Background

Ophthalmic imaging plays an increasingly important role the evaluation of abusive head trauma, however these imaging modalities may be unfamiliar to non-ophthalmologists.

Objective

To provide pediatricians and child abuse pediatric professionals with background on ophthalmic imaging techniques in the context of suspected abuse, as well as information on commercial options and costs for those interested in augmenting their ophthalmic imaging capabilities.

Methods

We performed a review of the ophthalmic imaging literature for fundus photography, ocular coherence tomography, fluorescein angiography, ocular ultrasound, computed tomography, magnetic resonance imaging and postmortem imaging. We also contacted individual vendors for equipment pricing information.

Results

For each ophthalmic imaging modality, we demonstrate its role in the evaluation of abusive head trauma including indications, potential findings, sensitivity and specificity of findings for abuse, and commercial options.

Conclusions

Ophthalmic imaging is an important supportive component of the evaluation for abusive head trauma. When used in conjunction with clinical examination, ophthalmic imaging can improve diagnostic accuracy, support documentation, and possibly improve communication in medicolegal contexts.

中文翻译：

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虐待性头部外伤的眼科影像学

背景

眼科成像在评估虐待性头部外伤方面发挥着越来越重要的作用，但是这些成像方式对于非眼科医生来说可能并不熟悉。

客观的

为儿科医生和虐待儿童的儿科专业人员提供疑似虐待情况下的眼科成像技术背景，并为那些有兴趣增强眼科成像能力的人提供有关商业选择和成本的信息。

方法

我们对眼底照相、眼部相干断层扫描、荧光素血管造影、眼部超声、计算机断层扫描、磁共振成像和尸检成像的眼科成像文献进行了回顾。我们还联系了各个供应商以获取设备定价信息。

结果

对于每种眼科成像方式，我们展示了它在评估虐待性头部外伤中的作用，包括适应症、潜在发现、滥用发现的敏感性和特异性，以及商业选择。

结论

眼科成像是评估虐待性头部外伤的重要支持组成部分。当与临床检查结合使用时，眼科成像可以提高诊断准确性、支持文档，并可能改善法医学环境中的沟通。