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Chest Computed Tomography of Elderly Subjects at University Hospital Campus Lomé

DOI: 10.4236/ojrad.2018.84027, PP. 236-243

Keywords: Computed Tomography, Chest, Elderly, Lomé

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Abstract:

Background: Radiology in elderly as pediatric radiology poses a number of problems. The normal radiological appearance of the elderly patient’s chest is very varied and the changes are ubiquitous. Purpose: To describe the computed tomography profile of the elderly subject’s chest. Materials and Methods: Descriptive prospective study from January 1st to June 30th, 2018 carried out at the University Campus Hospital of Lomé. Results: We recorded 64 chest CT scans. The average age of the patients was 71.3. Internists (n = 21, 32.8%) and general practitioner (n = 16, 25%) were the major applicants for these tests. In most cases, thoracic CT examinations were requested as part of an extension assessment (n = 21, 32.8%), dyspnea and pneumonitis in 18.8% of cases each. All thoracic CT examinations were performed with contrast injection. CT with the TAP protocol was the most observed, accounted for more than half of the exams (56%). The main pathological lesions observed were diffuse parenchymal lesions (39.5%), pleurisy (11.1%) and PAH (11.1%). Conclusion: Computed tomography occupies an important place in the care of the elderly but the actors involved in their care must be trained to take optimal care.

References

[1]  Organisation Mondiale de la santé (2002) Proposed Working Definition of an Older Person in Africa for the MDS Project.
http://www.who.int/healthinfo/survey/ageingdefnolder/en/
[2]  Organisation Mondiale de la Santé (2018) Aging and Health.
http://www.who.int/mediacentre/factsheets/fs404/fr
[3]  Yernault, J.C. and Scillia, P. (2002) Clinical and Radiological Aspects of the Aging of the Respiratory System. Revue des Maladies Respiratoires, 19, 481-489.
[4]  Direction Générale de la Statistique et de la Comptabilité Nationale (2010) Résultats définitifs détaillés du 4ème RGPH, Vol. 2. Lomé.
[5]  Zeh, O.F., Awana, A.P., Guegang Goujou, E., Onguene Medza, J., Abomo Ngodo, C.S.R., Seme Engoumou, A.M., et al. (2017) Evaluation of the Use of Chest CT in Two University Hospitals in Yaounde. Journal Africain d'Imagerie Médicale, 9, 1-5.
[6]  Adeniji-Sofoluwe, A.T., Adekanmi, A.J. and Efidi, R. (2017) Imaging Findings in Chest Computed Tomography: Initial Experience in a Developing Country. Open Journal of Clinical Diagnostics, 7, 113-123.
https://doi.org/10.4236/ojcd.2017.74012
[7]  Awana, A.P., Engoumou, A.M.S., Onguene Medza, J., Ndive, E.P., Zeh, O.F., Ongolo Zogo, P., et al. (2018) Relevance of Chest CT Scan Requests in Two University Teaching Hospitals in a Developing Country. Open Journal of Radiology, 8, 84-90.
https://doi.org/10.4236/ojrad.2018.82010
[8]  Gallix, B. (2003) What Are the Exams to Be Carried Out in the Pre-Therapeutic Extension Assessment? Quality Criteria and Expected Results. Gastroentérologie Clinique et Biologique, 27, B25-B40.
[9]  Snyder, B.J. and Pugatch, R.D. (1998) Imaging Characteristics of Metastatic Disease to the Chest. Chest Surgery Clinics of North America, 8, 29-48.
[10]  Davis, S.D. (1991) CT Evaluation for Pulmonary Metastases in Patients with Extrathoracic Malignancy. Radiology, 180, 1-12.
https://doi.org/10.1148/radiology.180.1.2052672
[11]  Chassagnon, G., De Margerie-Mellon, C., Perignon, R. and Ferretti, G. (2017) Mémo de l’interne de radio, Le Collège des Enseignants de Radiologie de France (CERF), La Société Française de radiologie (SFR).
[12]  Beigelman-Aubry, C. and Brun, A.-L. (2018) How Do I Do a Chest CT. Journal d’imagerie diagnostique et interventionnelle, 1, 225-228.
https://doi.org/10.1016/j.jidi.2018.06.004
[13]  Baqué-Juston, M., Mondot, L., Leroy, S. and Padovani, B. (2014) Multiple Pulmonary Parenchymal Abnormalities. Journal de Radiologie Diagnostique et Interventionnelle, 95, 363-379.
https://doi.org/10.1016/j.jradio.2013.03.008
[14]  Adambounou, A.S., Adjoh, K., Hamadou, B.B., Fiogbé, A.A., Aziagbé, A., Efalou, P., et al. (2015) Etiologies of Pleurisy of Elderly in Togo. European Scientific Journal, 11, 122-131.
[15]  Tromeur, C., Pouliquen, M.-C., Paleiron, N. and Montani, D. (2012) Pulmonary Arterial Hypertension. Médecine Thérapeutique, 18, 125-135.
[16]  Gut-Gobert, C., Frachon, I., Jobic, Y., Etienne, Y., Couturaud, F., Pasquier, E., et al. (2005) Therapeutic Strategy in Adult Pulmonary Arterial Hypertension. Médecine Thérapeutique, 11, 45-55.
[17]  Sanchez, O., Revel, M. P., Couchon, S. and Meyer, M. (2007) Imaging of Pulmonary Arterial Hypertension in Adults. Revue des Maladies Respiratoires, 24, 155-169.
https://doi.org/10.1016/S0761-8425(07)91039-6

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