Tomographic diagnosis in patients with COVID-19, observation guide and report
Keywords:
SARS-CoV-2, COVID-19, imaging diagnosis, lung, x-ray computed tomographyAbstract
The spread of COVID-19 pandemics increased interest in the usefulness and pertinence of imaging diagnosis in the management of suspected or confirmed patients. This work aims to communicate elements to facilitate the interpretation of the information offered by computed tomography and provide a basic guide, based on the findings observed in 1622 patients, for the analysis of tomographic images. A review, critical analysis and systematization of the information―found from a search in Medline, Epistemonikos, LibreOffice Base, Microsoft Academic, ClinicalKey, Science Research y MedNar databases and engines―was carried out, with the criterion: image in SARS-CoV-2 (COVID-19), in English and Spanish. In COVID-19 not everything is opacity in ground glass. Although they are the most observed lesions, their distribution predominantly peripheral, multifocal, bilateral; posterior and with a tendency to asymmetry is highlighted as characteristic; later, in the evolution, they will follow the crazy paving pattern. This and other less frequent patterns may be found at some stage in the course of the disease. An observation guide for the correct interpretation of the tomographic imaging of patients with COVID-19 is proposed in the work.Downloads
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References
1. Salg GA, Ganten MK, Baumhauer M, et al. A globally available COVID-19 – Template for clinical imaging studies. New York: medRxiv [Internet]. 2020 [citado 08/03/2021]. Disponible en: doi.org/10.1101/2020.04.02.20048793
2. Chen X, Tang Y, Mo Y, et al. A diagnostic model for coronavirus disease 2019 (COVID-19) based on radiological semantic and clinical features: a multi-center study. Eur Radiol 2020;30(9):4893-902. DOI: 10.1007/s00330-020-06829-2.
3. Rubin GD, Ryerson C J, Haramati LB, et al. The role of chest imaging in patient management during the COVID-19 pandemic: a multinational consensus statement from the Fleischner Society. Radiology. 2020;296(1):172-80. DOI: 10.1148/radiol.2020201365.
4. Revel MP, Parkar AP, Prosch H, et al. COVID-19 patients and the radiology department – advice from the European Society of Radiology (ESR) and the European Society of Thoracic Imaging (ESTI). Eur Radiol. 2020;30(9):4903-09. DOI: 10.1007/s00330-020-06865-y.
5. Centers for Disease Control and Prevention. CDC 2019-Novel Coronavirus (2019-nCoV) Real-Time RT-PCR Diagnostic Panel [Internet]. Atlanta: CDC; 2020 [citado 30/07/2022]. Disponible en: https://www.fda.gov/media/134922/download
6. Abdel-Tawab M, Basha MAA, Mohamed IAI, et al. Comparison of the CO-RADS and the RSNA chest CT classifcation system concerning sensitivity and reliability for the diagnosis of COVID-19 pneumonia. Insights Imaging. 2021;12(55). DOI: 10.1186/s13244-021-00998-4.
7. Chua F, Armstrong-James D, Desai SR, et al. The role of CT in case ascertainment and management of COVID-19 pneumonia in the UK: insights from high-incidence regions. Lancet Respir Med. 2020;8(5):438-40. DOI: 10.1016/S2213-2600(20)30132-6.
8. Shah K, Kamler J, Phan A, et al. Imaging & other potential predictors of deterioration in COVID-19. Am J Emerg Med. 2020;38(7):1547. DOI: 10.1016/j.ajem.2020.04.075.
9. Hyun K, Soyeoun L, Jooae C, et al. Radiographic and CT features of viral pneumonia. RadioGraphics [Internet]. 2018 [citado 08/03/2021];38(3):719-39. Disponible en: https://pubs.rsna.org/doi/10.1148/rg.2018170048
10. Hansell DM, Bankier AA, MacMahon H, et al. Fleischner Society: Glosary of terms for thoracic imaging. Radiology [Internet]. 2008 [citado 08/04/2021];246(3):697-722. Disponible en: https://pubs.rsna.org/doi/abs/10.1148/radiol.2462070712?journalCode=radiology
11. Dawit H, Absi M, Islam N, et al. Diagnostic accuracy of thoracic imaging modalities for the detection of COVID-19. World J Radiol [Internet]. 2022 [citado 30/07/2022];14(2):47-9. Disponible en: HTTPS://WWW.WJGNET.COM/1949-8470/FULL/V14/I2/47.HTM
12. Ebrahimzadeh S, Islam N, Dawit H, et al. Thoracic imaging tests for the diagnosis of COVID-19. Cochrane Database Syst Rev. 2022;5(5):CD013639. DOI: 10.1002/14651858.CD013639.pub5.
