Coronavirus disease-2019: Changes in computed tomography radiation burden across Moscow medical facilities

Cover Image

Cite item

Abstract

BACKGROUND: The spread of coronavirus disease-2019 (COVID-19) in Moscow has significantly increased the number of chest computed tomography examinations to establish a diagnosis and assess the treatment efficacy. In Moscow, the new approach to diagnostic imaging associated with COVID-19 caused divergent shifts in the volume and structure of the population radiation burden. This study aimed to bridge the gap in data, as no reliable information about the changes in the structure of diagnostic imaging and the current radiation burden due to COVID-19 in the Moscow population has been reported.

AIMS: To evaluate the impact of the pandemic on the computed tomography radiation doses in Moscow medical facilities between 2017 and 2020.

MATERIALS AND METHODS: We collected and analyzed the following data: forms No. 3-DOZ completed by the public and private Moscow medical facilities in 2017–2020; forms No. 30 completed in 2017–2020; data from the Unified Radiological Information Service for 2020. The study provides details about the annual population radiation exposure and the average individual radiation doses, with a breakdown by anatomic region.

RESULTS: The statistical form evaluation elucidated the boost of computed tomography imaging in Moscow, accounting for 31% higher than anticipated. In 2020, the number of chest imaging studies increased almost two-fold compared to the previous periods. Thereby, causing a corresponding increase in the mean effective dose by over two times.

CONCLUSION: The results show that the epidemiological situation of 2020 had a profound effect on the changes in the computed tomography-related radiation exposure, which helped us get insight into the diagnostic effect of certain types of computed tomography studies applied to various anatomic regions. The analysis contributed to a better understanding of the strengths and weaknesses of various statistical forms.

About the authors

Uliya V. Druzhinina

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of Moscow Health Care Department; Russian Medical Academy of Continuous Professional Education

Email: yu.druzhinina@npcmr.ru
ORCID iD: 0000-0002-3230-3722
SPIN-code: 1973-2848

эксперт-физик отдела клинической дозиметрии и медицинской физики, преподаватель кафедры радиационной гигиены им. Ф.Г. Кроткова

Russian Federation, building 1, st. Petrovka, 24, Moscow; Moscow

Sergey A. Ryzhov

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of Moscow Health Care Department; Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology

Email: s.ryzhov@npcmr.ru
ORCID iD: 0000-0002-0640-7368
SPIN-code: 6595-4011

MD

Russian Federation, building 1, st. Petrovka, 24, Moscow; Moscow

Alexander V. Vodovatov

Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V.Ramzaev; Saint Petersburg State Pediatric Medical University

Email: vodovatoff@gmail.com
ORCID iD: 0000-0002-5191-7535
SPIN-code: 4560-8978

канд. биол. наук, заведующий  лабораторией радиационной гигиены медицинских организаций, ведущий научный сотрудник, доцент кафедры гигиены

Russian Federation, building 1, st. Petrovka, 24, Moscow; 8, Mira street, S.-Petersburg, 197101

Iliya V. Soldatov

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

Email: i.soldatov@npcmr.ru
ORCID iD: 0000-0002-4867-0746
SPIN-code: 4065-6048

начальник лаборатории рентгенорадиологического отделение г. Москвы

Russian Federation, building 1, st. Petrovka, 24, Moscow

Zoya A. Lantukh

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

Email: z.lantukh@npcmr.ru
ORCID iD: 0000-0001-6623-9610
SPIN-code: 5486-6496

начальник отдела дозиметрического контроля

Russian Federation, Moscow

Anna N. Mukhortova

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

Email: a.mukhortova@npcmr.ru
ORCID iD: 0000-0001-9814-3533
SPIN-code: 9051-1130

начальник информационно-аналитического отдела

Russian Federation, building 1, st. Petrovka, 24, Moscow, 127051

Yuliya N. Lubencova

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

Author for correspondence.
Email: lubencova@npcmr.ru
ORCID iD: 0000-0001-6274-9736
SPIN-code: 5975-7418

начальника отдела координации лабораторной деятельности

Russian Federation, building 1, st. Petrovka, 24, Moscow, 127051

References

  1. Zhao W, Zhong Z, Xie X, et al. Relation between chest CT findings and clinical conditions of coronavirus disease (COVID-19) pneumonia: a multicenter study. AJR. 2020;214(5):1072–1077. doi: 10.2214/AJR.20.22976
  2. Erturk SM. CT is not a screening tool for corona-virus disease (COVID-19) pneumonia. (letter). AJR. 2020;215(1):W12–W12. doi: 10.2214/AJR.20.23288
  3. Morozov SP, Protsenko DN, Smetanina SV, et al. Radiation diagnosis of coronavirus disease (COVID-19): organization, methodology, interpretation of results. Issue 65. Version 2 dated 17.04.2020. Moscow; 2020. 78 p. (Series: Best practices of radiation and instrumental diagnostics). (In Russ).
  4. Ministry of Health of the Russian Federation. Temporary methodological recommendations. Prevention, diagnosis and treatment of new coronavirus infection (COVID-19). Version 11 (07.05.2021). Moscow; 2021. 225 p. (In Russ).
  5. Morozov SP, Reshetnikov RV, Gombolevskiy VA, et al. Diagnostic accuracy of computed tomography for identifying hospitalizations for patients with COVID-19. Digital Diagnostics. 2021;2(1):5−16. (In Russ). doi: 10.17816/DD46818
  6. 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
  7. Morozov SP, Kuzmina ES, Ledikhova NV, et al. Mobilizing the academic and practicalpotential ofdiagnostic radiology duringthe COVID-19 pandemic in Moscow. Digital Diagnostics. 2020;1(1):5−12. (In Russ). doi: 10.17816/DD51043
  8. Vodovatov AV, Romanovich IK, Historian OA, et al. Preliminary assessment of changes in the structure of the collective dose from CT examinations for the period March-June 2020 in connection with the diagnosis of COVID-19 in the Russian Federation. Preprint [Internet]. (In Russ). Available from: https://covid19-preprints.microbe.ru/article/28. Accessed: 15.01.2022.
  9. Okhrimenko SE, Ilin LA, Korenkov IP, et al. Optimization of radiation doses to patients in x-ray diagnostics // Hygiene and Sanitation. 2019;98(12):1331–1337. (In Russ). doi: 10.47470/0016-9900-2019-98-12-1331-1337
  10. Morozov SP, Soldatov IV, Lantukh ZA, et al. Characteristics of the dose load on patients in medical institutions in Moscow [Internet]. (In Russ). Available from: https://tele-med.ai/documents/482/harakteristika_dozovoj_nagruzki_na_pacientov_v_medicinskih_organizaciyah_g_moskvy_1.pdf. Accessed: 15.01.2022.
  11. Balonov MI, Golikov VYu, Vodovatov AV, et al. Scientific foundations of radiation protection in modern medicine. Ed. by M.I. Ballonov. Vol. 1. Radiation diagnostics. Saint Petersburg: Ramzaev Research Institute; 2019. 320 p. (In Russ).
  12. Chipiga LA, Bernhardsson C. Patient doses in computed tomography examinations in two regions of the Russian Federation. Radiat Prot Dosimetry. 2016;169(1-4):240–244. doi: 10.1093/rpd/ncv516

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Number of CT scans according to Forms No. 3-DOZ (a) and No. 30 (b). The yellow color marks the predicted number of examinations.

Download (108KB)

Copyright (c) 2022 Druzhinina U.V., Ryzhov S.A., Vodovatov A.V., Soldatov I.V., Lantukh Z.A., Mukhortova A.N., Lubencova Y.N.

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