Age is more than just a number - Tailoring radiologic practice for the geriatric population

The growing elderly population is transforming healthcare delivery, with radiology playing a central role in diagnosing and managing diseases in older adults. As patients age, they develop distinct imaging characteristics due to physiological changes and comorbidities, which can complicate diagnosis and treatment across radiologic subspecialties. This article explores key geriatric imaging considerations in neuroradiology, cardiothoracic, abdominopelvic, musculoskeletal, oncologic, and interventional radiology, emphasizing how each subspecialty faces unique challenges in distinguishing normal aging from pathology. Despite progress in geriatric care across many medical disciplines, radiology has lagged in its adaptation-lacking specific training programs, imaging protocols, and geriatric-focused guidelines. This article calls for the integration of geriatric content into radiology curricula and the development of tailored imaging templates and multimodality strategies. By aligning imaging approaches with the realities of aging physiology, radiologists can enhance diagnostic accuracy and clinical decision-making. Geriatric-specific radiologic frameworks are essential to optimizing outcomes, reducing diagnostic ambiguity, and meeting the complex needs of elderly patients. Advancing radiology practices in this direction will ensure that older adults receive more precise, personalized care and benefit from innovations in imaging science tailored to their demographic.