|Photo by Craig Breil via Flickr|
Hansen et al. (doi: 10.1542/peds.2013-4024) have addressed this concern through a retrospective review of medical records from five institutions in children under 2 years of age who had a full skeletal survey when initially suspected for child abuse. They then looked at whether a limited view follow-up skeletal survey, in which the spine and pelvis are spared in the absence of findings on the first survey, was performed instead.
The results, though retrospective, suggest there is value and less radiation in considering a limited view protocol. But to convince yourself, read this study and decide if it will result in less radiation in your patients who require follow-up skeletal views for alleged abuse.