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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Is a nurse consultant impact toolkit relevant and transferable to the radiography profession? An evaluation project
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Chest X-ray interpretation by Radiographers is not inferior to Radiologists: a multireader, multicase comparison using JAFROC (Jack-knife alternative free-response receiver operating characteristics) analysis
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Agreement between expert thoracic radiologists and the chest radiograph reports provided by consultant radiologists and reporting radiographers in clinical practice: review of a single clinical site
Woznitza, N., Piper, K., Burke, S., Ellis, S. and Bothamley, G. 2018. Agreement between expert thoracic radiologists and the chest radiograph reports provided by consultant radiologists and reporting radiographers in clinical practice: review of a single clinical site. Radiography. https://doi.org/10.1016/j.radi.2018.01.009
Digital training platform for interpreting radiographic images of the chest
McLauchlin, L., Woznitza, N., Cairns, A., McFadden, S., Bond, R., Hughes, C., Elsayed, A., Finlay, D. and McConnell, J. 2018. Digital training platform for interpreting radiographic images of the chest. Radiography. 24 (2), pp. 159-164. https://doi.org/10.1016/j.radi.2017.12.010
Immediate reporting of chest X-rays referred from general practice by reporting radiographers: a single centre feasibility study
Woznitza, N., Piper, K., Rowe, S. and Bhowmik, A. 2017. Immediate reporting of chest X-rays referred from general practice by reporting radiographers: a single centre feasibility study. Clinical Radiology. https://doi.org/10.1016/j.crad.2017.11.016
Twitter journal clubs and continuing professional development: An analysis of a #MedRadJClub tweet chat
Bolderston, A., Watson, J., Woznitza, N., Westerink, A., Di Prospero, L., Currie, G., Beardmore, C. and Hewis, J. 2017. Twitter journal clubs and continuing professional development: An analysis of a #MedRadJClub tweet chat. Radiography. 24 (1), pp. 3-8. https://doi.org/10.1016/j.radi.2017.09.005
Becoming a clinical radiographer: role, role development and specialisation
Woznitza, N. 2017. Becoming a clinical radiographer: role, role development and specialisation.
Radiographer reporting of magnetic resonance imaging breast examinations: findings of an accredited postgraduate programme
Pittock, L., Piper, K. and Woznitza, N. 2017. Radiographer reporting of magnetic resonance imaging breast examinations: findings of an accredited postgraduate programme.
Impact of radiographer immediate reporting of chest X-rays from general practice on the lung cancer pathway (radioX): study protocol for a randomised control trial
Woznitza, N., Devaraj, A., Janes, S., Duffy, S., Bhowmik, A., Rowe, S., Piper, K., Maughn, S. and Baldwin, D. 2017. Impact of radiographer immediate reporting of chest X-rays from general practice on the lung cancer pathway (radioX): study protocol for a randomised control trial. Trials. 18 (521). https://doi.org/10.1186/s13063-017-2268-x
Expanding the role of radiographers in reporting suspected lung cancer: a cost-effectiveness analysis using a decision tree model
Bajre, M., Pennington, M., Woznitza, N., Beardmore, C., Radhakrishnan, M., Harris, R. and Mccrone, P. 2017. Expanding the role of radiographers in reporting suspected lung cancer: a cost-effectiveness analysis using a decision tree model. Radiography. 23 (4), pp. 273-278. https://doi.org/10.1016/j.radi.2017.07.011
Twitter journal club in medical radiation science
Currie, G., Woznitza, N., Bolderston, A., Weserink, A., Watson, J., Beardmore, C., Di Prospero, L., McCuig, C. and Nightingale, J. 2017. Twitter journal club in medical radiation science. Journal of Medical Imaging and Radiation Sciences. 48 (1), pp. 83-89. https://doi.org/10.1016/j.jmir.2016.09.001
Optimisation de la prise en charge en Rafiologie: Approts des manipulateurs experts interprétant des examens: Cas pratique au Royaume Uni
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Chest x-ray agreement: comparative analysis between consultant radiologists, reporting radiographers and expert chest radiologists
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Team working in radiology: optimising care
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Advanced practice in diagnostic imaging
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Team working in radiology: what is possible?
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The Twitter Journal Club for Medical Radiation Professionals (#medradjclub): CPD/CE for the 21st century
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Bloom’s taxonomy of Twitter: higher order thinking and the Twitter Journal Club
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Diagnostic accuracy of radiographer chest x-ray reporting
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The diagnostic accuracy of reporting radiographer chest x-ray interpretations and their influence on clinicians’ diagnostic decision-making: a comparison with consultant radiologists
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The radiography workforce: current challenges and changing needs
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Chest reporting by radiographers: Findings of an accredited postgraduate programme.
Piper, K., Cox, S., Paterson, A., Thomas, A., Thomas, N., Jeyagopal, N. and Woznitza, N. 2014. Chest reporting by radiographers: Findings of an accredited postgraduate programme. Radiography. 20 (2), pp. 94-99. https://doi.org/10.1016/j.radi.2014.01.003
Adult chest radiograph reporting by radiographers: Preliminary data from an in-house audit programme
Woznitza, N., Piper, K., Burke, S., Patel, K., Amin, S., Grayson, K. and Bothamley, G. 2014. Adult chest radiograph reporting by radiographers: Preliminary data from an in-house audit programme. Radiography. 20 (3), pp. 223-229. https://doi.org/10.1016/j.radi.2014.03.002
Optimizing patient care in radiology through team-working: A case study
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Conceptualisation of the characteristics of advanced practitioners in the medical radiation profession
Smith, Tony, Harris, J., Woznitza, N., Marese, S. and Sale, C. 2015. Conceptualisation of the characteristics of advanced practitioners in the medical radiation profession. Journal of Medical Radiation Sciences. 62 (3), pp. 204-211. https://doi.org/10.1002/jmrs.115
e-Learning for Healthcare – Image Interpretation Project
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An unusual cause of respiratory distress
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Chest X-Ray interpretation: agreement between consultant radiologists and a reporting radiographer in clinical practice in the United Kingdom
Woznitza, N., Piper, K., Burke, S., Patel, K., Amin, S. and Grayson, K. 2013. Chest X-Ray interpretation: agreement between consultant radiologists and a reporting radiographer in clinical practice in the United Kingdom.
Radiographer clinical reporting
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Commentary: radiographer reporting
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Do you see what I see? Clinical review of discordant chest x-ray consultant radiologist and radiographer interpretations
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Optimizing patient care in radiology through team-working: audit data
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Optimizing neonatal X-ray quality: results of an audit
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Agreement in neonatal x-ray interpretation: a comparison between consultant paediatric radiologists and a reporting radiographer
Woznitza, N., Piper, K., Aladangady, N., Iliadis, K., Prakash, R. and Santos, R. 2014. Agreement in neonatal x-ray interpretation: a comparison between consultant paediatric radiologists and a reporting radiographer.
Advanced radiographic practice in adult chest imaging
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Can reporting radiographers produce clinically relevant reports?
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