European survey of imaging in non-accidental injury demonstrates a need for a consensus protocol

Paediatric non-accidental injury is a considerable health problem, and imaging plays a fundamental role in its assessment. Since the introduction of joint guidelines published by the Royal College of Radiologists (RCR) and Royal College of Paediatrics and Child Health (RCPCH) in 2008, there has been a concerted effort to adopt a consensus approach to imaging in this area in the United Kingdom. This study aims to establish current practice amongst European Society of Paediatric Radiology (ESPR) members within their institutions with regards to the use of imaging in suspected non-accidental injury. A web-based survey was created and circulated to all active ESPR members. The responses were collated and analysed. We received 134 responses, accounting for 37% of the current membership across 24 European countries. These responses highlighted significant variation amongst institutions, with no consensus regarding radiographic and cross-sectional imaging in the investigation of suspected non-accidental injury. There is a need for a European consensus protocol to imaging in suspected non-accidental injury. We recommend implementing the joint RCR/RCPCH guidance, a move supported by the ESPR