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Dr. José Cáceres is currently Professor and Chief of the Department of Radiology, HGU Vall d’Hebron, Universidad Autónoma, Barcelona, Spain. He studied at the medical school of the University of Seville before taking up a Residency and then Fellowship at the University of Cincinnati, Ohio, USA. Prior to his current position, Dr. Cáceres held the position of Assistant Professor at the University of Kentucky, USA.

Dr. Cáceres has a special interest in Chest Radiology and congenital malformations of the chest in adults. He is a member of the Radiological Society of North America, the American Roentgen Ray Society, and the European Society of Chest Imaging (ESTI). Dr. Cáceres is a former President of ESTI and is a member of the Programme Planning Committee of the European Congress of Radiology. He is also a reviewer for the European Journal of Radiology, the American Journal of Roentgenology and Radiology.
Special considerations for the radiologist managing old and very old patients

José Cáceres, MD
Department of Diagnostic Radiology
HGU Vall d’Hebron, Universidad Autónoma
Barcelona, Spain

Address for correspondence:
Dr José Cáceres
Professor and Chief, Department of Diagnostic Radiology
HGU Vall d’Hebron, Universidad Autónoma
Pg. De la Vall d’Hebron 119-129
08035 Barcelona, Spain
Tel: +34-93-274-6769 Fax: +34-93-274-6779
Email: jcaceres@vhebron.net

Abstract
Life expectancy in developed countries has almost doubled in the past century. As a result, this ageing population needs greater medical and supportive care, a change which is affecting imaging departments. Elderly patients create logistic problems due to their special needs in transportation and poor mental status which causes longer room occupancy.

Diagnostic imaging interpretation in the elderly is affected by the difficulty in obtaining adequate clinical information due to poor mental status and paucity of symptoms. Radiographic patterns of disease are usually masked in the elderly by alterations related to ageing. As a result, it is common to use high-technology examination techniques (e.g. CT and MRI). Although
they are expensive procedures, their use may save time and expense by establishing accurate diagnoses and avoiding intermediate, inconclusive examinations.

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