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Geriatric chest imaging: when and how to image the elderly lung, age-related changes, and common pathologies.

Gossner J, Nau R - Radiol Res Pract (2013)

Bottom Line: Even in a global perspective, societies are getting older.It is especially important to separate the process of ageing from the disease itself.Pathologies with a special relevance for the elderly patient are discussed in detail: pneumonia, aspiration pneumonia, congestive heart failure, chronic obstructive pulmonary disease, the problem of overlapping heart failure and chronic obstructive pulmonary disease, pulmonary drug toxicity, incidental pulmonary embolism pulmonary nodules, and thoracic trauma.

View Article: PubMed Central - PubMed

Affiliation: Department of Clinical Radiology, Göttingen-Weende Hospital, An der Lutter 24, 37074 Göttingen, Germany.

ABSTRACT
Even in a global perspective, societies are getting older. We think that diagnostic lung imaging of older patients requires special knowledge. Imaging strategies have to be adjusted to the needs of frail patients, for example, immobility, impossibility for long breath holds, renal insufficiency, or poor peripheral venous access. Beside conventional radiography, modern multislice computed tomography is the method of choice in lung imaging. It is especially important to separate the process of ageing from the disease itself. Pathologies with a special relevance for the elderly patient are discussed in detail: pneumonia, aspiration pneumonia, congestive heart failure, chronic obstructive pulmonary disease, the problem of overlapping heart failure and chronic obstructive pulmonary disease, pulmonary drug toxicity, incidental pulmonary embolism pulmonary nodules, and thoracic trauma.

No MeSH data available.


Related in: MedlinePlus

Senile emphysema in an 88-year-old patient. Chest X-ray (on the left) and centrilobular emphysematous changes on computed tomography (on the right). Imaging was ordered because of suspected mesenterial ischemia.
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fig2: Senile emphysema in an 88-year-old patient. Chest X-ray (on the left) and centrilobular emphysematous changes on computed tomography (on the right). Imaging was ordered because of suspected mesenterial ischemia.

Mentions: With ageing, an enlargement of the distal airspaces due to the loss of supporting tissue can be found, a condition for which the terms “senile lung,” “senile hyperinflation,” or “senile emphysema” have been proposed [15, 16] (Figure 2).


Geriatric chest imaging: when and how to image the elderly lung, age-related changes, and common pathologies.

Gossner J, Nau R - Radiol Res Pract (2013)

Senile emphysema in an 88-year-old patient. Chest X-ray (on the left) and centrilobular emphysematous changes on computed tomography (on the right). Imaging was ordered because of suspected mesenterial ischemia.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3713368&req=5

fig2: Senile emphysema in an 88-year-old patient. Chest X-ray (on the left) and centrilobular emphysematous changes on computed tomography (on the right). Imaging was ordered because of suspected mesenterial ischemia.
Mentions: With ageing, an enlargement of the distal airspaces due to the loss of supporting tissue can be found, a condition for which the terms “senile lung,” “senile hyperinflation,” or “senile emphysema” have been proposed [15, 16] (Figure 2).

Bottom Line: Even in a global perspective, societies are getting older.It is especially important to separate the process of ageing from the disease itself.Pathologies with a special relevance for the elderly patient are discussed in detail: pneumonia, aspiration pneumonia, congestive heart failure, chronic obstructive pulmonary disease, the problem of overlapping heart failure and chronic obstructive pulmonary disease, pulmonary drug toxicity, incidental pulmonary embolism pulmonary nodules, and thoracic trauma.

View Article: PubMed Central - PubMed

Affiliation: Department of Clinical Radiology, Göttingen-Weende Hospital, An der Lutter 24, 37074 Göttingen, Germany.

ABSTRACT
Even in a global perspective, societies are getting older. We think that diagnostic lung imaging of older patients requires special knowledge. Imaging strategies have to be adjusted to the needs of frail patients, for example, immobility, impossibility for long breath holds, renal insufficiency, or poor peripheral venous access. Beside conventional radiography, modern multislice computed tomography is the method of choice in lung imaging. It is especially important to separate the process of ageing from the disease itself. Pathologies with a special relevance for the elderly patient are discussed in detail: pneumonia, aspiration pneumonia, congestive heart failure, chronic obstructive pulmonary disease, the problem of overlapping heart failure and chronic obstructive pulmonary disease, pulmonary drug toxicity, incidental pulmonary embolism pulmonary nodules, and thoracic trauma.

No MeSH data available.


Related in: MedlinePlus