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  1. Article ; Online: Month 12 musings of a managing editor.

    Offiah, A C

    Pediatric radiology

    2022  Volume 52, Issue 12, Page(s) 2243–2244

    Language English
    Publishing date 2022-10-26
    Publishing country Germany
    Document type Editorial
    ZDB-ID 124459-0
    ISSN 1432-1998 ; 0301-0449
    ISSN (online) 1432-1998
    ISSN 0301-0449
    DOI 10.1007/s00247-022-05542-0
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  2. Article ; Online: Diagnosis of metaphyseal fractures in infants and young children with suspected inflicted injury: a systematic review of cross-sectional imaging techniques.

    Alshammari, A T / Oates, A J / Rigby, A S / Offiah, A C

    Clinical radiology

    2023  Volume 79, Issue 3, Page(s) 221–229

    Abstract: Aim: To compare the diagnostic accuracy, advantages, and disadvantages of different medical imaging techniques for detecting metaphyseal fractures (also known as classic metaphyseal lesions [CMLs]) in infants and young children with suspected inflicted ... ...

    Abstract Aim: To compare the diagnostic accuracy, advantages, and disadvantages of different medical imaging techniques for detecting metaphyseal fractures (also known as classic metaphyseal lesions [CMLs]) in infants and young children with suspected inflicted trauma.
    Materials and methods: This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist and Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool criteria. Predefined keywords were used to search online databases for English articles published between 1 January 1980 and 31 March 2023.
    Results: The initial search revealed 83 studies, only five of which met the inclusion criteria. The sensitivity and specificity of positron-emission tomography (PET) were 67% and 99%, respectively. The sensitivity and specificity of ultrasound were 55-61% and 96-97%, respectively. The sensitivity of magnetic resonance imaging (MRI) whole-body screening was 31%. The sensitivity of bone scintigraphy was 17% in one and 35% in a second study. Computed tomography was not used to detect CMLs in any diagnostic accuracy study.
    Conclusion: This systematic review has identified only a small number of relevant studies. In addition to the skeletal survey, PET and ultrasound may be helpful for the diagnosis of CMLs in infants and young children with suspected abuse; however, ultrasound has greater potential than PET due to its higher specificity, lack of radiation exposure, low cost, and wider availability.
    MeSH term(s) Infant ; Child ; Humans ; Child, Preschool ; Positron-Emission Tomography/methods ; Tomography, X-Ray Computed ; Magnetic Resonance Imaging ; Radiography ; Bone and Bones ; Fractures, Bone/diagnostic imaging ; Sensitivity and Specificity
    Language English
    Publishing date 2023-11-29
    Publishing country England
    Document type Systematic Review ; Journal Article
    ZDB-ID 391227-9
    ISSN 1365-229X ; 0009-9260
    ISSN (online) 1365-229X
    ISSN 0009-9260
    DOI 10.1016/j.crad.2023.11.014
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  3. Article ; Online: Re: Assessment of interpretation of paediatric skeletal radiographs in the emergency room.

    Paddock, M / Offiah, A C

    Clinical radiology

    2019  Volume 74, Issue 9, Page(s) 728

    MeSH term(s) Child ; Emergency Service, Hospital ; Humans ; Radiography
    Language English
    Publishing date 2019-07-10
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 391227-9
    ISSN 1365-229X ; 0009-9260
    ISSN (online) 1365-229X
    ISSN 0009-9260
    DOI 10.1016/j.crad.2019.03.028
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  4. Article ; Online: Applicability of two bone age assessment methods to children from Saudi Arabia.

    Alshamrani, K / Hewitt, A / Offiah, A C

    Clinical radiology

    2019  Volume 75, Issue 2, Page(s) 156.e1–156.e9

    Abstract: Aim: To assess the applicability of the Greulich & Pyle (G&P) and Tanner & Whitehouse (TW3) methods to children from Saudi Arabia using both subjective (manual) rating and BoneXpert software.: Materials and methods: Bone age (BA) was assessed using ... ...

