Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Diagnostic Imaging for Physical Abuse in Children

신체적 학대를 받은 아동의 진단적 영상

  • Tae Yeon Jeon (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • So-Young Yoo (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Hong Eo (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Ji Hye Kim (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 전태연 (성균관대학교 삼성서울병원 영상의학과) ;
  • 유소영 (성균관대학교 삼성서울병원 영상의학과) ;
  • 어홍 (성균관대학교 삼성서울병원 영상의학과) ;
  • 김지혜 (성균관대학교 삼성서울병원 영상의학과)
  • Received : 2020.04.21
  • Accepted : 2020.07.03
  • Published : 2020.07.01
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Abstract

Physical abuse is a significant cause of morbidity and mortality in the pediatric population. Young children, particularly in the first year of life, are most vulnerable to physical abuse. To evaluate suspected physical abuse, radiologists play a vital role by detecting radiological findings suggestive of physical abuse and differentiating them from other pathologies. This review focuses on radiologic findings, including those for fractures, abusive head trauma, spinal injury, and thoracoabdominal injury, commonly discovered in physically abused children, with special emphasis on biomechanical forces that produce injuries.

신체적 학대로 인한 손상은 소아에서 이환율과 사망률의 중요한 원인이 된다. 특히, 1세 이하의 영아가 신체적 학대의 위험이 높다. 신체적 학대가 의심되는 경우 영상의학과 의사의 역할은 매우 중요한데 학대가 의심되는 영상의학적 소견을 찾고 다른 질환과의 감별을 통해 신속하고 정확한 진단을 내려야 한다. 본 논문에서는 신체적 학대를 받은 아동에서 흔히 보일 수 있는 특징적인 손상인 골절, 머리 손상, 척추 손상, 흉부와 복부의 손상 등의 여러 영상의학적 소견을 설명하고 이러한 손상이 유발되는 생체 역학적 힘의 기전에 대해 알아보고자 한다.

Keywords

Acknowledgement

The authors thank Dr. Hye-Kyung Yoon (Human Medical Imaging & Intervention Center, Seoul, Korea) for providing figures of classic metaphyseal lesion and Dr. Kyoung Ja Lim (Hallym University College of Medicine, Kangdong Seong-Sim Hospital, Seoul, Korea) for providing figures of pancreas injury.

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