ISMRM21 - SARS-CoV-2: What We Know, Lessons Learned & Where We May Be Headed: Disparities & Misdirection in a Pandemic

SARS-CoV-2: What We Know, Lessons Learned & Where We May Be Headed: Disparities & Misdirection in a Pandemic

Weekday Course

ORGANIZERS: Christopher Filippi

Tuesday, 18 May 2021

Concurrent 7

12:00 - 12:30

Moderators: Elizabeth Hecht & Chris Kokkinos

Skill Level: Basic

Session Number: WD-05

Parent Session: SARS-CoV-2: What We Know, Lessons Learned & Where We May Be Headed: Disparities & Misdirection in a Pandemic

Session Number: WD-05

Overview
This is a thorough educational review of the SARS-CoV-2 pandemic in which the first half will focus on the pathophysiology of SARS-CoV2 and how it attacks multiple organ systems, followed by dedicated talks on the imaging manifestations in the lungs, heart, and brain, including acute, subacute, and chronic MR findings and outcomes in patients.

There will be a segment that focuses on disruptions in clinical care to patients and MR practice (clinical and research), as well as disruptions to training and early career development. This is followed by talks on healthcare disparities related to SARS-CoV-2 infection and social responsibilities of physicians and researchers during a pandemic with respect to separation of fact from fiction or how to effectively communicate scientific truth during a pandemic. This is followed by panel discussion and lunch. In the afternoon, there will be talks on recovery, resiliency, and post-pandemic picture of MR and medicine, specifically talks on the long-term health effects of SARS-CoV-2 on clinicians and researchers; the hope of AI to inform triage and treatment planning for future waves of SARS-CoV-2 and future pandemics; and a final talk on what the post-pandemic world looks like for strategic planning. There will be a panel discussion of all moderators and speakers at the end of this session.

Target Audience
Clinicians (body, cardiac, neuro MR particularly), researchers, any academic physician and/or researcher, and MR techs.

Educational Objectives
As a result of attending this course, participants should be able to:
- Explain the pathophysiology of SARS-CoV-2 and how it infects different organ systems (via ACE2 receptors) and how it may accelerate disease (cytokine storm);
- Recognize patterns of SARS-CoV-2 infection in the lungs, cardiac tissues, and brain;
- Develop a framework for approaching issues of healthcare disparities during pandemics and how to communicate effectively science (separate truth from #fakenews); and
- Establish strategies to deal with disruptions to clinical MR workflow and research MR during pandemic.

		Bedside MRI - Disruptions & Opportunities in Clinical Imaging Due to SARS-CoV-2 Watch the Video Justin Glavis-Bloom, Brian Yep, Lu-Aung Masudathaya, Jennifer Soun, Edward Kuoy, Lori Norrick, Sara Stern-Nezer, Wengui Yu, John Fox, Daniel Chow Point-of-care, bedside MRI represents a promising new technology for imaging emergent and critical care patients. Whereas in the past, resources were needed to assemble teams that included critical care nurses, respiratory therapists, and transport teams to bring patients to and from radiology departments, there is a dramatic reduction in personnel for POC imaging. This feature was especially important during the COVID pandemic to improve availability of our respiratory therapists and nurses. More studies are needed in the future to ascertain its diagnostic sensitivity and specificity for neurologic findings.
		Disruptions & Opportunities in Training & Early Career During a Pandemic Watch the Video Mahmud Mossa-Basha COVID-19 has resulted in significant disruption to training and early career development for academic faculty and trainees alike, with disproportionate impact on females, parents with young children, and underrepresented minorities. In this talk, we highlight the obstacles faced by these groups in general and the way in which the pandemic has exacerbated these disparities. We also highlight potential programs and approaches academic departments can take to mitigate these disparities. The lecture also discusses the general impact on research, training, and education, as well as opportunities that have developed through COVID funding mechanisms and research.
		Healthcare Disparities & Public Health Policy Exposed by the Pandemic Anand Narayan
		Separating Fact Versus Fiction in a Pandemic: Social Responsibilities of Clinicians & Researchers? Watch the Video Joseph Osborne Over the last year, hospitals and Radiology departments -- particularly in New York City are -- have been inundated with cases of COVID-19 from the SARS-CoV-2 virus. This period of time has been very difficult, but has also forced introspection to discover where we as imagers can participate in solutions in this accelerated healthcare environment. This includes those who develop imaging probes, design imaging devices as well as those involved in direct patient care.