high specificity (99%) in the detection of rib fractures when compared to the autopsy reference standard. PMCT has low sensitivity (45%, 21% and 42%) but high specificity (99%, 97% and 99%) at anterior, lateral and posterior rib locations, respectively. Chest CT detects more rib fractures than initial skeletal survey chest radiographs in live children with SPA. PMCT has low sensitivity but high specificity for detecting rib fractures in children investigated for SPA. • PMCT has low sensitivity (34%) but high specificity (99%) in the detection of rib fractures extrapolation to CT in live children is difficult. • No studies have compared chest CT with the current accepted practice of initial and follow-up skeletal survey chest radiographs in the detection of rib fractures in live children investigated for SPA.
Can Neutropenic Fever Ever Be Low Risk?
Publisher: Elsevier BV
Date: 06-2017
Imaging and reporting considerations for suspected physical abuse (non-accidental injury) in infants and young children. Part 1: initial considerations and appendicular skeleton
Publisher: Elsevier BV
Date: 03-2017
DOI: 10.1016/J.CRAD.2016.11.016
Abstract: Recognising the skeletal manifestations of inflicted injury (II) in infants and young children is of crucial importance. There are specific fracture patterns which are highly suspicious of II in addition to common differential diagnoses with which radiologists should be familiar. Our objective is to provide a non-exhaustive review of the important factors relevant to the imaging and reporting of II as a platform for further learning. Part 1 encompasses important initial considerations and fracture patterns of the appendicular skeleton.
Splenogonadal fusion: a radiologic-pathologic correlation and review of the literature
Publisher: Elsevier BV
Date: 10-2020
Do otherwise well, healthy children with palpable cervical lymph nodes require investigation with neck ultrasound?
Publisher: BMJ
Date: 24-07-2020
Impact of Diabetes on Microvascular PO2 and Tension in Rat Extensor Digitorum Longus (EDL) Muscle
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 05-2006
Imaging and reporting considerations for suspected physical abuse (non-accidental injury) in infants and young children. Part 2: axial skeleton and differential diagnoses
Publisher: Elsevier BV
Date: 03-2017
DOI: 10.1016/J.CRAD.2016.11.015
Abstract: Recognising the skeletal manifestations of inflicted injury (II) in infants and young children is of crucial importance. There are specific fracture patterns which are highly suspicious of II in addition to common differential diagnoses with which radiologists should be familiar. Our objective is to provide a non-exhaustive review of the important factors relevant to the imaging and reporting of II as a platform for further learning. Part 2 encompasses fracture patterns of the axial skeleton and important differential diagnoses.
Soleus Microvascular PO2 After Acute and Chronic Femoral Artery Ligation in Rats
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 05-2006
Bilateral fibular fractures in a pre-ambulant infant
Publisher: Springer Science and Business Media LLC
Date: 03-07-2020
DOI: 10.1007/S00247-020-04738-6
Abstract: Multiple long-bone fractures, particularly bilateral fractures, are of moderate specificity for inflicted injury (physical abuse) in infants and young children. Bilateral healing fractures of the fibulae are rare and, depending on age, raise the suspicion of inflicted injury. We report healing undisplaced fractures of both fibulae, in almost identical positions, in a pre-ambulant infant. The caregivers reported that the infant repeatedly banged his legs against the metal frame of his playpen. A video of this mechanism was provided to the instructed radiology expert and showed that the point of impact of the infant’s legs against the metal frame was at a similar level to the radiographic abnormalities. This mechanism was therefore believed to be consistent with the injuries, resulting in a diagnosis of self-inflicted bilateral fibular fractures and not of inflicted injury.
Biomechanics of a Failed Single Legged Landing due to Fatigue
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 05-2006
Reinforcing Value of Interval and Continuous Exercise Above and Below the Ventilatory Threshold
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 05-2006
Related Organisations
Barnsley Hospital
Location: United Kingdom of Great Britain and Northern Ireland
University Of Kent
Location: United Kingdom of Great Britain and Northern Ireland
King's College London
Location: United Kingdom of Great Britain and Northern Ireland
University Of Sheffield
Location: United Kingdom of Great Britain and Northern Ireland
Related Funding Activities
No related grants have been discovered for Michael Paddock.