10071St. Michael's Hospital, Toronto, Ontario, Canada.
Can Assoc Radiol J. 2021 Feb;72(1):175-179. doi: 10.1177/0846537120942885. Epub 2020 Jul 23.
Portable chest radiograph for COVID-19 positive patients and persons under investigation can be acquired through glass doors or walls of isolation rooms to limit exposure to the pathogen and conserve resources.
To report our initial experience with acquiring portable chest radiographs through glass doors of isolation rooms.
Only 1 of 2 radiology technologist team members donned personal protective equipment and stayed inside the isolation room, while the second technologist and the radiography unit remained outside during the procedure. First hundred radiographs acquired through glass at the emergency department of our institute formed the "through glass radiograph" group. Hundred consecutive portable chest radiographs performed in a conventional manner formed the "conventional radiograph" group for comparison. Imaging database and feedback from operations leader were used to identify occurrences of a failed procedure. Suggestion of repeating the study and comments related to quality of the study were recorded from the reports of the staff radiologist.
There was no instance of failed acquisition, nondiagnostic examination, or suggestion of repetition in both groups. No significant difference in the number of reports with quality related remarks ( > .05) was found between the 2 groups. Radiography through glass doors was associated with increased suboptimal positioning related remarks in radiology reports ( < .05). No significant association was identified among other comments about image quality.
Our initial clinical experience suggests that the acquisition of portable chest radiographs through the glass doors of isolation rooms is technically feasible and results in diagnostic quality studies.
对于 COVID-19 阳性患者和疑似患者，可以通过隔离病房的玻璃门或墙壁获取便携式胸部 X 光片，以限制病原体暴露并节约资源。
报告我们通过隔离病房的玻璃门获取便携式胸部 X 光片的初步经验。
只有 2 名放射技师团队成员中的 1 名穿着个人防护设备并留在隔离室内，而第二名技师和放射设备则在整个过程中留在室外。我院急诊前 100 张通过玻璃获取的 X 光片构成了“玻璃 X 光片”组。100 张连续的常规便携式胸部 X 光片形成了“常规 X 光片”组，用于比较。使用成像数据库和运营负责人的反馈来识别程序失败的情况。记录工作人员放射科医师报告中有关重复研究的建议和与研究质量相关的评论。
两组均无获取失败、检查不可诊断或建议重复的情况。两组报告中与质量相关的评论数量没有显著差异（>.05）。通过玻璃门进行 X 光检查与放射学报告中定位不佳相关评论增加有关（<.05）。在图像质量的其他评论中没有发现显著关联。
我们的初步临床经验表明，通过隔离病房的玻璃门获取便携式胸部 X 光片在技术上是可行的，并可获得诊断质量的研究结果。