13. Lin C, Ding Y, Xie B, et al. Asymptomatic novel coronavirus pneumonia patient outside Wuhan: The value of CT images in the course of the disease. Clin Imag. 2020;63:7-9. DOI: 10.1016/j.clinimag.2020.02.008
14. Shi H, Han X, Jiang N, et al. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. Lancet Infect Dis. 2020;20(4):425-34. DOI: 10.1016/S1473-3099(20)30086-4.
15. Bernheim A, Mei X, Huang M, et al. Chest CT findings in coronavirus disease-19 (COVID-19): Relationship to duration of infection. Radiology. 2020;295(3):685-91. DOI: 10.1148/radiol.2020200463.
16. Chung M, Bernheim A, Mei X, et al. CT imaging features of 2019 novel coronavirus (2019-nCoV). Radiology [Internet]. 2020 [citado 08/03/2021];295(1):202-7. Disponible en: https://pubs.rsna.org/doi/full/10.1148/radiol.2020200230
17. Pan F, Ye T, Sun P, et al. Time Course of Lung Changes at Chest CT during Recovery from Coronavirus Disease 2019 (COVID-19). Radiology [Internet]. 2020 [citado 08/03/2021];295(3):715-21. Disponible en: https://pubs.rsna.org/doi/full/10.1148/radiol.2020200370
18. Lei J, Li J, Li X, et al. CT imaging of the 2019 novel coronavirus (2019-nCoV) pneumonia. Radiology [Internet]. 2020 [citado 08/03/2021];295(1):18. Disponible en: https://pubs.rsna.org/doi/full/10.1148/radiol.2020200236
19. Ai T, Yang Z, Hou H, et al. Correlation of chest CT and RT-PCR testing in coronavirus disease 2019 (COVID-19) in China: A report of 1014 cases. Radiology [Internet]. 2020 [citado 30/07/2022];296(2):E32-E40. Disponible en: https://pubs.rsna.org/doi/full/10.1148/radiol.2020200642
20. Xu X, Yu C, Qu J, et al. Imaging and clinical features of patients with 2019 novel coronavirus SARS-CoV-2. Eur J Nucl Med Mol Imaging. 2020;47(5):1275-80. DOI: 10.1007/s00259-020-04735-9.
21. Ducray V, Vlachomitrou AS, Bouscambert-Duchamp M, et al. Chest CT for rapid triage of patients in multiple emergency departments during COVID-19 epidemic: experience report from a large French university hospital. Eur Radiol [Internet]. 2021 [citado 30/07/2022];31:795-803. Disponible en: https://doi.org/10.1007/s00330-020-07154-4
22. Alsharif W, Qurashi A. Effectiveness of COVID-19 diagnosis and management tools: A review. Radiography [Internet]. 2021 [citado 30/07/2022];27(2):682-7. Disponible en: https://doi.org/10.1016/j.radi.2020.09.010
23. Thomas C, Naudin M, Tasu JP, et al. Efficacy of chest CT scan for COVID-19 diagnosis in a low prevalence and incidence region. Eur Radiol [Internet]. 2021 [citado 30/07/2022];31:8141-6. Disponible en: https://doi.org/10.1007/s00330-021-07863-4
24. Herrera AM. La sistematización en la interpretación radiográfica en odontología y su aplicación a estudios intraorales. Colomb Med [Internet]. 2001 [citado 08/03/2021];32(3):126-9. Disponible en: https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/196
25. Zhao W, Zhong Z, Xie X, et al. Relation between chest CT findings and clinical conditions of coronavirus disease (COVID-19) pneumonia: A multicenter study. Am J Roentgenol. 2020;214(5):1072-7. DOI: 10.2214/AJR.20.22976.
26. Hosseiny M, Kooraki S, Gholamrezanezhad A, et al. Radiology perspective of coronavirus disease 2019 (COVID-19): Lessons from severe acute respiratory syndrome and middle east respiratory syndrome. Am J Roentgenol [Internet]. 2020 [citado 30/07/2022];214(5):1078-82. Disponible en: https://www.ajronline.org/doi/10.2214/AJR.20.22969
27. Li Y, Xia L. Coronavirus Disease 2019 (COVID-19): Role of chest CT in diagnosis and management. Am J Roentgenol. 2020;214(6):1280-6. DOI: 10.2214/AJR.20.22954.
28. Albarello F, Pianura E, Di Stefano F, et al. 2019-novel coronavirus severe adult respiratory distress syndrome in two cases in Italy: An uncommon radiological presentation. Int J Infect Dis. 2020;93:192-7. DOI: 10.1016/j.ijid.2020.02.043.
