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2.
J Am Coll Radiol ; 17(10): 1189-1191, 2020 10.
Article in English | MEDLINE | ID: covidwho-633778

ABSTRACT

A story from long ago reminds us of the importance of quality in our practices, of taking ownership of our patients, and of our role as physicians. The coronavirus disease 2019 (COVID-19) pandemic has disrupted our practices. Before the pandemic, many practices were stretched thin by the amount of work that needed to be done. The work stoppage in many locations brought an unwelcome pause but gives us time to reflect on our practices. How can we maintain quality when high volumes return? The role of artificial intelligence, and our role in its development, needs to be considered. At the same time, we need to take more ownership of the patient and be more help to our referring providers. Our own ACR staff are great examples of taking ownership. Finally, we must recognize that patients and their families are important for optimal patient care. Making that connection is significant. Let us start where we began-in the service of our patients as their physicians. This role is rewarding and, together with a focus on quality and taking ownership, can lead to successful practices that are good for everyone, including ourselves.


Subject(s)
Artificial Intelligence , Coronavirus Infections/diagnostic imaging , Pneumonia, Viral/diagnostic imaging , Quality Improvement , Radiologists , Radiology/standards , COVID-19 , Coronavirus Infections/epidemiology , Humans , Narration , Pandemics/statistics & numerical data , Physician's Role , Pneumonia, Viral/epidemiology , Societies, Medical , United States
4.
J Immunother Cancer ; 8(1)2020 06.
Article in English | MEDLINE | ID: covidwho-607910

ABSTRACT

Immune-related (IR)-pneumonitis is a rare and potentially fatal toxicity of anti-PD(L)1 immunotherapy. Expert guidelines for the diagnosis and management of IR-pneumonitis include multidisciplinary input from medical oncology, pulmonary medicine, infectious disease, and radiology specialists. Severe acute respiratory syndrome coronavirus 2 is a recently recognized respiratory virus that is responsible for causing the COVID-19 global pandemic. Symptoms and imaging findings from IR-pneumonitis and COVID-19 pneumonia can be similar, and early COVID-19 viral testing may yield false negative results, complicating the diagnosis and management of both entities. Herein, we present a set of multidisciplinary consensus recommendations for the diagnosis and management of IR-pneumonitis in the setting of COVID-19 including: (1) isolation procedures, (2) recommended imaging and interpretation, (3) adaptations to invasive testing, (4) adaptations to the management of IR-pneumonitis, (5) immunosuppression for steroid-refractory IR-pneumonitis, and (6) management of suspected concurrent IR-pneumonitis and COVID-19 infection. There is an emerging need for the adaptation of expert guidelines for IR-pneumonitis in the setting of the global COVID-19 pandemic. We propose a multidisciplinary consensus on this topic, in this position paper.


Subject(s)
Antineoplastic Agents, Immunological/adverse effects , Betacoronavirus/immunology , Coronavirus Infections/prevention & control , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Pneumonia/therapy , Practice Guidelines as Topic , B7-H1 Antigen/antagonists & inhibitors , B7-H1 Antigen/immunology , COVID-19 , Consensus , Coronavirus Infections/epidemiology , Coronavirus Infections/transmission , Coronavirus Infections/virology , Humans , Infectious Disease Medicine/standards , Interdisciplinary Communication , Lung/diagnostic imaging , Lung/drug effects , Lung/immunology , Medical Oncology/standards , Neoplasms/drug therapy , Neoplasms/immunology , Pneumonia/chemically induced , Pneumonia/diagnosis , Pneumonia/immunology , Pneumonia, Viral/epidemiology , Pneumonia, Viral/transmission , Pneumonia, Viral/virology , Pulmonary Medicine/standards , Radiology/standards , SARS-CoV-2 , United States/epidemiology
6.
Rofo ; 192(7): 633-640, 2020 07.
Article in English, German | MEDLINE | ID: covidwho-401514

