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Chapter 4 - Imaging

Published online by Cambridge University Press:  21 June 2019

By
Vyara Valkanova  and
Klaus P. Ebmeier
Edited by
Rob Butler  and
Cornelius Katona
Rob Butler
Affiliation:
Waitemata DHB and North Shore Hospital, Auckland
Cornelius Katona
Affiliation:
Helen Bamber Foundation
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Summary

Exactly 21 years have passed since John Besson’s chapter ‘Imaging’ in the previous edition of these seminars. There has been an amazing proliferation of imaging methods, but very little change in the clinical imaging protocols available to the average UK clinician. X-ray computed tomography (CT) still seems to be the mainstay of assessment in the standard psychiatric memory clinic. Magnetic resonance imaging (MRI) tends to be available, but only as a ‘special treat’, often mediated by neurologists, and emission tomography, such as single photon emission computerised tomography (SPECT) and positron emission tomography (PET), is only used in highly specialised cases outside a few academic centres. Apart from generic NHS austerity, ‘health without mental health’, and institutional ageism, what could be the reasons for this?

Type
Chapter
Information
Seminars in Old Age Psychiatry , pp. 41 - 53
Publisher: Cambridge University Press
Print publication year: 2019

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