29. Pan Y, Guan H, Zhou S, et al. Initial CT findings and temporal changes in patients with the novel coronavirus pneumonia (2019-nCoV): a study of 63 patients in Wuhan, China. Eur Radiol. 2020;30(6):3306-9. DOI: 10.1007/s00330-020-06731-x.
30. Fang Y, Zhang H, Xu Y, et al. CT manifestations of two cases of 2019 novel coronavirus (2019-nCoV) pneumonia. Radiology [Internet]. 2020 [citado 08/03/2021];295(1):208-9. Disponible en: https://pubs.rsna.org/doi/full/10.1148/radiol.2020200280
2. Chen X, Tang Y, Mo Y, et al. A diagnostic model for coronavirus disease 2019 (COVID-19) based on radiological semantic and clinical features: a multi-center study. Eur Radiol 2020;30(9):4893-902. DOI: 10.1007/s00330-020-06829-2.
3. Rubin GD, Ryerson C J, Haramati LB, et al. The role of chest imaging in patient management during the COVID-19 pandemic: a multinational consensus statement from the Fleischner Society. Radiology. 2020;296(1):172-80. DOI: 10.1148/radiol.2020201365.
4. Revel MP, Parkar AP, Prosch H, et al. COVID-19 patients and the radiology department – advice from the European Society of Radiology (ESR) and the European Society of Thoracic Imaging (ESTI). Eur Radiol. 2020;30(9):4903-09. DOI: 10.1007/s00330-020-06865-y.
5. Centers for Disease Control and Prevention. CDC 2019-Novel Coronavirus (2019-nCoV) Real-Time RT-PCR Diagnostic Panel [Internet]. Atlanta: CDC; 2020 [citado 30/07/2022]. Disponible en: https://www.fda.gov/media/134922/download
6. Abdel-Tawab M, Basha MAA, Mohamed IAI, et al. Comparison of the CO-RADS and the RSNA chest CT classifcation system concerning sensitivity and reliability for the diagnosis of COVID-19 pneumonia. Insights Imaging. 2021;12(55). DOI: 10.1186/s13244-021-00998-4.
7. Chua F, Armstrong-James D, Desai SR, et al. The role of CT in case ascertainment and management of COVID-19 pneumonia in the UK: insights from high-incidence regions. Lancet Respir Med. 2020;8(5):438-40. DOI: 10.1016/S2213-2600(20)30132-6.
8. Shah K, Kamler J, Phan A, et al. Imaging & other potential predictors of deterioration in COVID-19. Am J Emerg Med. 2020;38(7):1547. DOI: 10.1016/j.ajem.2020.04.075.
9. Hyun K, Soyeoun L, Jooae C, et al. Radiographic and CT features of viral pneumonia. RadioGraphics [Internet]. 2018 [citado 08/03/2021];38(3):719-39. Disponible en: https://pubs.rsna.org/doi/10.1148/rg.2018170048
10. Hansell DM, Bankier AA, MacMahon H, et al. Fleischner Society: Glosary of terms for thoracic imaging. Radiology [Internet]. 2008 [citado 08/04/2021];246(3):697-722. Disponible en: https://pubs.rsna.org/doi/abs/10.1148/radiol.2462070712?journalCode=radiology
11. Dawit H, Absi M, Islam N, et al. Diagnostic accuracy of thoracic imaging modalities for the detection of COVID-19. World J Radiol [Internet]. 2022 [citado 30/07/2022];14(2):47-9. Disponible en: HTTPS://WWW.WJGNET.COM/1949-8470/FULL/V14/I2/47.HTM
12. Ebrahimzadeh S, Islam N, Dawit H, et al. Thoracic imaging tests for the diagnosis of COVID-19. Cochrane Database Syst Rev. 2022;5(5):CD013639. DOI: 10.1002/14651858.CD013639.pub5.
13. Lin C, Ding Y, Xie B, et al. Asymptomatic novel coronavirus pneumonia patient outside Wuhan: The value of CT images in the course of the disease. Clin Imag. 2020;63:7-9. DOI: 10.1016/j.clinimag.2020.02.008
14. Shi H, Han X, Jiang N, et al. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. Lancet Infect Dis. 2020;20(4):425-34. DOI: 10.1016/S1473-3099(20)30086-4.
15. Bernheim A, Mei X, Huang M, et al. Chest CT findings in coronavirus disease-19 (COVID-19): Relationship to duration of infection. Radiology. 2020;295(3):685-91. DOI: 10.1148/radiol.2020200463.
