胸部CT特征在冠状病毒病(COVID-19)早期诊断中的价值

R. Vennila, P. Venkatraman
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摘要

在21世纪,印度和许多其他国家都有望在2020年取得很大发展。但不幸的是,世界正面临着许多自然灾害。世界正在采取措施进行灾难的救援任务。在这些灾难中,致命的冠状病毒仍然是世界各地的大流行疾病。即使是发达国家也在努力恢复正常。印度是一个发展技术的国家。治疗这种新型冠状病毒的疫苗尚待开发。作为一种诊断工具,从患者身上提取鼻咽和口咽拭子并使用rt - pcr进行检测。这个测试不是百分之百准确。几天后确诊的患者正在接受医学成像。这种诊断成像技术有助于显示这种病毒在上呼吸道和下呼吸道传播的进展。胸部x线摄影是一种低成本的方式,但其对观察的敏感性为69%。肺超声用于重症监护病人,不用于常规诊断目的。计算机断层扫描在covid -19患者的胸部三维成像中起着至关重要的作用。CT的灵敏度为98%。本文的目的是考虑使用CT作为诊断COVID-19患者的工具,而不是使用标准工具RT-PCR。介绍了对COVID患者使用的x射线、超声和计算机断层扫描等成像方式的简要知识。本文给出了CT诊断在COVID - 19中理想应用的理由。
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A Short Review of Benefits of Using Chest CT Characteristics for Early diagnoses to Corona Virus Disease 2019 (COVID-19)
In 21st century, the year 2020 was expected with much development in India as well many other countries. But unfortunately, the world is facing many natural calamities. World is taking steps towards rescue mission of the disasters. Among of those calamities, deadly Corona Virus remains still all over the world as pandemic disease. Even the developed countries are struggling to come back to its normal routine. India is a country with developing technologies. Vaccines are yet to be developed for treatment of this Novel Corona Virus. As a diagnostic tool, Nasopharyngeal and Oropharyngeal swabs are taken from the person and tested using RT-PCR. This test is not 100 percent accurate. Confirmed COVID patients after few days are undergoing the medical imaging. This diagnostic imaging technique helps in showing the progression of this virus spread in Upper and Lower respiratory system. Chest Radiography is low cost modality but its sensitivity towards observation is 69%. Lung Ultrasound is used in Intensive Care patients and not used for routine diagnosing purpose. Computed Tomography plays a crucial role in three-dimensional chest imaging of COVID-19 patients. The sensitivity of CT is 98%. The aim of this paper is to consider CT as a tool for diagnosing COVID-19 patient than using the standard tool RT-PCR. A brief knowledge about imaging modality like X-ray, Ultrasound and Computed Tomography when used against COVID patient is explained. This paper gives reason for the ideal use of CT diagnosis for COVID 19.
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