Chest CT findings of COVID-19 Patients in Kerbala, Iraq

D. Alghazali, Maytham A. Maamera, Thikra M. ALmutairy, Maha Sahab AlKabbi, N. O. Talal, Haider Fadel Alkazraji, Raghad A.Saadi
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Abstract

Early diagnosis of COVID -19 is the corner stone in the management of the disease to decrease viral spread, CT scan provide a suitable diagnostic tool in this field, high lightening the finding of chest CT in COVID-19 patients will help radiologists in early diagnosis. To describe the findings of a chest CT in a patient with COVID-19 infection, to specify these findings and to correlate its presence with the time of patient presentation for assessment of disease severity. A cross-sectional study was conducted during the period from the 1st of March to May 14, 2020, at Al-Imam Al-Hussein Medical City in Kerbala-Iraq, started with 107 COVID-19 patients referred from the respiratory care unit for CT scan; we study the findings and correlate it statistically. A total 107 COVID-19 patients with a mean ± SD of 45.27 ± 20.33years. 77 (72%) were males, CT was done for only 99 patients. 8 patients have a contraindication for CT, 81(81.8%) of scans were positive, findings were ground-glass opacity (71.7%), consolidation (32.3%), tree in bud (7%) and others, a significant association was seen(Pvalue=0.002)between time of presentation and types of GGO. Conclusion: CT scan should be done for every patient with clinical suspicion of COVID-19 disease, appearance of GGO in CT scan is highly diagnostic of the disease, bilateral confluent GGO warning sever clinical condition.
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伊拉克克尔巴拉市新冠肺炎患者胸部CT表现
COVID-19的早期诊断是疾病管理的基石,减少病毒传播,CT扫描在这一领域提供了合适的诊断工具,胸部CT对COVID-19患者的发现将有助于放射科医生早期诊断。描述COVID-19感染患者的胸部CT表现,详细说明这些表现,并将其与患者就诊时间相关联,以评估疾病严重程度。2020年3月1日至5月14日,在伊拉克克尔巴拉的Al-Imam Al-Hussein医疗城开展了一项横断面研究,从呼吸道监护室转诊的107例COVID-19患者开始进行CT扫描;我们研究这些发现,并在统计上把它们联系起来。共107例COVID-19患者,平均±SD为45.27±20.33岁。男性77例(72%),仅99例行CT检查。CT禁忌证8例,阳性81例(81.8%),表现为磨玻璃样混浊(71.7%)、实变(32.3%)、芽状树状(7%)等,表现时间与GGO类型有显著相关性(p值=0.002)。结论:临床怀疑为COVID-19疾病的患者均应进行CT扫描,CT扫描中GGO的表现对该病具有较高的诊断价值,双侧融合GGO提示临床病情严重。
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