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ISSN 1028-9933 (Electronic)

2020, Number 6

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RIC 2020; 99 (6)

Imaging diagnosis in SARS-CoV-2 patient care

Barrera-Jay ZL

Language: Spanish
References: 36
Page: 596-608
PDF size: 987.30 Kb.


ABSTRACT

Introduction: COVID-19 pandemic has required a rapid-response capacity of the imaging services.
Objective: to offer a reference regarding COVID-19 lesions in lungs and thorax based on computed tomography (CT) scan and radiographic image.
Method: a narrative review was carried out at the General Teaching Hospital “Dr. Agostinho Neto” from June to October 2020, through the following databases (Pubmed/Medline, Science Direct y SciELO). Google scholar was the search engine used in the research, with the following keywords and links: COVID-19 AND imaging; SARS-CoV-2 AND radiography; 2019-nCOV AND Computed tomography; SARS-CoV-2, COVID-19, and the equivalent terms in Spanish.
Results: the most frequent findings in lung CT scan were lung ground-glass opacities (53%-100%), with association to pulmonary consolidation (27%- 72%) and interstitial thickening with a cobblestone pattern (crazy paving) (19%). Lung radiographic images are similar to the images obtained via computed tomography.
Conclusions: these diagnostic tools are useful to identify lung lesions caused by COVID-19. Ground-glass opacity in combination with pulmonary consolidations is the most common imaging finding. The images should be interpreted taking into account the clinical manifestations and the epidemiologic context in which SARS-CoV-2 remains a risk of infection. However, several prognostic scales based on imaging have been proposed that still need to be validated.


REFERENCES

  1. Kanne JP. Chest CT findings in 2019 novel coronavirus (2019-nCoV) infections from Wuhan, China: key points for the radiologist. Radiology [en línea]. 2020 [citado 14 Oct 2020]; 4:200241. Doi: https://dx. doi. org/10. 1148/radiol. 2020200241

  2. World Health Organization. WHO Director-General’s opening remarks at the media briefing on COVID-19 [en línea]. 2020 [citado 14 Oct 2020]; [aprox. 5 p. ]. Disponible en: https://www. who. int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-mediabriefing- on-covid-19-11-march-2020

  3. Bai HX, Hsieh B, Xiong Z, Halsey K, Choi JW, Tran TML et al. Performance of radiologist in differentiating COVID-19 from viral pneumonia on chest CT. Radiology [en línea]. 2020 [citado 14 Oct 2020]; 200823. Doi: https://dx. doi. org/10. 1148/radiol. 2020200823

  4. Naranjo DA, Valdés MA. COVID-19. Punto de vista del cardiólogo. Rev Cubana Card Cir Cardiov [en línea]. 2020 Mar [citado 14 Oct 2020]; 26(1):1-5. Disponible en: http://www. revcardiologia. sld. cu/index. php/revcardiologia/article/view/951/pdf

  5. Moreno MFL, Moreno LFL, Oroz MR. Repercusión cardiovascular de la infección por el nuevo coronavirus SARS-CoV-2 (COVID-19). CorSalud [en línea]. 2020 [citado 14 Oct 2020]; 12(1):3-17. Disponible en: http://www. revcorsalud. sld. cu/index. php/cors/article/downloadview/588/1112

  6. Zhou S, Wang Y, Zhu T, Xia L. CT features of coronavirus disease 2019 (COVID-19) pneumonia in 62 patients in Wuhan, China. Am J Roentgenol [en línea]. 2020 [citado 14 Oct 2020]; 5:1-8. Doi: https://dx. doi. org/10. 2214/AJR. 20. 22975

  7. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med [en línea]. 2019 [citado 14 Oct 2020]; 382:727-733 Doi: https://dx. doi. org/10. 1056/nejmoa2001017

  8. Phelan AL, Katz R, Gostin LO. The Novel Coronavirus Originating in Wuhan China: Challenges for Global Health Governance. JAMA [en línea]. 2020 [citado 14 Oct 2020]; [aprox. 5 p. ]. Doi: https://dx. doi. org/10. 1001%2Fjama. 2020. 1097

  9. Chu DKW, Pan Y, Cheng SMS, Hui KPY, Krisnan P, Liu Y. Molecular diagnosis of a novel coronavirus (2019-nCoV) causing an outbreak of pneumonia. Clin Chem [en línea]. 2020. [citado 14 Oct 2020]; pii: hvaa029. Doi: https://dx. doi. org/10. 1093/clinchem/hvaa029

  10. Xie X, Zhong Z, Zhao W, Zheng C, Wang F, Liu J. Chest CT for typical 2019-nCoV pneumonia: Relationship to negative RT-PCR testing. Radiology [en línea]. 2020 [citado 14 Oct 2020]; 200343. Doi: https://dx. doi. org/10. 1148%2Fradiol. 2020200343

