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Erschienen in: European Radiology 2/2009

01.02.2009 | Radiological Education

European obesity and the radiology department. What can we do to help?

verfasst von: O. Buckley, E. Ward, A. Ryan, Walsh Colin, A. Snow, W. C. Torreggiani

Erschienen in: European Radiology | Ausgabe 2/2009

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Abstract

Obesity is a chronic disease that is now a global epidemic. The numbers of obese people are exponentially rising in Europe, and it is projected that in Europe by 2010 there will be 150 million obese people. The obesity-related health crisis does not only affect adults, with one in four European children now overweight. Radiologists, both adult and paediatric, need to be aware of the magnitude of the problem, and obese patients cannot be denied radiologic evaluation due to their size. Missed diagnosis, appointment cancellation and embarrassing situations for patients when they are referred for a radiological examination for which they are not suitable are all issues that can be avoided if careful provision is made to accommodate the needs of the obese patient requiring radiologic evaluation. This paper will discuss the epidemiology of obesity and the role of radiology in the assessment of obesity and disorders of fat metabolism. The limitations obesity poses to current radiological equipment and how the radiologist can optimise imaging in the obese patient will be described. Dose reference levels and dose control are discussed. Examples of how obesity both hinders and helps the radiologist will be illustrated. Techniques and pre-procedural preparation to help the obese patient in the interventional suite are discussed.
Literatur
4.
Zurück zum Zitat Ludwig DS (2007) Childhood obesity the shape of things to come. NEJM 357(23):2325–2327, Dec. 6PubMedCrossRef Ludwig DS (2007) Childhood obesity the shape of things to come. NEJM 357(23):2325–2327, Dec. 6PubMedCrossRef
5.
Zurück zum Zitat Dietz WH (1998) Health consequences of obesity in youth: Childhood predictors of adult disease. Pediatrics 101:518–525PubMed Dietz WH (1998) Health consequences of obesity in youth: Childhood predictors of adult disease. Pediatrics 101:518–525PubMed
6.
Zurück zum Zitat Lobstein T, Frelut M-L (2003) Prevalence of overweight among children in Europe. Obesity Reviews 4(4):195–200PubMedCrossRef Lobstein T, Frelut M-L (2003) Prevalence of overweight among children in Europe. Obesity Reviews 4(4):195–200PubMedCrossRef
7.
Zurück zum Zitat Olshansky SJ, Passaro DJ, Hershow RC et al (2005) A potential decline in life expectancy in the United States in the 21st Century. NEJM 352:1138–1145PubMedCrossRef Olshansky SJ, Passaro DJ, Hershow RC et al (2005) A potential decline in life expectancy in the United States in the 21st Century. NEJM 352:1138–1145PubMedCrossRef
8.
Zurück zum Zitat National Institutes of Health and National Heart, Lung, and Blood Institute (1998) Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—the evidence report. Obes Res 6(suppl 2):1S–209S National Institutes of Health and National Heart, Lung, and Blood Institute (1998) Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—the evidence report. Obes Res 6(suppl 2):1S–209S
9.
Zurück zum Zitat Snijder MB, Van Dam RM, Visser M, Seidell JC (2006) What aspects of body fat are particularly hazardous and how do we measure them. Int J Epidemiol 35(1):83–92, Feb, Epub 2005 Dec 8. ReviewPubMedCrossRef Snijder MB, Van Dam RM, Visser M, Seidell JC (2006) What aspects of body fat are particularly hazardous and how do we measure them. Int J Epidemiol 35(1):83–92, Feb, Epub 2005 Dec 8. ReviewPubMedCrossRef
10.
Zurück zum Zitat Rattarsan C, Leelawattana R, Soonthompun S, Setasuban W, Thamprasit A (2004) Gender differences of regional abdominal fat and their relationships with insulin sensitivity in healthy and glucose intolerant Thais. J Endocinol Metab 89:6266–6270CrossRef Rattarsan C, Leelawattana R, Soonthompun S, Setasuban W, Thamprasit A (2004) Gender differences of regional abdominal fat and their relationships with insulin sensitivity in healthy and glucose intolerant Thais. J Endocinol Metab 89:6266–6270CrossRef
11.
Zurück zum Zitat Shaw NJ, Crabtree NJ, Kibirige M, Fordham JN (2007) Ethnic and gender differences in body fat in British school children as measured by DXA. Arch Dis Child 92(10):872–875, Oct, Epub 2007 May 23PubMedCrossRef Shaw NJ, Crabtree NJ, Kibirige M, Fordham JN (2007) Ethnic and gender differences in body fat in British school children as measured by DXA. Arch Dis Child 92(10):872–875, Oct, Epub 2007 May 23PubMedCrossRef
12.