16. Chung M, Bernheim A, Mei X, et al. CT imaging features of 2019 novel coronavirus (2019-nCoV). Radiology [Internet]. 2020 [citado 08/03/2021];295(1):202-7. Disponible en: https://pubs.rsna.org/doi/full/10.1148/radiol.2020200230
17. Pan F, Ye T, Sun P, et al. Time Course of Lung Changes at Chest CT during Recovery from Coronavirus Disease 2019 (COVID-19). Radiology [Internet]. 2020 [citado 08/03/2021];295(3):715-21. Disponible en: https://pubs.rsna.org/doi/full/10.1148/radiol.2020200370
18. Lei J, Li J, Li X, et al. CT imaging of the 2019 novel coronavirus (2019-nCoV) pneumonia. Radiology [Internet]. 2020 [citado 08/03/2021];295(1):18. Disponible en: https://pubs.rsna.org/doi/full/10.1148/radiol.2020200236
19. Ai T, Yang Z, Hou H, et al. Correlation of chest CT and RT-PCR testing in coronavirus disease 2019 (COVID-19) in China: A report of 1014 cases. Radiology [Internet]. 2020 [citado 30/07/2022];296(2):E32-E40. Disponible en: https://pubs.rsna.org/doi/full/10.1148/radiol.2020200642
20. Xu X, Yu C, Qu J, et al. Imaging and clinical features of patients with 2019 novel coronavirus SARS-CoV-2. Eur J Nucl Med Mol Imaging. 2020;47(5):1275-80. DOI: 10.1007/s00259-020-04735-9.
21. Ducray V, Vlachomitrou AS, Bouscambert-Duchamp M, et al. Chest CT for rapid triage of patients in multiple emergency departments during COVID-19 epidemic: experience report from a large French university hospital. Eur Radiol [Internet]. 2021 [citado 30/07/2022];31:795-803. Disponible en: https://doi.org/10.1007/s00330-020-07154-4
22. Alsharif W, Qurashi A. Effectiveness of COVID-19 diagnosis and management tools: A review. Radiography [Internet]. 2021 [citado 30/07/2022];27(2):682-7. Disponible en: https://doi.org/10.1016/j.radi.2020.09.010
23. Thomas C, Naudin M, Tasu JP, et al. Efficacy of chest CT scan for COVID-19 diagnosis in a low prevalence and incidence region. Eur Radiol [Internet]. 2021 [citado 30/07/2022];31:8141-6. Disponible en: https://doi.org/10.1007/s00330-021-07863-4
24. Herrera AM. La sistematización en la interpretación radiográfica en odontología y su aplicación a estudios intraorales. Colomb Med [Internet]. 2001 [citado 08/03/2021];32(3):126-9. Disponible en: https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/196
25. Zhao W, Zhong Z, Xie X, et al. Relation between chest CT findings and clinical conditions of coronavirus disease (COVID-19) pneumonia: A multicenter study. Am J Roentgenol. 2020;214(5):1072-7. DOI: 10.2214/AJR.20.22976.
26. Hosseiny M, Kooraki S, Gholamrezanezhad A, et al. Radiology perspective of coronavirus disease 2019 (COVID-19): Lessons from severe acute respiratory syndrome and middle east respiratory syndrome. Am J Roentgenol [Internet]. 2020 [citado 30/07/2022];214(5):1078-82. Disponible en: https://www.ajronline.org/doi/10.2214/AJR.20.22969
27. Li Y, Xia L. Coronavirus Disease 2019 (COVID-19): Role of chest CT in diagnosis and management. Am J Roentgenol. 2020;214(6):1280-6. DOI: 10.2214/AJR.20.22954.
28. Albarello F, Pianura E, Di Stefano F, et al. 2019-novel coronavirus severe adult respiratory distress syndrome in two cases in Italy: An uncommon radiological presentation. Int J Infect Dis. 2020;93:192-7. DOI: 10.1016/j.ijid.2020.02.043.
29. Pan Y, Guan H, Zhou S, et al. Initial CT findings and temporal changes in patients with the novel coronavirus pneumonia (2019-nCoV): a study of 63 patients in Wuhan, China. Eur Radiol. 2020;30(6):3306-9. DOI: 10.1007/s00330-020-06731-x.
30. Fang Y, Zhang H, Xu Y, et al. CT manifestations of two cases of 2019 novel coronavirus (2019-nCoV) pneumonia. Radiology [Internet]. 2020 [citado 08/03/2021];295(1):208-9. Disponible en: https://pubs.rsna.org/doi/full/10.1148/radiol.2020200280
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Published
2023-06-16
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Ferreira-Moreno VG, Martí-Coruña MC, Camacho-Sosa K. Tomographic diagnosis in patients with COVID-19, observation guide and report. Rev Méd Electrón [Internet]. 2023 Jun. 16 [cited 2025 Apr. 13];45(3):e5060. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/5060
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