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Dear radiology colleagues

As the COVID-19 situation continues to evolve, we wanted to share with you some important position statements and guidelines the College has released this week.

Availability of clinical radiology services in Australia
The College has today released a position statement and media release urging the Australian government to provide assurances that vulnerable clinical radiology practices can remain viable during COVID-19.

Many of you have reported significant falls in patient attendances at community-based radiology practices and practices co-located with hospitals. If these practices fail to survive the downturn, numerous communities will be left without access to adequate clinical radiology services.

We will continue our advocacy efforts on this issue and will provide updates as they become available.

The College’s statement on access to radiology services in New Zealand is available here

Guidelines for CT chest and chest radiograph reporting in patients with suspected COVID-19 infection

The College has released guidelines for CT chest and chest radiograph reporting in patients with suspected COVID-19 infection based on the available medical literature, and after careful consideration of guidelines issued by the Radiological Society of North America (RSNA) and the British Society of Thoracic Imaging (BSTI).

The guidelines include CT chest and chest radiograph interpretation over the course of the infection, principles of reporting known and suspected COVID-19 CT chest studies and a list of available image libraries and useful resources. We would like to thank the Australian and New Zealand Society of Thoracic Radiology (ANZSTR) for their work to develop the guidelines.

Prioritising imaging during COVID-19

The College this week released a position statement on prioritising imaging during the COVID-19 pandemic.

It is crucial that radiology services in both public and private settings, are prioritised according to clinical need to ensure that patients requiring urgent imaging procedures (<24 hours) are seen without delay. Decisions to image or defer should be made in consultation with referrers and on a case-by-case basis. It remains the discretion of individual health services and clinicians to determine locally appropriate decisions for imaging.

The appropriate use of CT through COVID-19

Following the release of the College’s position statement on the appropriate use of CT in relation to patients undergoing emergency surgery during the COVID-19 pandemic the Royal Australasian College of Surgeons (RACS) have updated their guidelines in line with our advice.

We have updated our statement to refer to the new RACS guideline.

Please continue to closely follow the advice of your local Health Departments and keep monitoring the College website.

Kind regards,

Dr Lance Lawler and Natalia Vukolova 
RANZCR President and CEO


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