Zurück zum Zitat Gurrici S, Hartriyanti Y, Hautvast JG, Deurenberg P (2001) Relationship between body fat and body mass index: differences between Indonesians and Dutch Caucasians. Br J Nutr 85:239–242CrossRef Gurrici S, Hartriyanti Y, Hautvast JG, Deurenberg P (2001) Relationship between body fat and body mass index: differences between Indonesians and Dutch Caucasians. Br J Nutr 85:239–242CrossRef
13.
Zurück zum Zitat Bjorntorp P (1988) The associations between obesity, adipose tissue distribution and disease. Acta Med Scand Suppl 1404–1411 Bjorntorp P (1988) The associations between obesity, adipose tissue distribution and disease. Acta Med Scand Suppl 1404–1411
14.
Zurück zum Zitat Prineas RJ, Folsom AR, Kaye SA (1993) Central adiposity and increased risk of coronary disease mortality in older women. Ann Epidemiol 3:35041CrossRef Prineas RJ, Folsom AR, Kaye SA (1993) Central adiposity and increased risk of coronary disease mortality in older women. Ann Epidemiol 3:35041CrossRef
15.
Zurück zum Zitat Tokunaga K, Matsuzawa Y, Ishikawa K, Tarui S (1983) A novel technique for the determination of body fat by computed tomography. Int J Obes 7:437–445PubMed Tokunaga K, Matsuzawa Y, Ishikawa K, Tarui S (1983) A novel technique for the determination of body fat by computed tomography. Int J Obes 7:437–445PubMed
16.
Zurück zum Zitat Kobayashi J, Tadokoro N, Watanabe M, Shinomiya M (2002) A novel method of measuring intra-abdominal fat volume using helical computed tomography. Int J Obes Relat Metab Disord Mar 26(3):398–402CrossRef Kobayashi J, Tadokoro N, Watanabe M, Shinomiya M (2002) A novel method of measuring intra-abdominal fat volume using helical computed tomography. Int J Obes Relat Metab Disord Mar 26(3):398–402CrossRef
17.
Zurück zum Zitat Maruyama Y, Mizuguchi M, Yaginuma T, Kusaka M, Yoshida H, Yokoyama K, Kasahara Y, Hosoya T (2008) Serum leptin, abdominal obesity and the metabolic syndrome in individuals with chronic spinal cord injury. Spinal Cord. [Epub ahead of print] Jan 2, doi:10.1038/sj.sc.3102171 Maruyama Y, Mizuguchi M, Yaginuma T, Kusaka M, Yoshida H, Yokoyama K, Kasahara Y, Hosoya T (2008) Serum leptin, abdominal obesity and the metabolic syndrome in individuals with chronic spinal cord injury. Spinal Cord. [Epub ahead of print] Jan 2, doi:10.​1038/​sj.​sc.​3102171
18.
Zurück zum Zitat Brennan DD, Whelan PF, Robinson K, Ghita O, O’Brien J, Sadleir R, Eustace S (2005) Rapid automated measurement of body fat distribution from whole-body MRI. AJR 185:418–423PubMedCrossRef Brennan DD, Whelan PF, Robinson K, Ghita O, O’Brien J, Sadleir R, Eustace S (2005) Rapid automated measurement of body fat distribution from whole-body MRI. AJR 185:418–423PubMedCrossRef
19.
Zurück zum Zitat Gerard EL, Snow RC, Kennedy DN, Frisch RE, Guimaraes AR, Barbieri RL, Sorensen AG, Egglin TK, Rosen R (1991) Overall body fat and regional fat distribution in young women: Quantification with MR imaging. AJR 157:99–104PubMed Gerard EL, Snow RC, Kennedy DN, Frisch RE, Guimaraes AR, Barbieri RL, Sorensen AG, Egglin TK, Rosen R (1991) Overall body fat and regional fat distribution in young women: Quantification with MR imaging. AJR 157:99–104PubMed
20.
Zurück zum Zitat Mantatzis M, Prassopoulos P (2007) Total body fat visceral fat subcutaneous fat bone marrow fat. What is important to measure. AJR 189:W386PubMedCrossRef Mantatzis M, Prassopoulos P (2007) Total body fat visceral fat subcutaneous fat bone marrow fat. What is important to measure. AJR 189:W386PubMedCrossRef
21.
