The comparative value of X-ray and CT in the diagnosis of suspected lung diseases in elderly and senile patients with comorbid pathology

Congress:

ECR 2020

Poster Number:

C-07132

Type:

Educational Exhibit

Keywords:

Performed at one institution, Observational, Retrospective, Geriatrics, Education and training, Statistics, Screening, Digital radiography, CT, Lung, Chest

Authors:

V. Strutynskiy, F. A. Petriaikin, K. Danko, E. A. Mershina, M. Plotnikova, D. Bazhenova, V. Sinitsyn, I. sennikov; Moscow/RU

DOI:

10.26044/ecr2020/C-07132

DOI-Link:

https://dx.doi.org/10.26044/ecr2020/C-07132

Fig. 1: The spectrum of major diseases in 120 patients included in the study.

Fig. 2: Sensitivity of Chest X-ray (RG) and chest CT in diagnosis of acute pneumonina

Fig. 3: Comparison of chest X-ray and CT in a 65-year-old patient with diagnosis of...

Fig. 4: Frequency of different pathological findings in the lungs found with X-ray (RG)...

Learning objectives

To compare the informative value of the chest X-ray and computed tomography (CT) in the diagnosis of lung diseases in elderly and senile patients with severe comorbid pathology of internal organs.

Background

Chest X-ray is a very common diagnostic procedure used for the diagnosis of different lung diseases in elderly and senile persons with severe comorbid pathology of internal organs. Many of these patients suffer from progressive respiratory and heart failure. From another side, it is well known that in many of these patients chest CT is required for further clarification of X-ray findings or their discrepancy with clinical presentations of the suspected diseases. The comparative value of chest X-ray and CT should be re-assessed in thes...

Findings and procedure details

The study included 120 patients aged 65 to 90 years (average age 76.4±3.6 years) who were admitted for hospital treatment of different internal diseases. Inclusion criteria: 1) the presence of at least 3 comorbid diseases of internal organs; 2) age over 65 years; 3) informed consent of the patient to participate in the study; 4) Clinical suspicion to any kind of lung pathology with indications to chest diagnostic imaging; 5) Availability of chest X-ray and chest CT performed during the hospital admission. Exclusion criteria: 1)...

Conclusion

Results of this study show that in elderly and senile patients with multiple severe comorbid pathologies of internal organs for the diagnosis of lung diseases it is advisable to use chest CT. Polymorphism and multiple variants of lung diseases in these groups of patients decrease the diagnostic value of chest X-ray.

Personal information and conflict of interest

V. Strutynskiy; Moscow/RU - Author at University Hospital of Moscow State University by M.V.Lomonosov F. A. Petriaikin; Moscow/RU - Author at University Hospital of Moscow State University by M.V.Lomonosov K. Danko; Moscow/RU - Author at University Hospital of Moscow State University by M.V.Lomonosov E. Mershina; Moscow/RU - Author at University Hospital of Moscow State University by M.V.Lomonosov M. Plotnikova; Moscow/RU - Author at University Hospital of Moscow State University by M.V.Lomonosov D. Bazhenova; Moscow/RU - Author at University Hospital of Moscow State University by M.V.Lomonosov...

References

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