Oncoradiology Preparedness in the COVID-19 Pandemic: Perspective from a Tertiary Oncology Referral Center from Eastern India

Abstract

At the time of writing this article, more than 18 million people worldwide have been infected by the severe acute respiratory syndrome-associated coronavirus-2 and about 700,000 people have died from coronavirus disease 2019 (COVID-19). In India, about 190,000 people have been infected and nearly 39,000 people have succumbed to this infection. Infection among health-care workers has emerged as one of the key problems in facing this pandemic. The purpose of this article is to describe the measures taken by the department of oncoradiology at our institution to control the infection and minimize staff exposure during the current lockdown period with reduced patient load and in the post-lockdown period with increased demand for radiology services. The key focus of this article is the continued delivery of cancer imaging services with practical precautions and optimized resources. We have also discussed algorithms and protocols unique to the practice of oncoradiology in the time of the COVID-19 pandemic.

Keywords

Coronavirus disease 2019 - oncoradiology - personal protection - preparedness

Publication History

Received: 18 May 2020

Accepted: 23 August 2020

Article published online:
14 May 2021

• References

• 1 India State-Level Disease Burden Initiative Cancer Collaborators. The burden of cancers and their variations across the states of India: The Global Burden of Disease Study 1990-2016. Lancet Oncol 2018; 19: 1289-306
• 2 Jajodia A, Ebner L, Heidinger B, Chaturvedi A, Prosch H. Imaging in corona virus disease 2019 (COVID-19)-A Scoping review. Eur J Radiol Open 2020; 7: 100237 Published 2020 May 11 DOI: 10.1016/j.ejro.2020.100237..
• 3 World Health Organization. Coronavirus Disease 2019 (COVID-19): Situation Report – 73. Geneva: World Health Organization; 2000. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200402-sitrep-73-covid-19.pdf. 20. [Last accessed on 2020 May 10]
• 4 Centers for Disease Control and Prevention. 2020. Coronavirus Disease 2019 (COVID-19). Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control.html. [Last accessed on 2020 Aug 11].
• 5 World Health Organization. Modes of transmission of Virus Causing COVID-19: Implications for IPC Precaution Recommendations. Scientific Brief, 9th of July 2020. Geneva: World Health Organization; 2020. Available from: https://www.who.int/newsroom/commentaries/detail/modes-of-transmissionof-virus-causing-covid-19-implications-for-ipc-precautionrecommendations. [Last accessed 2020 Aug 11].
• 6 Parra A, Rising D. Spain's coronavirus death toll surpasses China as world struggles with containment. Global News 2020. Available from: https://globalnews.ca/news/6729174/coronavirus-spain-death-toll-china/. [Last accessed on 2020 May 12].
• 7 Heneghan C, Oke J, Jefferson T. COVID-19: How Many Healthcare Workers are Infected? Oxford: The Centre for Evidence-Based Medicine; 2020. Available from: https://www.cebm.net/covid-19/covid-19-how-many-healthcare-workers-are-infected/html. [Last accessed on 2020 Apr 17].
• 8 Wang D, Hu B, Hu C, Zu F, Liu X, Zhang J. et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA 2020; 323: 1061-9
• 9 Mossa-Basha M, Meltzer CC, Kim DC, Tuite MJ, Kolli KP, Tan BS. et al. Radiology department preparedness for COVID-19. Radiol Sci Expert Rev Panel 2020; 296: E106-12
• 10 ASCO. Cancer Screening, Diagnosis, Staging & Surveillance. Available from: https://www.asco.org/asco-coronavirus-resources/care-individuals-cancer-during-covid-19/cancer-screeningdiagnosis-staging. [Last accessed on 2020 Aug 11]
• 11 Mukherjee P, Lim TC, Chawla A, Chou H, Peh WC. Adaptability and responsiveness: Keys to operational measures in a regional hospital radiology department during the current COVID-19 pandemic. BJR Open 2020; 2: 20200017