Zurück zum Zitat Uppot RN (2007) Impact of obesity on radiology. Radiol Clin North Am 45(2):231–246, Mar, ReviewPubMedCrossRef Uppot RN (2007) Impact of obesity on radiology. Radiol Clin North Am 45(2):231–246, Mar, ReviewPubMedCrossRef
22.
Zurück zum Zitat Chalndler RC, Srinivas G, Chintapalli KN, Schweisinger WH, Prasad SR (2008) Imaging in bariatric surgery: A guide to postsurgical anatomy and common complications. AJR Am J Roentgenol 190(1):122–135, Jan, ReviewCrossRef Chalndler RC, Srinivas G, Chintapalli KN, Schweisinger WH, Prasad SR (2008) Imaging in bariatric surgery: A guide to postsurgical anatomy and common complications. AJR Am J Roentgenol 190(1):122–135, Jan, ReviewCrossRef
23.
Zurück zum Zitat Blachar A, blank A, Gavert N, Metzer U, Fluser G, Abu-Abeid S (2007) Laparoscopic adjustable gastric banding surgery for morbid obesity: imaging of normal anatomic features and post operative complications. AJR 188:472–479PubMedCrossRef Blachar A, blank A, Gavert N, Metzer U, Fluser G, Abu-Abeid S (2007) Laparoscopic adjustable gastric banding surgery for morbid obesity: imaging of normal anatomic features and post operative complications. AJR 188:472–479PubMedCrossRef
24.
Zurück zum Zitat Chandler RC, Srinivas G, Chintapalli KN, Schwesinger WH, Prasad SR (2008) Imaging in bariatric surgery: A guide to postsurgical anatomy and common complications. AJR Am J Roentgenol 190(1):122–135, JanPubMedCrossRef Chandler RC, Srinivas G, Chintapalli KN, Schwesinger WH, Prasad SR (2008) Imaging in bariatric surgery: A guide to postsurgical anatomy and common complications. AJR Am J Roentgenol 190(1):122–135, JanPubMedCrossRef
25.
Zurück zum Zitat Handolin LE, Hiltunin OJ (2006) Peroperative difficulties in fluoroscopy of the femoral head in massive obese patient: enhanced visualization by intra-articular contrast agent. Arch Orthop Trauma Surg 126(7):498–499, Sep, Epub 2006 Jun 21PubMedCrossRef Handolin LE, Hiltunin OJ (2006) Peroperative difficulties in fluoroscopy of the femoral head in massive obese patient: enhanced visualization by intra-articular contrast agent. Arch Orthop Trauma Surg 126(7):498–499, Sep, Epub 2006 Jun 21PubMedCrossRef
26.
Zurück zum Zitat Bryk S, Censullo M, Wagner L, Rossman L, Cohen A (2006) Endovascular and interventional procedures in obese patients: A review of procedural technique modifications and radiation management. J Vascular Interventional Radiol 1(17):27–33CrossRef Bryk S, Censullo M, Wagner L, Rossman L, Cohen A (2006) Endovascular and interventional procedures in obese patients: A review of procedural technique modifications and radiation management. J Vascular Interventional Radiol 1(17):27–33CrossRef
27.
Zurück zum Zitat Uppot RN, Sahani DV, Hahn PF, Kalra MK, Saini SS, Mueller PR (2006) Effect of obesity on image quality: 15-year longitudinal study for evaluation of dictated radiology reports. Radiology 240(2):435–439, Aug, Epub 2006 Jun 26PubMedCrossRef Uppot RN, Sahani DV, Hahn PF, Kalra MK, Saini SS, Mueller PR (2006) Effect of obesity on image quality: 15-year longitudinal study for evaluation of dictated radiology reports. Radiology 240(2):435–439, Aug, Epub 2006 Jun 26PubMedCrossRef
28.
Zurück zum Zitat Hong HS, Han JK, Kim TK, Kim YH, Kim JS, Cha JH, Choi BI (2001) Ultrasonographic evaluation of the gallbladder: Comparison of fundamental tissue harmonic and pulse inversion harmonic imaging. Ultrasound Med 20(1):35–41, Jan Hong HS, Han JK, Kim TK, Kim YH, Kim JS, Cha JH, Choi BI (2001) Ultrasonographic evaluation of the gallbladder: Comparison of fundamental tissue harmonic and pulse inversion harmonic imaging. Ultrasound Med 20(1):35–41, Jan
29.
