RESUMO
Pediatric radiologists are frequently summoned to testify in court regarding the imaging of child abuse. This essay provides guidance on how to prepare for trial and what to expect in court. Preparation is paramount and includes meeting with the attorney and reviewing imaging studies, medical records and pertinent reports in anticipation of questioning in court. We also provide guidance to aid in testimony in court. Legal standards for testimony are discussed herein.
Assuntos
Maus-Tratos Infantis , Criança , Prova Pericial , Humanos , Prontuários MédicosRESUMO
The radiology report in a case of suspected child abuse is both a medical and a legal document. Such reports should be thorough, specific, well-constructed and without error. Structured templates and standardized reporting contribute to completeness, consistency and communication. Here, the authors discuss common reporting errors. Radiologists should be prepared that the radiology report in a case of suspected child abuse is likely to be used in court.
Assuntos
Maus-Tratos Infantis , Sistemas de Informação em Radiologia , Radiologia , Criança , HumanosRESUMO
This paper addresses significant misconceptions regarding the etiology of fractures in infants and young children in cases of suspected child abuse. This consensus statement, supported by the Child Abuse Committee and endorsed by the Board of Directors of the Society for Pediatric Radiology, synthesizes the relevant scientific data distinguishing clinical, radiologic and laboratory findings of metabolic disease from findings in abusive injury. This paper discusses medically established epidemiology and etiologies of childhood fractures in infants and young children. The authors also review the body of evidence on the role of vitamin D in bone health and the relationship between vitamin D and fractures. Finally, the authors discuss how courts should properly assess, use, and limit medical evidence and medical opinion testimony in criminal and civil child abuse cases to accomplish optimal care and protection of the children in these cases.