Yanks 'too fat for X-rays' Updated: 2006-07-27 11:05 Obese Americans are
increasingly proving too fat to fit into scanners or their fat gets in the way
of X-rays and ultrasounds, according to a study.
Researchers found that the number of patients who had inconclusive test
results had doubled over 15 years.
Dr Raul Uppot and his team analysed all the radiology examinations performed
at a Massachusetts hospital between 1989 and 2003, looking for records labelled
"limited by body habitus" - meaning the patient's size hampered the quality of
the test.
They found that while 0.10 per cent of inconclusive exams were due to patient
size in 1989, the figure had climbed to 0.19 per cent by 2003, despite advances
in technology.
It is estimated that 66 per cent of adults in the US are overweight, obese or
morbidly obese, while there are 12.5 million overweight children and
adolescents.
The team said CT and MRI scans could cause problems for obese patients
because there were weight limitations on the imaging table and the size of the
opening on the imager could be too small for them to get in.
Ultrasound beams and X-rays can also be hindered by fat and fail to produce
clear pictures of the organs being examined.
Standard CT tables in the US can take patients weighing up to 450lbs, while
MRI machines can usually obtain diagnostic-quality images in patients weighing
up to 350lbs.
The team, writing in the journal Radiology, warned that incomplete
examinations because of obesity could have serious consequences, such as
misdiagnosis or the failure to find a diagnosis at all.
Dr Uppot, a staff radiologist at MGH, said: "Americans need to know that
obesity can hinder their medical care when they enter a hospital."
He added: "In the short term, the medical community must accommodate these
patients by investing in technology to help them.
"In the long term, this country must make cultural shifts that promote more
exercise and a healthier diet."
|