(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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00:00The elderly, by nature, is a fragile patient with major risk factors, often affected by more pathologies, with less and more demanding recovery capacities,
00:17which is then used in an important way in the hospital structure and especially in imaging diagnosis, both in emergency and emergency.
00:24Radiologists and the whole system of radiology are not yet sufficiently prepared to accommodate this different type of patients, which will grow exponentially.
00:39So we have realized that it is time to codify all the peculiar aspects of radiology towards the elderly patient.
00:52In the meantime, there is a lack of adequate space to accommodate the elderly patients, the care givers and all those who work around a patient who often arrives in radiology not in a normal way compared to a young patient.
01:11The machines are not often built to meet the needs of a patient who has problems with movement or cognitive problems.
01:24The patient, from a medical point of view, has peculiarities that other patients do not have.
01:32In general, he has many pathologies and is treated with a very high number of drugs that often go in contrast with those that can be the drugs or procedures that we use.
01:46In general, all radiology must somehow organize itself in order to be much more effective and much more ready to accommodate the fragile patient, the elderly patient.
02:02This is the first point.
02:03The second point is that radiologists must be clear about the pathological alterations that are linked to the age that advances.
02:20But the elderly patient has many causes or many pathologies that must be prevented.
02:31I will give the classic example of osteoporosis fractures.
02:36In order to be able to prevent them with a quantification, for example, of the amount of calcium in an elderly patient,
02:48we can predict and therefore begin to treat before the acute event occurs.
02:55Artificial intelligence is born, which can be used in the predictive phase.
03:03This is true for degenerative pathologies of the central nervous system, for musculoskeletal pathologies, for cardiovascular diseases.
03:12We must bring the elderly into the best conditions with a preventive action that until now has been focused exclusively on the younger population.