调动莫斯科辐射诊断服务处在COVID-19大流行中的科学和实际潜力

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在2019冠状病毒第一波大流行开始之际,莫斯科已经建立了一个24小时运转的门诊CT诊断中心,用于对疑似病毒性肺炎患者肺部损伤的计算机断层扫描(CT)诊断。CT0—CT4量表的引入允许高效路由。为防止感染在患者和工作人员之间的传播,门诊CT中心被分为《红色》、《缓冲》和《绿色》区。作为辐射诊断服务动员的一部分,成立了莫斯科基准中心,进行质量控制、专家远程咨询以及组织和方法支助。还编制了几个远程学习课程和网络讨论会。人工智能服务被用于识别COVID-19的迹象和评估疾病的严重程度。莫斯科辐射诊断服务处制定的战略确保为该市医疗系统的高负荷做好准备,并使医务人员的死亡率降至最低。该服务处的专家通过可达性、及时和高质量的诊断和路由,为有效遏制疫情传播作出了重大贡献。

作者简介

Sergey 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 代码: 8542-1720

MD, PhD, Professor

俄罗斯联邦, Moscow

Ekaterina 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 代码: 2571-1150
俄罗斯联邦, Moscow

Natalya 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 代码: 6907-5936
俄罗斯联邦, Moscow

Anton 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 代码: 3602-7120

MD, PhD

俄罗斯联邦, Moscow

Irina 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 代码: 7627-7470
俄罗斯联邦, Moscow

Olesya 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 代码: 8088-9921

MD, PhD

俄罗斯联邦, Moscow

Elena 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
俄罗斯联邦, Moscow

Anna 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 代码: 6625-4186
俄罗斯联邦, Moscow

Olga 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
俄罗斯联邦, Moscow

Victor 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 代码: 6810-3279

MD, PhD

俄罗斯联邦, Moscow

Nikita 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 代码: 2907-0097
俄罗斯联邦, Moscow

Igor 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
俄罗斯联邦, Moscow

Roman 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)

编辑信件的主要联系方式.
Email: reshetnikov@fbb.msu.ru
ORCID iD: 0000-0002-9661-0254
SPIN 代码: 8592-0558

PhD

俄罗斯联邦, Moscow

参考

  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

补充文件

附件文件
动作
1. JATS XML
2. 图 1在莫斯科COVID-19疫情发展期间动员辐射诊断服务:CT中心门诊—门诊计算机断层扫描中心;AI服务—人工智能服务

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3. Video presentation
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版权所有 © Morozov S., Kuzmina E., Ledikhova N., Vladzymyrskyy A., Trofimenko I., Mokienko O., Panina E., Andreychenko A., Omelyanskaya O., Gombolevskiy V., Polishchuk N., Shulkin I., Reshetnikov R., 2020

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