    Abstract Aim: To assess the applicability of the Greulich & Pyle (G&P) and Tanner & Whitehouse (TW3) methods to children from Saudi Arabia using both subjective (manual) rating and BoneXpert software.
    Materials and methods: Bone age (BA) was assessed using the G&P and TW3 methods, firstly by independent manual rating of two observers, followed by a single observer using the BoneXpert software program. In total, 420 hand trauma radiographs for Saudi Arabians (220 males, 329 left, age range 1-18 years) performed in the period January 2012 to September 2016 were assessed. Paired sample t test was used to compare the difference between mean BA and mean chronological age (CA) and to compare the difference between manual and BoneXpert ratings. Statistical analysis was undertaken using SPSS v.25.
    Results: A statistically significant difference was found between BA and CA in males when using the G&P (mean difference -0.36±1 years, p<0.01) and TW3 (mean difference -0.22±0.9 years, p=0.03) methods, but not in females for either G&P (mean difference 0.13±1.2 years) or TW3 (mean difference 0.08±1.1 years). In males, BoneXpert results conformed to the manual ratings for TW3, but not for G&P, for which the mean difference between manual and BoneXpert ratings was -0.27±0.5 years (p<0.01).
    Discussion: The present results indicate that manual and BoneXpert-derived G&P and TW3 bone age assessment can be applied with no modification to Saudi Arabian females; however, only TW3 BoneXpert-derived BA can be applied without caution to Saudi Arabian males.
    MeSH term(s) Adolescent ; Age Determination by Skeleton/methods ; Bone and Bones/diagnostic imaging ; Child ; Child, Preschool ; Female ; Hand Bones/diagnostic imaging ; Humans ; Infant ; Male ; Radiography/methods ; Reproducibility of Results ; Saudi Arabia ; Sex Factors ; Software
    Language English
    Publishing date 2019-11-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 391227-9
    ISSN 1365-229X ; 0009-9260
    ISSN (online) 1365-229X
    ISSN 0009-9260
    DOI 10.1016/j.crad.2019.08.029
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  5. Article ; Online: Investigating rolling as mechanism for humeral fractures in non-ambulant infants: a preliminary finite element study.

    Altai, Z / Viceconti, M / Li, X / Offiah, A C

    Clinical radiology

    2019  Volume 75, Issue 1, Page(s) 78.e9–78.e16

    Abstract: Aim: To use personalised computed tomography (CT)-based finite element models to quantitatively investigate the likelihood of self-inflicted humeral fracture in non-ambulant infants secondary to rolling.: Materials and methods: Three whole-body post- ... ...

    Abstract Aim: To use personalised computed tomography (CT)-based finite element models to quantitatively investigate the likelihood of self-inflicted humeral fracture in non-ambulant infants secondary to rolling.
    Materials and methods: Three whole-body post-mortem CT examinations of children at the age of rolling (two 4-month-old and one 6-month-old) were used. The mechanical moment needed by each infant to perform a rolling manoeuvre was calculated and applied to the finite element model in order to simulate spontaneous rolling from the prone to the supine position.
    Results: The maximum predicted strains were found to be substantially lower (with a difference of >80%) than the elastic limit of the bone.
    Conclusion: Results of this study challenge the plausibility of self-inflicted humeral fracture caused by rolling in non-ambulant infants and indicate that it is unlikely for a humeral fracture to result from this mechanism without the assistance of an external force.
    MeSH term(s) Cadaver ; Child Abuse/diagnosis ; Diagnosis, Differential ; Female ; Finite Element Analysis ; Humans ; Humeral Fractures/diagnostic imaging ; Humeral Fractures/etiology ; Infant ; Male ; Motor Activity ; Risk Factors ; Tomography, X-Ray Computed/methods ; Video Recording ; Whole Body Imaging
    Language English
    Publishing date 2019-10-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 391227-9
    ISSN 1365-229X ; 0009-9260
    ISSN (online) 1365-229X
    ISSN 0009-9260
    DOI 10.1016/j.crad.2019.08.026
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  6. Article ; Online: Imaging and reporting considerations for suspected physical abuse (non-accidental injury) in infants and young children. Part 1: initial considerations and appendicular skeleton.

    Paddock, M / Sprigg, A / Offiah, A C

    Clinical radiology

    2017  Volume 72, Issue 3, Page(s) 179–188

    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 ... ...

    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.
    MeSH term(s) Accidents ; Child ; Child Abuse/classification ; Child Abuse/diagnosis ; Child, Preschool ; Documentation/standards ; Female ; Fractures, Bone/classification ; Fractures, Bone/diagnostic imaging ; Guideline Adherence ; Humans ; Infant ; Infant, Newborn ; Male ; Mandatory Reporting ; Practice Guidelines as Topic ; Radiography/standards ; United Kingdom
    Language English
    Publishing date 2017-03
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 391227-9
    ISSN 1365-229X ; 0009-9260
    ISSN (online) 1365-229X
    ISSN 0009-9260
    DOI 10.1016/j.crad.2016.11.016
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  7. Article ; Online: 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.

