Digital DiagnosticsDigital DiagnosticsDigital DiagnosticsDigital Diagnostics2712-84902712-8962Eco-Vector32167010.17816/DD321670CorrespondenceПисьма в редакцию致编辑的一封信Research ArticleUsing a mobile computer tomography scanner in a field hospital setting to manage patients with COVID-19Опыт применения мобильного компьютерного томографа в резервном госпитале для лечения пациентов с новой коронавирусной инфекцией COVID-19在备用医院使用移动式电脑断层扫描仪治疗新型冠状病毒感染（COVID-19）患者的经验https://orcid.org/0000-0003-4203-06301125-8637KudryavtsevNikita D.КудрявцевНикита ДмитриевичKudryavtsevNikita D.
Russian Federation
n.kudryavtsev@npcmr.ruhttps://orcid.org/0000-0003-1694-46826193-1656PetraikinAlexey V.ПетряйкинАлексей ВладимировичPetraikinAlexey V.
Russian Federation

MD, Dr. Sci. (Med.), Associate Professor

д-р мед. наук, доцент

MD, Dr. Sci. (Med.), Associate Professor

PetryajkinAV@zdrav.mos.ruhttps://orcid.org/0000-0002-8235-93615891-4384AhkmadEkaterina S.АхмадЕкатерина СергеевнаAhkmadEkaterina S.
Russian Federation
e.ahkmad@npcmr.ruhttps://orcid.org/0009-0006-6472-8940KiselevFyodor A.КиселевФёдор АлексеевичKiselevFyodor A.
Russian Federation
KiselevFA@zdrav.mos.ruhttps://orcid.org/0000-0001-9250-06674308-0912BurashovVyacheslav V.БурашовВячеслав ВладимировичBurashovVyacheslav V.
Russian Federation
BurashovVV@zdrav.mos.ruhttps://orcid.org/0000-0001-9814-35339051-1130MukhortovaAnna N.МухортоваАнна НиколаевнаMukhortovaAnna N.
Russian Federation
a.mukhortova@npcmr.ruhttps://orcid.org/0000-0002-4867-07464065-6048SoldatovIliya V.СолдатовИлья ВладимировичSoldatovIliya V.
Russian Federation
i.soldatov@npcmr.ruhttps://orcid.org/0000-0002-9783-17964520-2141ShkodaAndrey S.ШкодаАндрей СергеевичShkodaAndrey S.
Russian Federation

MD, Dr. Sci. (Med), Professor

д-р мед. наук, профессор

MD, Dr. Sci. (Med), Professor

a.shkoda@67gkb.ruMoscow Center for Diagnostics and TelemedicineНаучно-практический клинический центр диагностики и телемедицинских технологийMoscow Center for Diagnostics and TelemedicineCity Clinical Hospital No. 67 named after L.A. VorokhobovГородская клиническая больница № 67 имени Л.А. ВорохобоваCity Clinical Hospital No. 67 named after L.A. Vorokhobov2505202326092023434274381104202317042023Copyright ©; 2023, Eco-VectorCopyright ©; 2023, Эко-векторCopyright ©; 2023, Eco-Vector2023Eco-VectorЭко-векторEco-Vectorhttps://creativecommons.org/licenses/by-nc-nd/4.0https://jdigitaldiagnostics.com/DD/article/view/321670

The global outbreak of COVID-19 has posed unprecedented challenges to healthcare systems worldwide. Healthcare administrators had to make quick and effective decisions to ensure high quality of medical care standards in new conditions. The need to form a reserve bed fund during the pandemic was due to the high load on city hospitals in Moscow. Due to this fact, temporary reserved hospitals for COVID-19 patients were organized in non-core facilities, such as ice arenas, shopping malls, and exhibition pavilions. This urgency prompted a search for solutions that could provide the necessary level of diagnosis and treatment appropriate to specialized medical facility. Given the technical and time constraints associated with the installation of a fixed computer tomographic scanner, the deployment of mobile computer tomographic scanners emerged as a viable option.

The study aims to share insights gained from using a mobile computer tomographic scanner within a temporary backup hospital setting to treating patients with COVID-19 coronavirus infection. The paper discusses the features, advantages, and disadvantages of mobile computer tomography. It also presents hardware and control room layouts, along with the placement options for the computer tomography device. The research includes the results of dosimetry studies and provides a clinical assessment of the applicability of this type of diagnostic devices.

