Geriatric Imaging PDF
Preview Geriatric Imaging
Giuseppe Guglielmi Wilfred C.G. Peh Ali Guermazi Editors Geriatric Imaging 123 Geriatric Imaging Giuseppe Guglielmi (cid:129) Wilfred C.G. Peh Ali Guermazi Editors Geriatric Imaging Editors Giuseppe Guglielmi Ali Guermazi Department of Radiology Department of Radiology Scienti fi c Institute “Casa Sollievo della Boston University School of Medicine Sofferenza” Hospital Boston , USA San Giovanni Rotondo Foggia Italy Wilfred C.G. Peh Department of Diagnostic Radiology Khoo Teck Puat Hospital Singapore Singapore ISBN 978-3-642-35578-3 ISBN 978-3-642-35579-0 (eBook) DOI 10.1007/978-3-642-35579-0 Springer Heidelberg New York Dordrecht London Library of Congress Control Number: 2013936395 © Springer-Verlag Berlin Heidelberg 2013 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, speci fi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on micro fi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied speci fi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a speci fi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) There is no delight in owning anything unshared Lucius Annaeus Seneca 4BC-65 Traveling - it gives you home in thousand strange places , then leaves you a stranger in your own land Abu ‘Abdallah Muhammad ibn ‘Abdallah Lawati Tangi (Ibn Battuta) 1304–1369 For true love is inexhaustible ; t he more you give , t he more you have . A nd if you go to draw at the true fountainhead , the more water you draw , the more abundant is its fl ow Antoine de Saint-Exupery 1900–1944 Foreword I “It is God who creates you in weakness, and then after weakness ordains strength, and then after strength weakness and grey hairs. He creates what he wills, and he is the all knowing, the almighty” (The Holy Quran, Sura Al-Rum [30], Aya 54) It is possible that to an informed individual with appropriate foresight, this book will hold a unique, lurid, and absorbing fascination. Sel fi shly, geriatric imaging provides a window into the future, a future that we baby boomers will occupy in progressively and massively increasing numbers as part of the legions of the aged. For those of us fortunate to fi nd ourselves advanced in years, osteoarthritis, osteoporosis, dementia, movement disorders, pelvic fl oor instability, and a host of other unpleasant possibilities must fi gure prom- inently in our list of conditions-to-come. The diseases and conditions described in this outstanding and fascinating work are particularly absorbing on two counts. On the fi rst, in the sense of the population to be served, we as practitioners will need to be conversant and increasingly fl uent in the language of old age to succeed as caregivers. On the second count, in a personal sense, we would be well advised to consider the method and process of our own aging and eventual deterioration. This mind- fulness also offers us an opportunity, by reminding us of how we can respon- sibly manage our own health as we face the future. The coming epidemic of aging is not an epidemic that can be addressed, cured, or eradicated in the traditional sense. Rather, society will have to decide how it will deal with this chronic condition. This inevitable epidemic will have a major fi nancial effect that will cause us to consider very carefully just where we should invest in healthcare at a population level. The epidemic will also be layered upon broader societal fi nancial and economic concerns, and these accumulating waves may well form a tsunami that will force our society into some very uncomfortable discussions about expenditures keyed to life expectancy, death with dignity, the end of life, and a host of related and equally troubling issues. Imaging will continue to play a critical role for the foreseeable future in the healthcare policy arena. This role will place imaging in the center of the discussion of both cost and ef fi ciency in healthcare. As Radiologists, we should expect to fi nd ourselves playing a central role in de fi ning whole-life based approaches to image resource utilization, as we evolve from our fee- for-service base and history. Fully understanding the population-based utility and science underlying geriatric imaging therefore grants us the credibility to represent our patients and our specialty in an effective and responsible vii viii Foreword I manner. This textbook will help to prepare us for the uncertain future in which we, our patients, and our society will live. Change is inevitable. We see it in our work, in our society, in our selves. This text reminds us of that inevitability. Neither uncomfortably anxious nor ignorant of the burdens we carry, we must choose to face our future with optimism, fascination, and appreciation. Alexander M. Norbash, MD, MHCM, FACR Professor and Chair of Radiology Assistant Dean for Diversity and Multicultural Affairs Boston University School of Medicine Foreword II With the continuous rise in life expectancy in most countries across the world, medical care of the elderly is becoming increasingly important and relevant. Physicians who have specialized in the multiple disciplines responsible for this medical care must understand the physiologic and structural changes that the body undergoes with age. Radiologists are no exception. Early detection of diseases that are particularly common in elderly individuals often relies on radiologists performing screening and diagnostic imaging tests. This text- book is well suited for radiologists whose practice is partially or completely devoted to general radiology and/or emergency imaging. Non-radiologists in multiple specialties who work with elderly individuals, physician assistants, nurses and nurse practitioners will also fi nd this book extremely informative and useful. This is a very well-conceived book, well organized and well written, with a unique structure. The fi rst sections of the book provide an overview of the demographic and economic impacts of the shift towards an increasingly older population. These sections highlight the relevance and importance of the topic. The remaining sections cover conditions in various organ systems and speci fi c diseases, with particular attention to elderly-speci fi c issues including coronary disease and stroke, diabetes, chronic obstructive pulmonary disease, Alzheimer’s, osteoporosis and osteoarthritis. The authors represent noted institutions across North America, Europe, and Asia. Their discussions are comprehensive and the images are superb, all obtained with state-of-the art equipment. I commend the Editors of G eriatric Imaging for coming up with the brilliant idea of creating a book that fi lls a void in the imaging literature. Their hard work has paid off with an impressive fi nal product that will surely fi nd a place in the libraries of many health practitioners and institutions. Jorge A. Soto, MD Professor and Vice-Chair of Radiology Boston University School of Medicine ix
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