    Paddock, M / Sprigg, A / Offiah, A C

    Clinical radiology

    2017  Volume 72, Issue 5, Page(s) 422

    MeSH term(s) Bone and Bones ; Child ; Child Abuse ; Fractures, Bone ; Humans ; Infant ; Physical Abuse
    Language English
    Publishing date 2017
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 391227-9
    ISSN 1365-229X ; 0009-9260
    ISSN (online) 1365-229X
    ISSN 0009-9260
    DOI 10.1016/j.crad.2017.02.001
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  8. Article ; Online: Imaging and reporting considerations for suspected physical abuse (non-accidental injury) in infants and young children. Part 2: axial skeleton and differential diagnoses.

    Paddock, M / Sprigg, A / Offiah, A C

    Clinical radiology

    2017  Volume 72, Issue 3, Page(s) 189–201

    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 ... ...

    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.
    MeSH term(s) Accidents ; Child ; Child Abuse/classification ; Child Abuse/diagnosis ; Child, Preschool ; Documentation/standards ; Female ; Fractures, Bone/classification ; Fractures, Bone/diagnostic imaging ; Guideline Adherence ; Humans ; Infant ; Infant, Newborn ; Male ; Mandatory Reporting ; Practice Guidelines as Topic ; Radiography/standards ; United Kingdom
    Language English
    Publishing date 2017-03
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 391227-9
    ISSN 1365-229X ; 0009-9260
    ISSN (online) 1365-229X
    ISSN 0009-9260
    DOI 10.1016/j.crad.2016.11.015
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  9. Article ; Online: 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.

    Paddock, M / Sprigg, A / Halliday, K / Offiah, A C

    Clinical radiology

    2018  Volume 73, Issue 7, Page(s) 672–673

    MeSH term(s) Child ; Child Abuse ; Humans ; Radiologists
    Language English
    Publishing date 2018-04-17
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 391227-9
    ISSN 1365-229X ; 0009-9260
    ISSN (online) 1365-229X
    ISSN 0009-9260
    DOI 10.1016/j.crad.2018.03.010
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  10. Article: Acute osteomyelitis, septic arthritis and discitis: differences between neonates and older children.

    Offiah, A C

    European journal of radiology

    2006  Volume 60, Issue 2, Page(s) 221–232

    Abstract: There are aetiological, clinical, radiological and therapeutic differences between musculoskeletal infection in the neonate (and infant) and in older children and adults. Due to the anatomy and blood supply in neonates, osteomyelitis often co-exists with ...

    Abstract There are aetiological, clinical, radiological and therapeutic differences between musculoskeletal infection in the neonate (and infant) and in older children and adults. Due to the anatomy and blood supply in neonates, osteomyelitis often co-exists with septic arthritis. Discitis is more common in infants whereas vertebral body infection is more common in adults. This review article discusses the important clinical and radiological differences that in the past have led many authors to consider neonatal osteomyelitis a separate entity from osteomyelitis in the older child.
    MeSH term(s) Acute Disease ; Age Factors ; Arthritis, Infectious/diagnosis ; Arthritis, Infectious/microbiology ; Arthritis, Infectious/pathology ; Arthritis, Infectious/physiopathology ; Child ; Child, Preschool ; Discitis/diagnosis ; Discitis/microbiology ; Discitis/pathology ; Discitis/physiopathology ; Gram-Negative Bacterial Infections/complications ; Gram-Negative Bacterial Infections/diagnosis ; Gram-Positive Bacterial Infections/complications ; Gram-Positive Bacterial Infections/diagnosis ; Humans ; Infant ; Infant, Newborn ; Magnetic Resonance Imaging ; Osteomyelitis/diagnosis ; Osteomyelitis/microbiology ; Osteomyelitis/pathology ; Osteomyelitis/physiopathology ; Tomography, Emission-Computed, Single-Photon ; Tomography, X-Ray Computed ; Ultrasonography, Interventional
    Language English
    Publishing date 2006-11
    Publishing country Ireland
    Document type Journal Article ; Review
    ZDB-ID 138815-0
    ISSN 1872-7727 ; 0720-048X
    ISSN (online) 1872-7727
    ISSN 0720-048X
    DOI 10.1016/j.ejrad.2006.07.016
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