EANM’14 – CTE Session VI
October 22, 2014, 09:30 – 10:45
Nuclear Imaging in Geriatric Patients
Chairpersons: B. Vidovic (Ljubljana), P. Fragoso Costa (Passau)
- How to be aware of the potential and limits of Nuclear Imaging and its applications in Geriatric Patients
- Misleading Nuclear Medicine presentations typically occurring in this population, such as unrecognised fractures, missed infection or malignant conditions, and myeloma revealed by osteoporotic vertebral collapses
- Learn about Staff Doses from Geriatric Patients in Nuclear Medicine
- Daily practice by the Geriatric Patients Nuclear Imaging
- Applications of different imaging techniques and the potential and the limitations of diagnostic imaging in geriatric patients
- Procedures for Nuclear Imaging in the elderly
Even in a global perspective, societies are getting older. Nuclear 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. Nuclear Medicine will be required to recognise common pathologies � while avoiding over diagnosis. For Geriatric Patients, the norm may be several comorbidities, the prevalence of degenerative aspects, and physical or cognitive problems. So distinguishing a healthy elderly person and one who needs treatment can be a challenge. The question is how to be aware of the potential and limits of Nuclear Imaging and its applications in Geriatric Patients.
Discomfort, due to medical conditions, especially pain, is often increased by the difficulty of communicating caused by the common disabilities of old age: diminished hearing and seeing, difficulty in expressing oneself, or lack of physical coordination. Technologist caring out the Nuclear Medicine Imaging to elderly patient should work to reduce any psychological trauma. The professionalism of the imaging department team necessitates empathy: in listening to the problems reported by the patient and explaining in a simple way the procedures to be performed while fully respecting the patient�s privacy and dignity.
In contrast to younger people, handling of elderly patients is different and usually takes more time. In most cases, elderly patients have to be transferred to the Nuclear Medicine department and may need supervision while waiting. Positioning requires more time, and often patients need assistance.
With bedridden patients, more than one person is needed for proper positioning. This need for more time and staff has to be kept in mind but is in most cases not reimbursed and the radiation exposure of personnel is much greater. The ideal nuclear imaging for elderly patient is fast and needs few changes in positioning.
Geriatric Patient, Imaging, Elderly, Nuclear Medicine