ACR Appropriateness Criteria® Suspected Physical Abuse-Child: Update 2025

The authors aim to update the American College of Radiology Appropriateness Criteria for imaging in cases of suspected physical abuse in children, particularly focusing on the appropriate imaging protocols for different age groups. They emphasize that for infants and toddlers, a skeletal survey and noncontrast head CT are essential first-line imaging tools, while older children require more targeted imaging based on specific symptoms. The guidelines are based on a systematic review of evidence and expert consensus to ensure effective detection of occult injuries.