Mobilizing the academic and practical potential of diagnostic radiology during the COVID-19 pandemic in Moscow

Cover Page

Cite item

Abstract

At the beginning of the first wave of the COVID-19 pandemic, a network of outpatient CT centers (OCTC) for lung pathology diagnostics in patients with suspected viral pneumonia with the round-the-clock operation was formed in Moscow. The introduction of the “CT 0-4” scale allowed for effective routing. To prevent the spread of infection among patients and staff, OCTC zoning was introduced, dividing into “red,” “buffer,” and “green” zones. As part of the mobilization of the Radiology Service, the Moscow Reference Center was established, aimed at quality control, remote expert consultations, and organizational and methodological support. Several online courses and training webinars have been developed. Artificial Intelligence services were connected to recognize the signs of COVID-19 and assess the severity.

The developed strategy of the Moscow Radiology Service ensured readiness for the high burden on the city health care system and minimized losses among medical personnel. The experts significantly contributed to effective infection control through accessible, timely, and high-quality diagnostics and routing.

About the authors

Sergey P. Morozov

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department

Email: morozov@npcmr.ru
ORCID iD: 0000-0001-6545-6170
SPIN-code: 8542-1720

MD, PhD, Professor

Russian Federation, Moscow

Ekaterina S. Kuzmina

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department

Email: e.kuzmina@npcmr.ru
ORCID iD: 0000-0003-0235-9386
SPIN-code: 2571-1150
Russian Federation, Moscow

Natalya V. Ledikhova

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department

Email: n.ledikhova@npcmr.ru
ORCID iD: 0000-0002-1446-424X
SPIN-code: 6907-5936
Russian Federation, Moscow

Anton V. Vladzymyrskyy

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department

Email: a.vladzimirsky@npcmr.ru
ORCID iD: 0000-0002-2990-7736
SPIN-code: 3602-7120

MD, PhD

Russian Federation, Moscow

Irina A. Trofimenko

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department

Email: i.trofimenko@npcmr.ru
ORCID iD: 0000-0003-1236-5384
SPIN-code: 7627-7470
Russian Federation, Moscow

Olesya A. Mokienko

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department

Email: Lesya.md@yandex.ru
ORCID iD: 0000-0002-7826-5135
SPIN-code: 8088-9921

MD, PhD

Russian Federation, Moscow

Elena V. Panina

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department

Email: panina@npcmr.ru
ORCID iD: 0000-0002-9666-0147
Russian Federation, Moscow

Anna E. Andreychenko

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department

Email: a.andreychenko@npcmr.ru
ORCID iD: 0000-0001-6359-0763
SPIN-code: 6625-4186
Russian Federation, Moscow

Olga V. Omelyanskaya

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department

Email: o.omelyanskaya@npcmr.ru
ORCID iD: 0000-0002-0245-4431
Russian Federation, Moscow

Victor A. Gombolevskiy

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department

Email: g_victor@mail.ru
ORCID iD: 0000-0003-1816-1315
SPIN-code: 6810-3279

MD, PhD

Russian Federation, Moscow

Nikita S. Polishchuk

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department

Email: polishchuk@npcmr.ru
ORCID iD: 0000-0001-8216-601X
SPIN-code: 2907-0097
Russian Federation, Moscow

Igor M. Shulkin

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department

Email: i.shulkin@npcmr.ru
ORCID iD: 0000-0002-7613-5273
Russian Federation, Moscow

Roman V. Reshetnikov

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department; Sechenov First Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: reshetnikov@fbb.msu.ru
ORCID iD: 0000-0002-9661-0254
SPIN-code: 8592-0558

PhD

Russian Federation, Moscow

References

  1. Resolution of the Chief state sanitary doctor of the Russian Federation No. 31 of 16.10.2020 «O dopolnitel’nykh merakh po snizheniyu riskov rasprostraneniya SOVID-19 v period sezonnogo pod»ema zabolevaemosti ostrymi respiratornymi virusnymi infektsiyami i grippom». Available from: https://www.rospotrebnadzor.ru/. (In Russ).
  2. Badr HS, Du H, Marshall M, et al. Association between mobility patterns and COVID-19 transmission in the USA: A mathematical modelling study. Lancet Infect Dis. 2020;20(11):1247–1254. doi: 10.1016/S1473-3099(20)30553-3
  3. Karagiannidis C, Mostert C, Hentschker C, et al. Case characteristics, resource use, and outcomes of 10 021 patients with COVID-19 admitted to 920 German hospitals: an observational study. Lancet Respir Med. 2020;8(9):853–862. doi: 10.1016/S2213-2600(20)30316-7
  4. Vinceti M, Filippini T, Rothman KJ, et al. Lockdown timing and efficacy in controlling COVID-19 using mobile phone tracking. EClinicalMedicine. 2020;25:100457. doi: 10.1016/j.eclinm.2020.100457
  5. Ai T, Yang Z, Hou H, et al. Correlation of chest CT and RT-PCR testing for Coronavirus Disease 2019 (COVID-19) in China: A report of 1014 cases. Radiology. 2020;296(2):E32–E40. doi: 10.1148/radiol.2020200642
  6. Kucirka LM, Lauer SA, Laeyendecker O, et al. Variation in false-negative rate of reverse transcriptase polymerase chain reaction-based SARS-CoV-2 tests by time since exposure. Ann Intern Med. 2020;173(4):262–267. doi: 10.7326/M20-1495
  7. Pujadas E, Chaudhry F, McBride R, et al. SARS-CoV-2 viral load predicts COVID-19 mortality. Lancet Respir Med. 2020;8(9):e70. doi: 10.1016/S2213-2600(20)30354-4
  8. Siordia JA. Epidemiology and clinical features of COVID-19: A review of current literature. J Clin Virol. 2020;127:104357. doi: 10.1016/j.jcv.2020.104357
  9. Morozov SP, Gombolevskiy VA, Cherninа VY, et al. Prediction of lethal outcomes in COVID-19 cases based on the results chest computed tomography. Tuberc Lung Dis. 2020;98(6):7–14. doi: 10.21292/2075-1230-2020-98-6-7-14
  10. Morozov S, Ledikhova N, Panina E, et al. Re: Controversy in coronaViral Imaging and Diagnostics (COVID). Clin Radiol. 2020;75(11):871–872. doi: 10.1016/j.crad.2020.07.023

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Activation of the diagnostic radiology resources during the COVID-19 pandemic in Moscow.

Download (278KB)
3. Video presentation
View 

Copyright (c) 2020 Morozov S.P., Kuzmina E.S., Ledikhova N.V., Vladzymyrskyy A.V., Trofimenko I.A., Mokienko O.A., Panina E.V., Andreychenko A.E., Omelyanskaya O.V., Gombolevskiy V.A., Polishchuk N.S., Shulkin I.M., Reshetnikov R.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies