Morphological patterns and distributions in portable chest radiographs of COVID-19-positive cases admitted to a tertiary care hospital: An early experience from Scandinavia.

Szczegóły
Abstrakt

Tytuł:: Morphological patterns and distributions in portable chest radiographs of COVID-19-positive cases admitted to a tertiary care hospital: An early experience from Scandinavia.
Autorzy:: Bharadwaz A; Department of Radiology, Aarhus University Hospital, Aarhus, Denmark.
Langfeldt S; Department of Radiology, Aarhus University Hospital, Aarhus, Denmark.
Źródło:: Journal of medical imaging and radiation oncology [J Med Imaging Radiat Oncol] 2021 Apr; Vol. 65 (2), pp. 133-138. Date of Electronic Publication: 2020 Nov 09.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Carlton, Vic. : Wiley-Blackwell Pub. Asia
Original Publication: Carlton, Vic. : Blackwell Pub. Asia, c2008-
MeSH Terms:: Tertiary Care Centers*
COVID-19/*diagnostic imaging
Lung/*diagnostic imaging
Radiography, Thoracic/*methods
Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Radiography, Thoracic/instrumentation ; Retrospective Studies ; SARS-CoV-2 ; Scandinavian and Nordic Countries ; Young Adult
References:: Global update on Covid-19 pandemic. https://www.worldometers.info/coronavirus/.
Zhu N, Zhang D, Wang W et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020; 382: 727-33.
"WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020". Who.int, 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19--11-march-2020.
Hui DS, I Azhar E, Madani TA, et al. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health - The latest 2019 novel coronavirus outbreak in Wuhan, China. Int J Infect Dis 2020; 91: 264-6.
Paul Ehrlich Institute (Federal Institute for Vaccines and Biomedicines) on Covid/19 NAT. https://www.pei.de/EN/newsroom/hp-news/2020/200323-covid-19-nat-tests.html).
"Curetis Group Company Ares Genetics and BGI Group Collaborate to Offer Next-Generation Sequencing and PCR-based Coronavirus (2019-nCoV) Testing in Europe". GlobeNewswire NewsRoom. 30 January 2020. https://www.globenewswire.com/news-release/2020/01/30/1977226/0/en/Curetis-Group-Company-Ares-Genetics-and-BGI-Group-Collaborate-to-Offer-Next-Generation-Sequencing-and-PCR-based-Coronavirus-2019-nCoV-Testing-in-Europe.html.
Salehi S, Abedi A, Balakrishnan S, Ali G. Coronavirus disease 2019 (COVID-19): a systematic review of imaging findings in 919 patients. Am J Roentgenol 2020; 215: 87-93.
Ai Tao, Yang Zhenlu. Correlation of chest CT and RT-PCR testing for coronavirus disease 2019 (COVID-19) in China: a report of 1014 cases. Radiology 2020; 296: E32-40.
ACR recommendations for the use of chest radiography and CT for suspected Covid/19 infection. https://www.acr.org/Advocacy-and-Economics/ACR-Position-Statements/Reco. mmendations-for-Chest-Radiography-and-CT-for-Suspected-COVID19-Infection.
Danish society of thoracic radiology guidelines on use of chest radiography and CT for suspected Covid/19 infection. http://www.thorax.dk/wp-content/uploads/2020/03/200314_Anbefalinger-fra-DRS-og-THORAS_covid19.pdf).
Wong HYF, Lam HYS, Fong AH et al. Frequency and distribution of chest radiographic findings in COVID-19 positive patients. Radiology 2019; 27: 201160.
European Society of Radiology recommended articles on Covid/19. https://www.european-radiology.org/highlights/covid-19/.
Experts question practicality of testing in COVID-19 response. Stephanie Soucheray. CIDRAP News. April 01, 2020. http://www.cidrap.umn.edu/news-perspective/2020/04/experts-question-practicality-testing-covid-19-response.
Statens serum institute solves essential COVID-19 testing deficiency problem. https://en.ssi.dk/news/news/2020/03-ssi-solves-essential-covid19-testing-deficiency-problem.
COVID-19 testing hits second wall: Lack of supplies. Brenda Goodman, Christine Lehmann. https://www.webmd.com/lung/news/20200330/covid19-testing-hits-second-wall-lack-of-supplies.
Kanne JP, Little BP, Chung JH et al. Essentials for radiologists on COVID-19: an update-radiology scientific expert panel. Radiology 2020; 296: E113-4.
Mossa-Basha M, Meltzer CC, Kim DC et al. Radiology department preparedness for COVID-19: radiology scientific expert panel. Radiology 2020; 296: E106-12.
Goodman LR. Felson's Principles of Chest Roentgenology, 4th edn. Elsevier Saunders, Philadelphia, 2015. ISBN 978-1-4557-7483-8.
Hansell DM, Bankier AA, MacMahon H et al. Fleischner Society: Glossary of Terms for Thoracic Imaging. Radiology 2008; 246: 697-722.
De Wever W, Meersschaert J, Coolen J et al. The crazy-paving pattern: a radiological-pathological correlation. Insights Imaging. 2011; 2: 117-32.
Wong HYF, Lam HYS, Fong AHF et al. Frequency and Distribution of Chest Radiographic Findings in Patients Positive for COVID-19. Radiology 2020; 296: E72-E78.
[22]Hofer M. The Chest X-Ray. Thieme Medical Publishers. 2007; ISBN:1588905543.
Alonso A, Hidalgo A, Andreu J, Merino-Casabiel X. Subpleural space: Radiological findings in normal and pathological conditions. ECR 2003, Poster Number: C-0354. https://dx.doi.org/10.1594/ECR03/C-0354.
Donnelly LF, Klosterman LA. Subpleural sparing: a CT finding of lung contusion in children. Radiology 1997; 204: 385-7.
Yoon SH, Lee KH, Kim JY et al. Chest Radiographic and CT Findings of the 2019 Novel Coronavirus Disease (COVID-19): Analysis of Nine Patients Treated in Korea. Korean J Radiol. 2020; 21: 494-500.
Murphy A, Bell DJ. Covid-19. Radiology Reference Article, Radiopaedia. https://radiopaedia.org/articles/covid-19-3.
Rodrigues JCL, Hare SS, Edey A et al. An update on COVID-19 for the radiologist - A British society of Thoracic Imaging statement. Clin Radiol. 2020; 75: 323-5.
Jacobi A, Chung M, Bernheim A et al. Portable chest X-ray in coronavirus disease-19 (COVID-19): A pictorial review. Clin Imaging; 64: 35-42.
Stuppner S, Ruiu A. HAPE - High altitude pulmonary edema. What radiologists need to know. ECR 2020 Poster Number: C-01975. http://dx.doi.org/10.26044/ecr2020/C-01975.
Koo HJ, Lim S, Choe J et al. Radiographic and CT Features of Viral Pneumonia. Radiographics 2018; 38: 719-39.
Contributed Indexing:: Keywords: COVID-19; chest radiograph; lung; portable X-ray; thorax
Entry Date(s):: Date Created: 20201110 Date Completed: 20210426 Latest Revision: 20210426
Update Code:: 20240105
DOI:: 10.1111/1754-9485.13123
PMID:: 33169487
: Czasopismo naukowe

