COVID-19 findings in chest computed tomography.

IF 1.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Revista da Associacao Medica Brasileira Pub Date : 2021-10-01 DOI:10.1590/1806-9282.20210414
Camila Calvi, Fernanda Filetti Ferreira, Lucas Lyrio, Rodrigo de Melo Baptista, Barbara Binda Zanoni, Ynara Olivier Junger, Wagner Haese Barros, Ricardo Volpato, Libório Mule Júnior, Marcos Rosa Júnior
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引用次数: 2

Abstract

Objective: The aim of this study was to describe chest computed tomography image findings in patients with COVID-19.

Methods: The chest computed tomography scans of 453 hospitalized patients with confirmed COVID-19 were collected at two tertiary care Brazilian hospitals. Demographics and clinical data were extracted from the electronic record medical system.

Results: The main chest computed tomography findings were ground-glass opacities (92.5%), consolidation (79.2%), crazy-paving pattern (23.9%), parenchymal bands (50%), septal thickening (43.5%), and inverted halo sign (3.5%). Of the 453 hospitalized patients, 136 (30%) died. In this group, ground-glass opacities (94.1%), consolidation (89.7%), septal thickening (58.1%), crazy-paving pattern (52.2%), and parenchymal bands (39.7%) were the most common imaging findings.

Conclusions: In a dynamic disease with a broad clinical spectrum such as COVID-19, radiologists can cooperate in a better patient management. On wisely indicated chest computed tomography scans, the fast identification of poor prognosis findings could advise patient management through hospital care facilities and clinical team decisions.

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胸部计算机断层扫描的COVID-19发现。
目的:本研究的目的是描述COVID-19患者的胸部ct图像表现。方法:收集巴西两家三级医院453例确诊COVID-19住院患者的胸部计算机断层扫描。人口统计和临床数据从电子病历医疗系统中提取。结果:胸部ct主要表现为磨玻璃影(92.5%)、实变(79.2%)、疯狂铺路型(23.9%)、实质带(50%)、间隔增厚(43.5%)、倒晕征(3.5%)。在453例住院患者中,136例(30%)死亡。本组最常见的影像学表现为磨玻璃样混浊(94.1%)、实变(89.7%)、间隔增厚(58.1%)、疯狂铺路模式(52.2%)和实质带(39.7%)。结论:在像COVID-19这样具有广泛临床谱的动态疾病中,放射科医生可以更好地配合患者管理。在正确指示的胸部计算机断层扫描中,快速识别预后不良的发现可以通过医院护理机构和临床团队的决策为患者管理提供建议。
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来源期刊
CiteScore
2.20
自引率
0.00%
发文量
276
审稿时长
12 weeks
期刊介绍: A Revista da Associação Médica Brasileira (RAMB), editada pela Associação Médica Brasileira, desde 1954, tem por objetivo publicar artigos que contribuam para o conhecimento médico.
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