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Imaging volumes during COVID-19: A Victorian health service experienceJo-Anne Pinson et al. World J Radiol. 2022.
. 2022 Aug 28;14(8):293-310. doi: 10.4329/wjr.v14.i8.293. AffiliationsItem in Clipboard
AbstractBackground: The World Health Organisation declared the coronavirus disease 2019 (COVID-19) a pandemic on March 11, 2020. While globally, the relative caseload has been high, Australia's has been relatively low. During the pandemic, radiology services have seen significant changes in workflow across modalities and a reduction in imaging volumes.
Aim: To investigate differences in modality imaging volumes during the COVID-19 pandemic across a large Victorian public health network.
Methods: A retrospective analysis from January 2019 to December 2020 compared imaging volumes across two periods corresponding to the pandemic's first and second waves. Weekly volumes across patient class, modality and mobile imaging were summed for periods: wave 1 (weeks 11 to 16 for 2019; weeks 63 to 68 for 2020) and wave 2 (weeks 28 to 43 for 2019; weeks 80 to 95 for 2020). Microsoft Power Business Intelligence linked to the radiology information system was used to mine all completed examinations.
Results: Summed weekly data during the pandemic's first wave showed the greatest decrease of 29.8% in adult outpatient imaging volumes and 46.3% in paediatric emergency department imaging volumes. Adult nuclear medicine demonstrated the greatest decrease of 37.1% for the same period. Paediatric nuclear medicine showed the greatest decrease of 47.8%, with angiography increasing by 50%. The pandemic's second wave demonstrated the greatest decrease of 23.5% in adult outpatient imaging volumes, with an increase of 18.2% in inpatient imaging volumes. The greatest decrease was 28.5% in paediatric emergency department imaging volumes. Nuclear medicine showed the greatest decrease of 37.1% for the same period. Paediatric nuclear medicine showed the greatest decrease of 36.7%. Mobile imaging utilisation increased between 57.8% and 135.1% during the first and second waves. A strong correlation was observed between mobile and non-mobile imaging in the emergency setting (Spearman's correlation coefficient = -0.743, P = 0.000). No correlation was observed in the inpatient setting (Spearman's correlation coefficient = -0.059, P = 0.554).
Conclusion: Nuclear medicine was most impacted, while computed tomography and angiography were the least affected by the pandemic. The impact was less during the pandemic's second wave. Mobile imaging shows continuous growth during both waves.
Keywords: COVID-19; Imaging volume; Mobile imaging; Modality; Pandemic; Radiology.
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
Conflict of interest statementConflict-of-interest statement: We have no financial relationships to disclose.
FiguresFigure 1
Victorian new the coronavirus disease…
Figure 1
Victorian new the coronavirus disease 2019 case numbers by date from January 2020-November…
Figure 1Victorian new the coronavirus disease 2019 case numbers by date from January 2020-November 2020.
Figure 2
Timeline of significant events in…
Figure 2
Timeline of significant events in Victoria, Australia during the first and second waves…
Figure 2Timeline of significant events in Victoria, Australia during the first and second waves of the coronavirus disease 2019 pandemic. COVID-19: The coronavirus disease 2019.
Figure 3
Weekly adult imaging volumes by…
Figure 3
Weekly adult imaging volumes by modality from January 2019 to December 2020 (Weeks…
Figure 3Weekly adult imaging volumes by modality from January 2019 to December 2020 (Weeks 1 to 104). A: Week 63-commencement of first wave; B: Week 80-commencement of second wave.
Figure 4
Weekly adult X-ray mobile and…
Figure 4
Weekly adult X-ray mobile and non-mobile imaging volumes from January 2019 to December…
Figure 4Weekly adult X-ray mobile and non-mobile imaging volumes from January 2019 to December 2020 (Weeks 1 to 104). A: Week 63-commencement of first wave; B: Week 80 commencement of second wave. ED: Emergency department; IP: Inpatient.
Figure 5
Weekly paediatric imaging volumes by…
Figure 5
Weekly paediatric imaging volumes by modality from January 2019 to December 2020 (Weeks…
Figure 5Weekly paediatric imaging volumes by modality from January 2019 to December 2020 (Weeks 1 to 104). A: Week 63-commencement of first wave; B: Week 80 commencement of second wave.
Figure 6
Weekly paediatric X-ray mobile and…
Figure 6
Weekly paediatric X-ray mobile and non-mobile imaging volumes from January 2019 to December…
Figure 6Weekly paediatric X-ray mobile and non-mobile imaging volumes from January 2019 to December 2020 (Weeks 1 to 104). A: Week 63-commencement of first wave; B: Week 80 commencement of second wave. ED: Emergency department; IP: Inpatient.
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