Пандемия новой коронавирусной инфекции COVID-19 бросила вызов системам здравоохранения практически всех стран мира. От организаторов здравоохранения требовалось принятие оперативных и эффективных решений для обеспечения высокого качества оказания медицинской помощи в новых условиях. Потребность в формировании резервного коечного фонда при пандемии была обусловлена высокой нагрузкой на городские больницы в Москве, в связи с чем в непрофильных сооружениях (ледовые арены, торговые центры, выставочные павильоны) были организованы временные резервные госпитали для лечения пациентов с COVID-19. Это потребовало поиска решений для обеспечения необходимого уровня диагностики и лечения, соответствующего профильному медицинскому учреждению. С учётом технических и временных ограничений, связанных с установкой стационарного компьютерного томографа, одним из решений была установка мобильного компьютерного томографа.

Целью работы было поделиться опытом использования мобильного компьютерного томографа в условиях временного резервного госпиталя для лечения пациентов с коронавирусной инфекцией COVID-19. В работе представлена информация о характеристиках мобильного компьютерного томографа; отмечены его преимущества и недостатки; представлен вариант планировки аппаратной, пультовой комнат и вариант размещения томографа; представлены результаты дозиметрических исследований; дана клиническая оценка применимости подобного типа диагностических устройств.

新型冠状病毒感染（COVID-19）的大流行给世界上几乎所有国家的卫生系统带来了挑战。医疗保健组织者需要做出迅速有效的决定，以确保在新的条件下提供高质量的医疗保健服务。在大流行期间，由于莫斯科的城市医院负担格外沉重，因此需要建立一个备用床基金，并在非核心建筑物（冰上运动场、购物中心、展览馆）中建立临时备用医院，以治疗COVID-19患者。这就需要寻找解决方案，以在专业医疗机构中提供必要水平的诊断和治疗。考虑到安装固定式电脑断层扫描仪的技术和时间限制，解决方案之一是安装移动式电脑断层扫描仪。

本文旨在分享在临时备用医院使用移动式电脑断层扫描仪治疗冠状病毒感染COVID-19病人的经验。该文章介绍移动式电脑断层扫描仪的特性；指出其优缺点；介绍设备室、控制室的布局变式和电脑断层扫描仪的摆放变式；介绍剂量测定研究的结果；对此类诊断设备的适用性进行了临床评估。

computer tomographic scannerCOVID-19 pandemicsradiology departmentsмобильный компьютерный томографпандемия коронавирусной инфекцииCOVID-19отделение лучевой диагностики移动式电脑断层扫描仪冠状病毒大流行COVID-19放射诊断科This article was prepared by a group of authors as a part of the research and development effort titled “Theoretical and methodological framework for digital transformation in radiology”, (USIS No. 123031400118-0) in accordance with the Order No. 1196 dated December 21, 2022 “On approval of state assignments funded by means of allocations from the budget of the city of Moscow to the state budgetary (autonomous) institutions subordinate to the Moscow Health Care Department, for 2023 and the planned period of 2024 and 2025” issued by the Moscow Health Care DepartmentДанная статья подготовлена авторским коллективом в рамках НИР «Научно-методические основы цифровой трансформации службы лучевой диагностики», (№ ЕГИСУ: № 123031400118-0) в соответствии с Приказом Департамента здравоохранения города Москвы от 21.12.2022 № 1196 «Об утверждении государственных заданий, финансовое обеспечение которых осуществляется за счет средств бюджета города Москвы, государственным бюджетным (автономным) учреждениям, подведомственным Департаменту здравоохранения города Москвы, на 2023 год и плановый период 2024 и 2025 годов»This article was prepared by a group of authors as a part of the research and development effort titled “Theoretical and methodological framework for digital transformation in radiology”, (USIS No. 123031400118-0) in accordance with the Order No. 1196 dated December 21, 2022 “On approval of state assignments funded by means of allocations from the budget of the city of Moscow to the state budgetary (autonomous) institutions subordinate to the Moscow Health Care Department, for 2023 and the planned period of 2024 and 2025” issued by the Moscow Health Care DepartmentMorozov SP, Kuzmina ES, Ledikhova NV, et al. 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