(Adnkronos) - “Abbiamo deciso di promuovere a livello internazionale, sotto la spinta di Sirm, la radiologia geriatrica, una vera e propria trasformazione culturale che dovrà anche avere ricadute concrete nella pratica clinica, a tutto vantaggio dei pazienti anziani fragili”. Sono le parole di Andrea Giovagnoni, presidente nazionale della Sirm, Società italiana di radiologia medica e interventistica che ha promosso l’R7, il primo Forum delle 7 Società scientifiche di Radiologia medica dei Paesi del G7, che si è svolto nella splendida cornice di Venezia. “Si tratta di una necessità ormai ineludibile – spiega Giovagnoni - L’anziano è per sua natura un paziente fragile, con maggiori fattori di rischio, spesso colpito da più patologie, con minori e più impegnative capacità di recupero, che usa in modo importante le strutture ospedaliere e soprattutto di diagnostica per immagini sia in emergenza che in elezione. Ma i dipartimenti di radiologia non sono pronti. Mancano spazi adeguati, macchinari particolarmente adattabili al paziente anziano, che presenta spesso limitazioni motorie e cognitive, e operatori sanitari dedicati alla gestione. Siamo ancora poco esperti di questi pazienti”, per questo c’è l’impegno ditutti.
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00:00One of the fundamental themes of this R7 International Forum was the fragile patient.
00:12The elderly, by nature, is a fragile patient with major risk factors,
00:18often affected by more pathologies, with less and more demanding recovery capabilities,
00:25which is then used in an important way in the hospital structure,
00:28especially in imaging diagnosis, both in emergency and emergency.
00:32Radiologists, but also radiologists and the whole system of radiology,
00:38are not yet sufficiently prepared to accommodate this different type of patients
00:45that will grow exponentially.
00:47So we realized that it was time to codify all the peculiar aspects of radiology
00:57towards the elderly patient.
00:59First of all, there is a lack of adequate space to accommodate the elderly patients,
01:05the care givers, and all those who work around a patient
01:09who often arrives in radiology not in a normal way compared to a young patient.
01:18The machines are not often built to meet the needs of a patient
01:27who has problems with movement or cognitive problems.
01:31The patient, from a medical point of view, has peculiarities that other patients do not have.
01:37In general, he has many pathologies and is treated with a very high number of drugs
01:43that often go in contrast with those that can be the drugs that we use
01:49or the procedures that we use.
01:51In general, all radiology must be organized in some way
02:00in order to be much more effective and much more ready
02:04to accommodate the elderly patient.
02:08This is the first point.
02:09The second is that radiologists must be aware of the pathological alterations
02:21that are linked to the age that advances.
02:26But the elderly patient has many causes or many pathologies that must be prevented.
02:36I give the classic example of osteoporosis fractures.
02:41To be able to prevent, with a quantification of the amount of calcium in an elderly patient,
02:54we can begin to treat before the acute event occurs.
03:01Artificial intelligence is born, which can be used in the predictive phase.
03:09This applies to degenerative pathologies of the central nervous system,
03:13to musculoskeletal pathologies, to cardiovascular diseases.
03:18We must bring the elderly in the best conditions with a preventive action
03:25that until now has been focused exclusively on the younger population.