The use of imaging in COVID-19-results of a global survey by the International Society of Radiology
The use of imaging in COVID-19-results of a global survey by the International Society of Radiology
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DOI：
10.1007/s00330-020-07252-3
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发表时间：
2020-09-17
影响因子：
5.9
通讯作者：
Frija, Guy
中科院分区：
文献类型：
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作者：
Blazic, Ivana;Brkljacic, Boris;Frija, Guy
目的本调查由国际放射学会（International Society of Radiology）进行，并得到欧洲放射学会（European Society of Radiology）的支持，旨在收集放射科目前在管理COVID-19患者方面的做法信息。方法分析了来自各大洲33个国家的50个参与COVID-19患者管理的放射科的回复。该分析揭示了世界各地与COVID-19相关的成像实践在不同疾病严重程度和各种临床情况下的重要差异。影像学检查通常不用于无症状患者（69%的机构不进行影像检查），但在住院结束时使用（60%的机构）。在大多数机构中，胸部成像用于疑似或确诊的COVID-19患者（89%和94%）。参与本次调查的所有影像科均报告了在表现出严重症状或病情危重的COVID-19患者中使用影像的情况。然而，用于每种临床场景的成像模态类型存在很大差异。98%的机构按照现有指南和建议使用成像，58%的机构记录了结构化报告。绝大多数机构报告称，COVID-19大流行对影像部门的日常活动产生了重大影响（83%）。结论我们相信，本次调查的结果将有助于了解当前放射学实践中的异质性，并确定与COVID-19大流行相关的全球放射科组织和功能的需求和差距。这项调查的结果可能会告知放射科组织和成像协议在大流行条件下的整体战略的发展。
Objectives This survey conducted by the International Society of Radiology and supported by the European Society of Radiology aimed to collect information regarding radiology departments' current practices in the management of patients with COVID-19. Methods Responses from 50 radiology departments involved in the management of COVID-19 patients representing 33 countries across all continents were analyzed. The analysis revealed important variations in imaging practices related to COVID-19 across the world for different disease severity and various clinical scenarios. Results Imaging is usually not performed in asymptomatic patients (69% of institutions do not image) but is used at the end of confinement (in 60% of institutions). In the majority of institutions, chest imaging is used in suspected or confirmed patients with COVID-19 (89% and 94%). All imaging departments involved in this survey reported the use of imaging in COVID-19 patients showing severe symptoms or who were critically ill. However, there is a wide variation in imaging modality type used for each clinical scenario. The use of imaging is applied in line with existing guidelines and recommendations in 98% of institutions with structured reporting recorded in 58% of institutions. The vast majority of institutions reported a significant impact of the COVID-19 pandemic on the imaging department's routine activity (83%). Conclusion We believe that the results of this survey will help to understand current heterogeneities in radiology practice and to identify needs and gaps in the organization and function of radiology departments worldwide in relation to the COVID-19 pandemic. The results of this survey may inform the development of an overall strategy for radiology department organization and imaging protocols in pandemic conditions.