Intimate partner violence (IPV) is a pervasive global issue with profound physical, psychological, and economic consequences that affects individuals across all demographics, with women, racial minorities, and vulnerable populations such as adolescents and older adults at higher risk. The recent COVID-19 pandemic along with the rise in remote working from home have further exacerbated IPV rates, highlighting the need for enhanced vigilance and intervention strategies. Radiologists play a crucial role in identifying IPV through recognition of specific injury patterns, high imaging utilization, and inconsistencies between injuries and reported histories. Common radiological findings include craniofacial injuries, musculoskeletal trauma, and thoracic injuries. Special consideration is given to IPV during pregnancy, adolescence, and in older adults, each presenting unique challenges and injury patterns. The integration of longitudinal imaging history and machine learning algorithms shows promise in earlier IPV detection, potentially enabling intervention years before self-reporting. Radiologists must balance patient safety, confidentiality, and mandatory state reporting requirements when handling suspected IPV. This chapter emphasizes the importance of a multidisciplinary approach to IPV, incorporating trauma-informed care principles and cultural sensitivity. By understanding the complexities of IPV and leveraging advanced imaging techniques and data analysis, the medical community can significantly improve early detection, intervention, and support for IPV victims, ultimately working toward reducing its prevalence and impact on society.