Coronavirus disease 2019 (COVID-19) in the radiology department: what radiographers need to know

Journal article

Stogiannos, N., Fotopoulos, D., Woznitza, N. and Malamateniou, C. 2020. Coronavirus disease 2019 (COVID-19) in the radiology department: what radiographers need to know. Radiography. https://doi.org/10.1016/j.radi.2020.05.012
AuthorsStogiannos, N., Fotopoulos, D., Woznitza, N. and Malamateniou, C.
Abstract

Objectives
The aim is to review current literature related to the diagnosis, management, and follow-up of suspected and confirmed Covid-19 cases.

Key findings
Medical Imaging plays an important auxiliary role in the diagnosis of Covid-19 patients, mainly those most seriously affected. Practice differs widely among different countries, mainly due to the variability of access to resources (viral testing and imaging equipment, specialised staff, protective equipment). It has been now well-documented that chest radiographs should be the first-line imaging tool and chest CT should only be reserved for critically ill patients, or when chest radiograph and clinical presentation may be inconclusive.

Conclusion
As radiographers work on the frontline, they should be aware of the potential risks associated with Covid-19 and engage in optimal strategies to reduce these. Their role in vetting, conducting and often reporting the imaging examinations is vital as well as their contribution in patient safety and care. Medical Imaging should be limited to critically ill patients, and where it may have an impact on the patient management plan.

Implications for practice
At the time of publication, this review offers the most up-to-date recommendations for clinical practitioners in radiology departments, including radiographers. Radiography practice has to significantly adjust to these new requirements to support optimal and safe imaging practices for the diagnosis of Covid-19. The adoption of low dose CT, rigorous infection control protocols and optimal use of personal protective equipment may reduce the potential risks of radiation exposure and infection, respectively, within Radiology departments.

KeywordsCOVID-19; Radiography ; Medical Imaging; Epidemiology; Chest-x-ray; CXR; Chest radiograph; Computed Tomography; CT; Magnetic Resonance Imaging; MRI; Ultrasound; Radiology; Testing; Symptoms; Guidelines
Year2020
JournalRadiography
PublisherElsevier
ISSN1078-8174
Digital Object Identifier (DOI)https://doi.org/10.1016/j.radi.2020.05.012
Official URLhttp://doi.org/10.1016/j.radi.2020.05.012
Publication dates
Online04 Jun 2020
Publication process dates
Accepted23 May 2020
Deposited15 Jun 2020
Output statusIn press
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