  11. Fang Y, Zhang H, Xie J, et al. Sensitivity of Chest CT for COVID-19: Comparison to RT-PCR. Radiology [en línea]. 2020. [citado 14 Oct 2020]; 19:200432. Doi: https://pubs. rsna. org/doi/10. 1148/radiol. 2020200432

  12. Wen Z, Chi Y, Zhang L, Liu H, Du K, Li Z, et al. Coronavirus Disease 2019: Initial Detection on Chest CT in a Retrospective Multicenter Study of 103 Chinese Subjects. Radiol Card Imaging [en línea]. 2020 [citado 14 Oct 2020]; 2(2):e200092. Doi: https://dx. doi. org/10. 1148/ryct. 2020200092

  13. Wang Y, Dong C, Hu Y, Li C, Ren Q, Zhang X, et al. Temporal Changes of CT Findings in 90 Patients with COVID-19 Pneumonia: A Longitudinal Study. Radiology [en línea]. 2020. [citado 14 Oct 2020]; 200843. Doi: https://dx. doi. org/10. 1148/radiol. 2020200843

  14. Pan Y, Guan H, Zhou S. , Wang Y, Li Q, Zhu T. 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 [en línea]. 2020. [citado 14 Oct 2020]; [aprox. 5 p. ]. Doi: https://dx. doi. org/10. 1007%2Fs00330-020- 06731-x

  15. Jin YH, Cai L, Cheng ZS, Cheng H, Deng T, Fan YP. A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version) Mil Med Res [en línea]. 2020 [citado 9 Oct 2020]; 7:[aprox. 5 p. ]. Disponible en: https://www. ncbi. nlm. nih. gov/pubmed/32029004

  16. Ng MY, Lee EYP, Yang J, Yang F, Li X, Wang H. Imaging Profile of the COVID-19 Infection: Radiologic Findings and Literature Review. Radiol Card Imaging [en línea]. 2020 [citado 9 Oct 2020]; [aprox. 5 p. ]. Doi: https://dx. doi. org/10. 1148%2Fryct. 20202000

  17. Salehi S, Abedi A. , Balakrishnan S. , Gholamrezanezhad A. Coronavirus Disease 2019 (COVID-19): A Systematic Review of Imaging Findings in 919 Patients. Am J Roentgenol [en línea]. 2020 [citado 9 Oct 2020]; 215:1–7. Disponible en: https://www. ncbi. nlm. nih. gov/pubmed/32174129

  18. Caruso D, Zerunian M, Polici M, Pucciarelli F, Polidori T, Rucci C, et al. Chest CT Features of COVID- 19 in Rome, Italy. Radiology [en línea]. 2020 [citado 9 Oct 2020]; 201237. Doi: https://dx. doi. org/10. 1148/radiol. 2020201237

  19. Pan F, Ye T, Sun P, Gui S, Liang B, Li L, et al. Time course of lung changes on chest CT during recovery from 2019 novel coronavirus (COVID-19) pneumonia. Radiology [en línea]. 2020 [citado 9 Oct 2020]; 200370. Doi: https://dx. doi. org/10. 1148/radiol. 2020200370

  20. Lima MB, Pama D’Almeida BM, Marchiori E. Chest radiography and computed tomography findings from a Brazilian patient with COVID-19 pneumonia. Rev Soc Bras Med Trop [en línea]. 2020 [citado 9 Oct 2020]; 53:e20200134. Doi: https://doi. org/10. 1590/0037-8682-0134-2020

  21. Lei J, Li J, Li X, Qi X. CT imaging of the 2019 novel coronavirus (2019-nCoV) pneumonia. Radiology [en línea]. 2020 [citado 9 Oct 2020]; [aprox. 5 p. ]. Doi: http://dx. doi. org/10. 1148/radiol. 2020200236

  22. Castillo AF, Diego Bazaes ND, Huete GA. Radiología en la Pandemia COVID-19: uso actual, recomendaciones para la estructuración del informe radiológico y experiencia de nuestro departamento. Rev Chil Radiol [en línea] 2020 Jul [citado 9 Oct 2020]; 26(3):88-99. Doi: http://dx. doi. org/10. 4067/S07117-93082020000300088

  23. Sánchez OR, Torres NJ, Martínez SG. La radiología en el diagnóstico de la neumonía por SARS-CoV-2 (COVID-19). Med Clin (Barc) [en línea]. 2020 Jul [citado 14 Oct 2020]; 155(1): 36-40. Doi: http://www. dx. org/10. 1016/j. medcli. 2020. 03. 004

  24. Wong HYF, Lam HYS, Fong AH-T, Leung ST, Chin TW-Y, Lo CSY, et al. Frequency and Distribution of Chest Radiographic Findings in COVID-19 Positive Patients. Radiology [en línea]. 2020 [citado 9 Oct 2020]; 201160. Doi: https://dx. doi. org/10. 1148/radiol. 2020201160

