Holland Paul, De Abreu Deborah, Higashi Yutaro, Clarke Christopher Gd
Department of Clinical Radiology, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham NG7 2UH, UK.
BJR Open. 2021 Nov 24;3(1):20210025. doi: 10.1259/bjro.20210025. eCollection 2021.
Our trust performed CTCs at 93% of the capacity of the previous year, scanning 1265 patients in 2020, compared with 1348 in 2019. We describe the changes made to our service to achieve this, which included collaboration with the colorectal surgical team to prioritise existing CTC patients according to faecal-immunochemical tests and full blood count results, and the associated challenges which included image transfer delays and patient attendance for scans. Furthermore, the endoscopy and radiology services used the opportunity created by co-location at the same hospital site to provide a same day incomplete colonoscopy and staging service for optically confirmed cancers. Collaboration between the NHS and independent sector allowed us to achieve continuity of service provision during the height of the COVID-19 pandemic without substituting unprepared CT abdomen and pelvis instead of the more sensitive CTC.
我们的信托机构在2020年以93%的前一年产能开展了CTCs检查，扫描了1265名患者，而2019年为1348名。我们描述了为实现这一目标而对服务所做的改变，其中包括与结直肠外科团队合作，根据粪便免疫化学检测和全血细胞计数结果对现有CTCs患者进行优先排序，以及相关挑战，包括图像传输延迟和患者扫描出勤情况。此外，内镜检查和放射科服务利用在同一医院地点同址办公所创造的机会，为经光学确认的癌症患者提供当日不完全结肠镜检查和分期服务。英国国家医疗服务体系（NHS）与独立部门之间的合作使我们能够在COVID-19大流行高峰期实现服务的连续性，而不会用准备不足的腹部和骨盆CT替代更敏感的CTCs。