ABSTRACT

This information provided by the Thoracic Imaging Section of the German Radiological Society is intended to give physicians recommendations on the use of thoracic imaging procedures in the context of the current COVID-19 pandemic. It represents the consensus of the authors based on the previous scientific knowledge and is intended to provide guidance for unified, structured CT reporting if COVID-19 pneumonia is suspected. The recommendations presented correspond to state of knowledge at the time of print and will be updated according to the results of ongoing and future scientific studies. KEY POINTS:: · COVID-19. · chest imaging. · German Radiological Society. CITATION FORMAT: · Vogel-Claussen J, Ley-Zaporozhan J, Agarwal P et al. Recommendations of the Thoracic Imaging Section of the German Radiological Society for clinical application of chest imaging and structured CT reporting in the COVID-19 pandemic. Fortschr Röntgenstr 2020; DOI: 10.1055/a-1174-8378.


Subject(s)
Coronavirus Infections/diagnostic imaging , Pneumonia, Viral/diagnostic imaging , Radiography, Thoracic/methods , Tomography, X-Ray Computed , COVID-19 , Germany , Humans , Pandemics , Radiography, Thoracic/standards , Radiology/standards , Societies
7.
Diagn Interv Radiol ; 26(4): 323-332, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-154916

ABSTRACT

Coronavirus disease 2019 (COVID-19) has recently become a worldwide outbreak with several millions of people infected and more than 160.000 deaths. A fast and accurate diagnosis in this outbreak is critical to isolate and treat patients. Radiology plays an important role in the diagnosis and management of the patients. Among various imaging modalities, chest CT has received attention with its higher sensitivity and specificity rates. Shortcomings of the real-time reverse transcriptase-polymerase chain reaction test, including inappropriate sample collection and analysis methods, initial false negative results, and limited availability has led to widespread use of chest CT in the diagnostic algorithm. This review summarizes the role of radiology in COVID-19 pneumonia, diagnostic accuracy of imaging, and chest CT findings of the disease.


Subject(s)
Coronavirus Infections/diagnostic imaging , Pneumonia, Viral/diagnostic imaging , Radiology/standards , Thorax/diagnostic imaging , Tomography, X-Ray Computed/methods , Adult , Algorithms , Artificial Intelligence , Betacoronavirus/genetics , Betacoronavirus/isolation & purification , COVID-19 , Coronavirus Infections/epidemiology , Coronavirus Infections/transmission , Coronavirus Infections/virology , Diagnosis, Differential , Disease Outbreaks , False Negative Reactions , Female , Health Services Accessibility/statistics & numerical data , Health Services Accessibility/trends , Humans , Male , Middle Aged , Pandemics , Pneumonia/diagnostic imaging , Pneumonia, Viral/epidemiology , Pneumonia, Viral/transmission , Pneumonia, Viral/virology , Radiography/standards , Radiology/trends , Reverse Transcriptase Polymerase Chain Reaction/methods , SARS-CoV-2 , Sensitivity and Specificity , Specimen Handling/statistics & numerical data
8.
Acad Radiol ; 27(5): 614-617, 2020 May.
Article in English | MEDLINE | ID: covidwho-38809

ABSTRACT

The COVID-19 epidemic, which is caused by the novel coronavirus SARS-CoV-2, has spread rapidly to become a world-wide pandemic. Chest radiography and chest CT are frequently used to support the diagnosis of COVID-19 infection. However, multiple cases of COVID-19 transmission in radiology department have been reported. Here we summarize the lessons we learned and provide suggestions to improve the infection control and prevention practices of healthcare workers in departments of radiology.


Subject(s)
Coronavirus Infections/prevention & control , Disease Transmission, Infectious/prevention & control , Infection Control/standards , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Radiology Department, Hospital/standards , Radiology/standards , COVID-19 , Coronavirus Infections/classification , Coronavirus Infections/epidemiology , Coronavirus Infections/transmission , Disinfection/standards , Humans , Infection Control/methods , Pandemics/classification , Patient Isolation , Pneumonia, Viral/classification , Pneumonia, Viral/epidemiology , Pneumonia, Viral/transmission , Public Health/education , Radiology/education
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