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| LETTER TO EDITOR |
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| Year : 2022 | Volume
: 9
| Issue : 3 | Page : 108-109 |
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Advocacy to promote archiving of organ imaging data in Indian tertiary care centers
Jay Prakash1, Ganesh Chauhan2, Pradip Kumar Bhattacharya1, Khushboo Saran3
1 Department of Critical Care Medicine, Rajendra Institute of Medical Sciences, Kanke, Ranchi, Jharkhand, India
2 Department of Neurology, Rajendra Institute of Medical Sciences, Rajendra Institute of Medical Sciences, Kanke, Ranchi, Jharkhand, India
3 Department of Pathology, Gandhi Nagar Hospital, Central Coalfields Limited, Kanke, Ranchi, Jharkhand, India
| Date of Submission | 22-May-2022 |
| Date of Acceptance | 26-Oct-2022 |
| Date of Web Publication | 22-Dec-2022 |
Correspondence Address:
Jay Prakash
Department of Critical Care Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/RID.RID_26_22
How to cite this article:
Prakash J, Chauhan G, Bhattacharya PK, Saran K. Advocacy to promote archiving of organ imaging data in Indian tertiary care centers. Radiol Infect Dis 2022;9:108-9 |
How to cite this URL:
Prakash J, Chauhan G, Bhattacharya PK, Saran K. Advocacy to promote archiving of organ imaging data in Indian tertiary care centers. Radiol Infect Dis [serial online] 2022 [cited 2023 Mar 23];9:108-9. Available from: http://www.ridiseases.org/text.asp?2022/9/3/108/364772 |
To the Editor,
Because of the emergence of multiple waves of infection worldwide, the coronavirus disease 2019 (COVID-19) pandemic is far from over. It has emerged as a health emergency with an ever-changing course and requiring the deployment of resources from the multiple areas of expertise. Millions of people worldwide have been affected by this extremely infectious disease. The initial clinical manifestation suggested that COVID-19 primarily affects the respiratory system, but it rapidly became evident that the disease affects the multiple organs.[1] Neurologists initially believed they had little role to play in this pandemic, but a sudden increase in reported neurological symptoms, including stroke, changed their perspective. Cardiologists, nephrologists, and other specialists had a similar experience. In the early stages of the pandemic, it became clear that age and vascular risk factors including diabetes, hypertension, and obesity were the major factors leading to hospitalization and death from this disease. The systemic effects of the infection, including cytokine release, inflammation, and hypercoagulability, are thought to be the major mechanisms by which the multiple organs such as the lungs, heart, brain, and kidneys are affected.[2] Patient management for the above-mentioned conditions must therefore invariably include the use of organ imaging using techniques including computed tomography scans, magnetic resonance imaging, and ultrasound. Often only the most directly applicable imaging features related to the management of the specific patient are used by the treating physician. However, these imaging methods provide multiple data points that, when mined properly, may contribute information that is not often used while the patient is being treated but is relevant to the multiple systems.
After the accumulation of large datasets, some of these data points may be applied to predict the prognosis and outcomes. Establishing the large datasets can later aid in the conduct of subgroup analyses based on gender, ethnicity, geographical regions and age groups, and COVID-19 wave or variant, leading to the findings beyond those related to individual patient needs. With long-term archiving, such data along with appropriate metadata could be applied in the future to compare the results of an upcoming pandemic or conduct similar analyses. Thus, we can clearly see the current and future utility of archiving such datasets. The UK Biobank, which is one of the world's largest repositories of biological datasets including imaging data (N = 500,000), has now released through its Data Showcase repeat imaging data of internal organs of individuals affected by COVID-19. This has become a valuable resource for the entire scientific community.
India has among the world's highest number of COVID-19-affected individuals, and thousands have succumbed to this pandemic. India also has a high prevalence of vascular risk factors that increase COVID-19 severity and mortality, making our population, particularly vulnerable. Complete understanding and future management of COVID-19 pandemic requires the initiation of activities for proper archiving of COVID-19 patient data. Internal imaging data can be critical to current and future management of COVID-19.
Acknowledgment
We would like to thank John Daniel from Liwen Bianji (Edanz) (www.liwenbianji.cn), for editing the English text of a draft of this manuscript.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Gavriatopoulou M, Korompoki E, Fotiou D, Ntanasis-Stathopoulos I, Psaltopoulou T, Kastritis E, et al. Organ-specific manifestations of COVID-19 infection. Clin Exp Med 2020;20:493-506.  |
| 2. | Iwasaki M, Saito J, Zhao H, Sakamoto A, Hirota K, Ma D. Inflammation triggered by SARS-CoV-2 and ACE2 augment drives multiple organ failure of severe COVID-19: Molecular mechanisms and implications. Inflammation 2021;44:13-34. |
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