Pełny tekst

Introduction: Chest radiographic (CXR) features, particularly portable CXR findings, of COVID-19 have not yet been systematically described, either as a baseline tool or as a follow-up method, despite the continuing global pandemic. There is a marked paucity of articles detailing the CXR findings vis-à-vis a multitude of articles dedicated to the CT features of COVID-19. The purpose of this article is to describe the morphological and distributional patterns of the lung opacities in CXR and to classify the spectrum of essential features on portable AP chest radiographs of PCR-positive COVID-19 patients admitted in a tertiary care hospital in Scandinavia. To our knowledge, this is the first article to describe the morphological and topographical features of CXRs in COVID-19-positive cases.
Methods: A retrospective analysis of twenty (20) RT-PCR-positive COVID-19 patients admitted to the hospital between 12.03.2020 to 10.04.2020 was done in this study. Morphology and distribution of the opacities were reviewed by two senior consultants and analysed for patterns.
Results: Most patients had ground-glass opacities (80-85%) and interspersed interstitial opacities (70-75%), often with a characteristic appearance. The opacities were mostly bilateral (80%) and distributed in the lower zones (and to some extent mid zones) and in the middle and peripheral regions, with a tendency to merge towards the hilar areas. There were high interobserver agreements among various parameters and no significant statistical difference between observer 1 and 2.
Conclusion: Chest radiographics show characteristic patterns and distributions, which can be used as an adjunct in the diagnosis and follow-up of COVID-19 patients in specific clinical contexts.
(© 2020 The Royal Australian and New Zealand College of Radiologists.)

Informacja