Prospective Use of Ultra-Low-Dose Chest CT Compared to Skeletal Survey in Detecting Fractures Related to Child Abuse

Overview

About this study

The purpose of this study is to compare the accuracy of ultra-low dose non-contrast chest CT to skeletal survey to detect fractures suspicious for child abuse in infants 24 months and younger.
 

 

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Plain film skeletal survey is the universal screening examination all cases of suspected child abuse in patients aged 24 months and younger.
  • All patients who fit these criteria and present to the Rochester, Mayo Clinic site are routinely evaluated by the Child Abuse Team, led by coinvestigators Drs. Arne Graff and Chris Derauf.
  • The non-contrast ultra-low dose chest CT will be performed the same day as the plain film skeletal survey, or less optimally within 48 hours. Logistically, many of these patients also receive head CT as part of the initial work-up, which would be the ideal time to add this additional examination, as it would add just seconds to the examination already being performed.
  • A follow-up ultra-low dose chest CT will also be performed at the time of follow-up plain film skeletal survey. Follow-up imaging is typically recommended at about 2 weeks, but a wider window of 1-4 weeks will be allowed to capture this patient population, which is a reasonable time-period to evaluate for healing changes of occult fractures on x-ray.

Exclusion Criteria:

  • Patients older than 24 months.

Eligibility last updated 8/25/21. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status

Rochester, Minn.

Mayo Clinic principal investigator

Kelly Horst, M.D.

Closed for enrollment

More information

Publications

Publications are currently not available
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CLS-20545084

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