Zurück zum Zitat Rosenthal SJ, Jones PH, Wetzel LH (2001) Phase inversion tissue harmonic sonographic imaging: A clinical utility study. AJR Am J Roentgenol 176(6):1393–1398, JunPubMed Rosenthal SJ, Jones PH, Wetzel LH (2001) Phase inversion tissue harmonic sonographic imaging: A clinical utility study. AJR Am J Roentgenol 176(6):1393–1398, JunPubMed
30.
Zurück zum Zitat Goldsmith P, Patel A, Farmer R, Wright G, Brown J (2008) A novel technique for CT imaging the brain of the obese patient. Clin Rad 62:575–576, May Goldsmith P, Patel A, Farmer R, Wright G, Brown J (2008) A novel technique for CT imaging the brain of the obese patient. Clin Rad 62:575–576, May
31.
Zurück zum Zitat Coulden RA, Dixon AK (1987) Avoidance of ring artifacts in lumbar spine computed tomography in obese patients. [Letter] British Journal of Radiology 60(713):518PubMed Coulden RA, Dixon AK (1987) Avoidance of ring artifacts in lumbar spine computed tomography in obese patients. [Letter] British Journal of Radiology 60(713):518PubMed
32.
Zurück zum Zitat Vannier MW, Johnson PJ, Dachman A et al (2005) Multi detector CT of massively obese patients. Presented at RSNA, Chicago Vannier MW, Johnson PJ, Dachman A et al (2005) Multi detector CT of massively obese patients. Presented at RSNA, Chicago
33.
Zurück zum Zitat Bae KT, Seeck BA, Hildebolt CF, Tao C, Zhu F, Kanematsu M, Woodard PK (2008) Contrast enhancement in cardiovascular MDCT: effect of body weight, height, body surface area body mass index and obesity. AJR Am J Roentgenol 190(3):777–784, MarPubMedCrossRef Bae KT, Seeck BA, Hildebolt CF, Tao C, Zhu F, Kanematsu M, Woodard PK (2008) Contrast enhancement in cardiovascular MDCT: effect of body weight, height, body surface area body mass index and obesity. AJR Am J Roentgenol 190(3):777–784, MarPubMedCrossRef
34.
Zurück zum Zitat Bae KT, Tao C, Gürel S, Hong C, Zhu F, Gebke TA, Milite M, Hildebolt CF (2007) Effect of patient weight and scanning duration on contrast enhancement during pulmonary multidetector CT angiography. Radiology 242(2):582–589, FebPubMedCrossRef Bae KT, Tao C, Gürel S, Hong C, Zhu F, Gebke TA, Milite M, Hildebolt CF (2007) Effect of patient weight and scanning duration on contrast enhancement during pulmonary multidetector CT angiography. Radiology 242(2):582–589, FebPubMedCrossRef
35.
Zurück zum Zitat Achenbach S, Anders K, Kalender WA (2008) Dual-source cardiac computed tomography: image quality and dose considerations. Eur Radiol 18(6):1188–1198, Jun, Feb 26 [Epub ahead of print]PubMedCrossRef Achenbach S, Anders K, Kalender WA (2008) Dual-source cardiac computed tomography: image quality and dose considerations. Eur Radiol 18(6):1188–1198, Jun, Feb 26 [Epub ahead of print]PubMedCrossRef
36.
Zurück zum Zitat Klein HM, Meyners W, Neeb B, Labenz J, Truümmler KH (2007) Cardiac magnetic resonance imaging using an open 0.35 T system. J Comput Assist Tomogr 31(3):430–434, May-JunPubMedCrossRef Klein HM, Meyners W, Neeb B, Labenz J, Truümmler KH (2007) Cardiac magnetic resonance imaging using an open 0.35 T system. J Comput Assist Tomogr 31(3):430–434, May-JunPubMedCrossRef
38.
Zurück zum Zitat European Commission. Criteria for Acceptability of Radiological (including Radiotherapy) and Nuclear Medicine Installation. Radiation Protection No 91, 1997 European Commission. Criteria for Acceptability of Radiological (including Radiotherapy) and Nuclear Medicine Installation. Radiation Protection No 91, 1997
39.
Zurück zum Zitat IPEM Report 88, Guidance on the establishment and use of Diagnostic Reference Levels for medical X-ray examinations, 2004 IPEM Report 88, Guidance on the establishment and use of Diagnostic Reference Levels for medical X-ray examinations, 2004
40.