  25. Yoon SH, Lee KH, Kim JY, Lee YK, Ko H, Kim KH. Chest Radiographic and CT Findings of the 2019 Novel Coronavirus Disease (COVID-19): Analysis of Nine Patients Treated in Korea. Korean J Radiol [en línea]. 2020 [citado 9 Oct 2020]; 21:494-500. Disponible en: https://www. ncbi. nlm. nih. gov/pubmed/32100485

  26. Ye Z, Zhang Y, Wang Y, huang Z, Song B. Chest CT manifestations of new coronavirus disease 2019 (COVID-19): A pictorial review. Eur Radiol [en línea]. 2020 [citado 9 Oct 2020]; [aprox. 5 pp. ]. Doi: http://dx. doi. org/10. 1007/s00330-020-06801-0

  27. Simpson S, Kay FU, Abbara S, Bhalla S, Chung JH, Chung M, et al. Radiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings Related to COVID-19. Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA. Radiol Cardiothorac Imaging [en línea]. 2020 [citado 9 Oct 2020]; 2(2):e200152. Doi: https://dx. doi. org/10. 1148/ryct. 2020200152

  28. Sochradi. Capítulo de Tóra x toma como modelo propuesta elaborada por la RSNA, SRT y la ACR en informes Covid19, para sugerir formato de informe. www. sochradi. cl [en línea]. 2020. [citado 9 Oct 2020]; [aprox. 5 p. ]. Disponible en: https://www. sochradi. cl/2020/05/noticias/capitulo-detoraxtoma- como-modelo-propuesta-elaborada-porla-rsna-str-y-la-acr-en-informes-covid19-parasugerirformato- de-informe

  29. Prokop M, van Everdingen W, van Rees Vellinga T, Quarles van Ufford J, Stöger L, Beenen L, et al. CO-RADS-A categorical CT assessment scheme for patients with suspected COVID-19: definition and evaluation. Radiology [en línea]. 2020 [citado 9 Oct 2020]; 201473. Doi: https://dx. doi. org/10. 1148/radiol. 2020201473

  30. Yu M, Xu D, Lan L, Tu M, Liao R, Cai S, et al. Thin section Chest CT Imaging of Coronavirus Disease 2019 Pneumonia: Comparison Between Patients with Mild and Severe Disease. Radiol Cardiothorac Imaging [en línea]. 2020 [citado 9 Oct 2020]; [aprox. 5 p. ]. 2(2):e200126. Doi: https://dx. doi. org/10. 1148/ryct. 2020200126

  31. Yang R, Li X, Liu H, Zhen Y, Zhang X, Xiong Q, et al. Chest CT Severity Score: An Imaging Tool for Asses- sing Severe COVID-19. Radiol Cardiothorac Imaging [en línea]. 2020 [citado 9 Oct 2020]; [aprox. 5 p. ]; 2(2):e200047. Doi: https://dx. doi. org/10. 1148/ryct. 2020200047

  32. Leonard-Lorant I, Delabranche X, Severac F, Helms J, Pauzet C, Collange O, et al. Acute Pulmonary Embolism in COVID-19 Patients on CT Angiography and Relationship to D-Dimer Levels. Radiology [en línea]. 2020 [citado 9 Oct 2020]; 23:201561. Doi: https://dx. doi. org/10. 1148/radiol. 2020201561

  33. Lushina N, Kuo JS, Shaikh HA. Pulmonary, Cerebral, and Renal Thromboembolic Disease Associated with COVID-19 Infection. Radiology [en línea]. 2020 [citado 9 Oct 2020]; 201623. Doi: https://dx. doi. org/10. 1148/radiol. 2020201623

  34. Sociedad Británica de Imagenología Torácica. COVID-19 Reporting Templates and codes. www. bsti. org. uk [en línea]. 2020 [citado 9 Oct 2020]; [aprox. 5 p. ]. Disponible en: https://www. bsti. org. uk/covid-19-resources/covid-19-bsti-reporting-templates

  35. Toussie D, Voutsinas N, Finkelstein M, Cedillo MA, Manna S, Maron SZ, et al. Clinical and Chest Radiography Features Determine Patient Outcomes In Young and Middle Age Adults with COVID-19. Radiology [en línea]. 2020 Oct [citado 9 Oct 2020]; 297(1):E197-E206. Doi: https://dx. doi. org/10. 1148/radiol. 2020201754

  36. Xing C, Li Q, Du H, Kang W, Lian J, Yuan L. Lung ultrasound findings in patients with COVID-19 pneumonia. Crit Care [en línea]. 2020 [citado 9 Oct 2020]; 24(1):174. Doi: https://doi. org/10. 1186/s13054-020-02876-9




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