• 12 Ministry of Health and Family Welfare, India. Advisory on the Use of Hydroxychloroquine as Prophylaxis for SARS-CoV-2 Infection. Ministry of Health and Family Welfare. New Delhi: Government of India; 2020. Available from: https://www.mohfw.gov.in/pdf/AdvisoryontheuseofHydroxychloroquinasprophylaxi sforSARSCoV2infection.pdf. [Last accessed on 2020 May 10].
• 13 Crocker AD, Pipili E, Sturdee DW, Wilson KA. et al. An investigation into the mechanism of the menopausal hot flush [proceedings]. J Pharm Pharmacol 1978; 30 Suppl: 59P
• 14 Ministry of Health and Family Welfare, India. Novel Coronavirus Disease 2019 (COVID-19): Additional Guidelines on Rational use of Personal Protective Equipment (setting approach for Health Functionaries Working in Non-COVID areas). New Delhi: Ministry of Health and Family Welfare Government of India; 2020. Available from: https://www.mohfw.gov.in/pdf/AdditionalguidelinesonrationaluseofPersonalProtectiveEqu ipmentsettingapproachforHealthfunctionarieswor kinginnonCOVIDareas.pdf. [Last accessed on 2020 May 09].
• 15 Li Y, Tokura H, Guo YP, Wong AS, Wong T, Chung J. et al. Effects of wearing N95 and surgical facemasks on heart rate, thermal stress and subjective sensations. Int Arch Occup Environ Health 2005; 78: 501-9
• 16 Sinkule EJ, Powell JB, Goss FL. et al. Evaluation of N95 respirator use with a surgical mask cover: Effects on breathing resistance and inhaled carbon dioxide. Ann Occup Hyg 2013; 57: 384-98
• 17 Long Y, Hu T, Liu L, Chen R, Guo Q, Yang L. et al. Effectiveness of N95 respirators versus surgical masks against influenza: A systematic review and meta-analysis. J Evid Based Med 2020; 13(2): 93-101
• 18 Radonovich LJJr, Simberkoff MS, Bessesen MT, Brown AC, Cummings DAT, Gaydos CA. et al N95 respirators vs medical masks for preventing influenza among health care personnel: A randomized clinical trial. JAMA 2019; 322: 824-33
• 19 European Centre for Disease Prevention and Control. Guidance for Wearing and Removing Personal Protective Equipment in Healthcare Settings for the Care of Patients with Suspected or Confirmed COVID-19. European Centre for Disease Prevention and Control; 2020. Available from: https://www.ecdc.europa.eu/en/publications-data/guidance-wearing-and-removing-personal-protective-equipment-healthcare-settings. [Last accessed on 2020 May 13].
• 20 Rubin GD, Ryerson CJ, Haramati LB, Sverzellati N, Kanne JP, Raoof S. et al. The role of chest imaging in patient management during the COVID-19 pandemic: A multinational consensus statement from the Fleischner society. Chest 2020; 158: 106-16
• 21 American College of Radiology. ACR Recommendations for the use of Chest Radiography and Computed Tomography (CT) for Suspected COVID-19 Infection. American College of Radiology; 2020. Available from: https://www.acr.org/Advocacy-and-Economics/ACR-Position-Statements/Recommendations-for-Chest-Radiography-and-CT-for-Suspected-COVID19-Infection. [Last accessed on 2020 May 13].
• 22 Revel MP, Parkar AP, Prosch H, Silva M, Sverzellati N, Gleeson F. et al. COVID-19 patients and the radiology department Advice from the European Society of Radiology (ESR) and the European Society of Thoracic Imaging (ESTI). Eur Radiol 2020; 30: 4903-9
• 23 Tan BS, Tay KH, Tan BH, Chung JW, Gangi A, Binkert C, et al. Joint CIRSE-APSCVIR checklist to prepare IR departments for COVID 19. Cardiovascular and Interventional Radiological Society of Europe; 2020. https://www.cirse.org/education/covid-19-resource-centre/html. [Last accessed on 2020 May 12].
• 24 Directorate of Health Services, Government of West Bengal. Circular no. HPH/9M-21/2020/99. Directorate of Health Services. Kolkata: Government of West Bengal; 2020. Available from: https://www.wbhealth.gov.in/uploaded_files/corona/CIRCULAR.pdf. [Last accessed 2020 May 05].
• 25 Simpson S, Kay FU, Abbara S, Bhalla S, Chung JH, Chung M. et al. adiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings Related to COVID-19. Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA - Secondary Publication. J Thorac Imaging 2020; 35: 219-27