Zurück zum Zitat Uppot RN, Sahani DV, Hahn PF, Gervais D, Mueller PR (2007) Impact of obesity on medical imaging and image-guided intervention. AJR Am J Roentgenol 188(2):433–440, Feb ReviewPubMedCrossRef Uppot RN, Sahani DV, Hahn PF, Gervais D, Mueller PR (2007) Impact of obesity on medical imaging and image-guided intervention. AJR Am J Roentgenol 188(2):433–440, Feb ReviewPubMedCrossRef
41.
Zurück zum Zitat Silverman DH, Ratib O, Czernin J (2005) Optimizing imaging protocols for overweight and obese patients: a lutetium orthosilicate PET/CT study. [Clinical Trial. Journal Article] J Nuclear Med 46(4):603–607 Silverman DH, Ratib O, Czernin J (2005) Optimizing imaging protocols for overweight and obese patients: a lutetium orthosilicate PET/CT study. [Clinical Trial. Journal Article] J Nuclear Med 46(4):603–607
42.
Zurück zum Zitat Halpern BS, Dahlbom M, Auerbach MA, Schiepers C, Fueger BJ, Weber WA, Silverman DH, Ratib O, Czernin J (2005) Optimizing imaging protocols for overweight and obese patients: a lutetium orthosilicate PET/CT study. J Nucl Med 46(4):603–607, AprPubMed Halpern BS, Dahlbom M, Auerbach MA, Schiepers C, Fueger BJ, Weber WA, Silverman DH, Ratib O, Czernin J (2005) Optimizing imaging protocols for overweight and obese patients: a lutetium orthosilicate PET/CT study. J Nucl Med 46(4):603–607, AprPubMed
43.
Zurück zum Zitat Botkin CD, Osman MM (2007) Prevalence, challenges, and solutions for 18F-FDG PET studies of obese patients: a technologist’s perspective. J Nuclear Med Technol 2(35):80–83CrossRef Botkin CD, Osman MM (2007) Prevalence, challenges, and solutions for 18F-FDG PET studies of obese patients: a technologist’s perspective. J Nuclear Med Technol 2(35):80–83CrossRef
44.
Zurück zum Zitat Gofrit ON, Shapiro A, Donchin Y, Bloom AI, Shenfeld OZ, Landau EH, Pode D (2007) Lateral decubitus position for percutaneous nephrolithotripsy in the morbidly obese or kyphotic patient. J Endourology 16(6):383–386CrossRef Gofrit ON, Shapiro A, Donchin Y, Bloom AI, Shenfeld OZ, Landau EH, Pode D (2007) Lateral decubitus position for percutaneous nephrolithotripsy in the morbidly obese or kyphotic patient. J Endourology 16(6):383–386CrossRef
45.
Zurück zum Zitat Shindo S, Kato K, Motohashi S, Kaga S, Inoue H, Matsumoto M (2007) Delayed femoral pseudoaneurysm formation after percutaneous coronary intervention. Clin Imag 31(3):162–164CrossRef Shindo S, Kato K, Motohashi S, Kaga S, Inoue H, Matsumoto M (2007) Delayed femoral pseudoaneurysm formation after percutaneous coronary intervention. Clin Imag 31(3):162–164CrossRef
46.
Zurück zum Zitat Chan V, Persaud T, Buckley O, Colville J, Torreggiani WC (2006) Are buttock injections truly intra muscular? Eur J Radiol 2158(3):480–484, Feb, Epub 2006CrossRef Chan V, Persaud T, Buckley O, Colville J, Torreggiani WC (2006) Are buttock injections truly intra muscular? Eur J Radiol 2158(3):480–484, Feb, Epub 2006CrossRef
47.
Zurück zum Zitat Halder S, Wimbush S (2006) Radiologically assisted cerebrospinal fluid sampling in a morbidly obese patient. Crit Care Resusc 8(4):394PubMed Halder S, Wimbush S (2006) Radiologically assisted cerebrospinal fluid sampling in a morbidly obese patient. Crit Care Resusc 8(4):394PubMed
Metadaten
Titel
European obesity and the radiology department. What can we do to help?
verfasst von
O. Buckley
E. Ward
A. Ryan
Walsh Colin
A. Snow
W. C. Torreggiani
Publikationsdatum
01.02.2009
Verlag
Springer-Verlag
Erschienen in
European Radiology / Ausgabe 2/2009
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-008-1154-z

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