Longitudinal imaging history in early identification of intimate partner violence
Abstract Objectives To describe the imaging findings of intimate partner violence (IPV)–related injury and to evaluate the role of longitudinal imaging review in detecting IPV. Methods...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Springer Berlin Heidelberg
2022
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| Online Access: | https://hdl.handle.net/1721.1/141171 |
| _version_ | 1826206025053634560 |
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| author | Park, Hyesun Gujrathi, Rahul Gosangi, Babina Thomas, Richard Cai, Tianxi Chen, Irene Bay, Camden Hassan, Najmo Boland, Giles Kohane, Isaac Seltzer, Steven Rexrode, Kathryn Khurana, Bharti |
| author_facet | Park, Hyesun Gujrathi, Rahul Gosangi, Babina Thomas, Richard Cai, Tianxi Chen, Irene Bay, Camden Hassan, Najmo Boland, Giles Kohane, Isaac Seltzer, Steven Rexrode, Kathryn Khurana, Bharti |
| author_sort | Park, Hyesun |
| collection | MIT |
| description | Abstract
Objectives
To describe the imaging findings of intimate partner violence (IPV)–related injury and to evaluate the role of longitudinal imaging review in detecting IPV.
Methods
Radiology studies were reviewed in chronological order and IPV-related injuries were recorded among 400 victims of any type of abuse (group 1) and 288 of physical abuse (group 2) from January 2013 to June 2018. The likelihood of IPV was assessed as low/moderate/high based on the review of (1) current and prior anatomically related studies only and (2) longitudinal imaging history consisting of all prior studies. The first radiological study date with moderate/high suspicion was compared to the self-reported date by the victim.
Results
A total of 135 victims (33.8%) in group 1 and 144 victims (50%) in group 2 demonstrated IPV-related injuries. Musculoskeletal injury was most common (58.2% and 44.5% in groups 1 and 2, respectively; most commonly lower/upper extremity fractures), followed by neurologic injury (20.9% and 32.9% in groups 1 and 2, respectively; most commonly facial injury). With longitudinal imaging history, radiologists were able to identify IPV in 31% of group 1 and 46.5% of group 2 patients. Amongst these patients, earlier identification by radiologists was provided compared to the self-reported date in 62.3% of group 1 (median, 64 months) and in 52.6% of group 2 (median, 69.3 months).
Conclusions
Musculoskeletal and neurological injuries were the most common IPV-related injuries. Knowledge of common injuries and longitudinal imaging history may help IPV identification when victims are not forthcoming.
Key Points
• Musculoskeletal injuries were the most common type of IPV-related injury, followed by neurological injuries.
• With longitudinal imaging history, radiologists were able to better raise the suspicion of IPV compared to the selective review of anatomically related studies only.
• With longitudinal imaging history, radiologists were able to identify IPV earlier than the self-reported date by a median of 64 months in any type of abuse, and a median of 69.3 months in physical abuse. |
| first_indexed | 2024-09-23T13:22:48Z |
| format | Article |
| id | mit-1721.1/141171 |
| institution | Massachusetts Institute of Technology |
| language | English |
| last_indexed | 2024-09-23T13:22:48Z |
| publishDate | 2022 |
| publisher | Springer Berlin Heidelberg |
| record_format | dspace |
| spelling | mit-1721.1/1411712022-03-16T03:19:09Z Longitudinal imaging history in early identification of intimate partner violence Park, Hyesun Gujrathi, Rahul Gosangi, Babina Thomas, Richard Cai, Tianxi Chen, Irene Bay, Camden Hassan, Najmo Boland, Giles Kohane, Isaac Seltzer, Steven Rexrode, Kathryn Khurana, Bharti Abstract Objectives To describe the imaging findings of intimate partner violence (IPV)–related injury and to evaluate the role of longitudinal imaging review in detecting IPV. Methods Radiology studies were reviewed in chronological order and IPV-related injuries were recorded among 400 victims of any type of abuse (group 1) and 288 of physical abuse (group 2) from January 2013 to June 2018. The likelihood of IPV was assessed as low/moderate/high based on the review of (1) current and prior anatomically related studies only and (2) longitudinal imaging history consisting of all prior studies. The first radiological study date with moderate/high suspicion was compared to the self-reported date by the victim. Results A total of 135 victims (33.8%) in group 1 and 144 victims (50%) in group 2 demonstrated IPV-related injuries. Musculoskeletal injury was most common (58.2% and 44.5% in groups 1 and 2, respectively; most commonly lower/upper extremity fractures), followed by neurologic injury (20.9% and 32.9% in groups 1 and 2, respectively; most commonly facial injury). With longitudinal imaging history, radiologists were able to identify IPV in 31% of group 1 and 46.5% of group 2 patients. Amongst these patients, earlier identification by radiologists was provided compared to the self-reported date in 62.3% of group 1 (median, 64 months) and in 52.6% of group 2 (median, 69.3 months). Conclusions Musculoskeletal and neurological injuries were the most common IPV-related injuries. Knowledge of common injuries and longitudinal imaging history may help IPV identification when victims are not forthcoming. Key Points • Musculoskeletal injuries were the most common type of IPV-related injury, followed by neurological injuries. • With longitudinal imaging history, radiologists were able to better raise the suspicion of IPV compared to the selective review of anatomically related studies only. • With longitudinal imaging history, radiologists were able to identify IPV earlier than the self-reported date by a median of 64 months in any type of abuse, and a median of 69.3 months in physical abuse. 2022-03-15T11:43:31Z 2022-03-15T11:43:31Z 2021-11-19 2022-03-15T04:29:56Z Article http://purl.org/eprint/type/JournalArticle https://hdl.handle.net/1721.1/141171 Park, Hyesun, Gujrathi, Rahul, Gosangi, Babina, Thomas, Richard, Cai, Tianxi et al. 2021. "Longitudinal imaging history in early identification of intimate partner violence." en https://doi.org/10.1007/s00330-021-08362-2 Article is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use. The Author(s) under exclusive licence to European Society of Radiology application/pdf Springer Berlin Heidelberg Springer Berlin Heidelberg |
| spellingShingle | Park, Hyesun Gujrathi, Rahul Gosangi, Babina Thomas, Richard Cai, Tianxi Chen, Irene Bay, Camden Hassan, Najmo Boland, Giles Kohane, Isaac Seltzer, Steven Rexrode, Kathryn Khurana, Bharti Longitudinal imaging history in early identification of intimate partner violence |
| title | Longitudinal imaging history in early identification of intimate partner violence |
| title_full | Longitudinal imaging history in early identification of intimate partner violence |
| title_fullStr | Longitudinal imaging history in early identification of intimate partner violence |
| title_full_unstemmed | Longitudinal imaging history in early identification of intimate partner violence |
| title_short | Longitudinal imaging history in early identification of intimate partner violence |
| title_sort | longitudinal imaging history in early identification of intimate partner violence |
| url | https://hdl.handle.net/1721.1/141171 |
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