Universität zu Köln

Anderson, Mark A., Goiffon, Reece J., Lennartz, Simon, Bhayana, Rajesh and Kambadakone, Avinash (2021). Abdominal Imaging Utilization during the First COVID-19 Surge and Utility of Abdominal MRI. Tomography, 7 (4). S. 972 - 980. BASEL: MDPI. ISSN 2379-139X

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Abstract

We sought to determine relative utilization of abdominal imaging modalities in coronavirus disease 2019 (COVID-19) patients at a single institution during the first surge and evaluate whether abdominal magnetic resonance imaging (MRI) changed diagnosis and management. 1107 COVID-19 patients who had abdominal imaging were analyzed for modality and imaging setting. Patients who underwent abdominal MRI were reviewed to determine impact on management. Of 2259 examinations, 80% were inpatient, 14% were emergency, and 6% were outpatient consisting of 55% radiograph (XR), 31% computed tomography (CT), 13% ultrasound (US), and 0.6% MRI. Among 1107 patients, abdominal MRI was performed in 12 within 100 days of positive SARS-CoV-2 PCR. Indications were unrelated to COVID-19 in 75% while MRI was performed for workup of acute liver dysfunction in 25%. In 1 of 12 patients, MRI resulted in change to management unrelated to COVID-19 diagnosis. During the first surge of COVID-19 at one institution, the most common abdominal imaging examinations were radiographs and CT followed by ultrasound with the majority being performed as inpatients. Future COVID-19 surges may place disproportionate demands on inpatient abdominal radiography and CT resources. Abdominal MRI was rarely performed and did not lead to change in diagnosis or management related to COVID-19 but needs higher patient numbers for accurate assessment of utility.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Anderson, Mark A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Goiffon, Reece J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lennartz, Simon UNSPECIFIED UNSPECIFIED UNSPECIFIED Bhayana, Rajesh UNSPECIFIED UNSPECIFIED UNSPECIFIED Kambadakone, Avinash UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-589107
DOI:	10.3390/tomography7040080
Journal or Publication Title:	Tomography
Volume:	7
Number:	4
Page Range:	S. 972 - 980
Date:	2021
Publisher:	MDPI
Place of Publication:	BASEL
ISSN:	2379-139X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CORONAVIRUS DISEASE 2019; PATIENT; IMPACT Multiple languages Radiology, Nuclear Medicine & Medical Imaging Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/58910