Journals / İzmir Tepecik Eğitim Hastanesi Dergisi / 2020 / Cilt: 30 - Sayı: 0

Patient Management in the Radiology Department, the Role of Chest Imaging During the SARS-CoV-2 Pandemic and Chest CT Findings Related to COVID-19 Pneumonia

SARS-CoV-2 Pandemisinde Radyoloji Kliniğinde Hasta Yönetimi, Akciğer Görüntülemenin Rolü ve COVID-19 Pnömonisi ile İlişkili Toraks BT Bulguları

Pages
195–212
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this review, the role of radiology and chest imaging in patient management during the SARS-CoV-2 pandemic, expected chest CT findings in COVID-19 pneumonia, the evolution of the findings with time and currently available structured reporting systems were summarized.

📌 3 Key Takeaways

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Objective & Hypothesis:Primary involvement of the respiratory system by the SARS-CoV-2 makes chest imaging, especially chest CT, an imaging of choice for diagnosis, evaluation of the findings, severity of the disease, and also follow-up of COVID-19 pneumonia.
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Key Findings & Data:Chest CT allows fast and accurate diagnosis and is very important in the differential diagnosis of COVID-19 suspected cases with moderate-severe clinical features, and a high pretest probability of COVID-19 in the limitation of molecular diagnostic testing.
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Conclusion & Impact:In this review, the role of radiology and chest imaging in patient management during the SARS-CoV-2 pandemic, expected chest CT findings in COVID-19 pneumonia, the evolution of the findings with time and currently available structured reporting systems were summarized.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Primary involvement of the respiratory system by the SARS-CoV-2 makes chest imaging, especially chest CT, an imaging of choice for diagnosis, evaluation of the findings, severity of the disease, and also follow-up of COVID-19 pneumonia. Chest CT allows fast and accurate diagnosis and is very important in the differential diagnosis of COVID-19 suspected cases with moderate-severe clinical features, and a high pretest probability of COVID-19 in the limitation of molecular diagnostic testing. Typical and potential CT findings of the COVID-19 pneumonia have been described. Radiologist should report these findings with the level of suspicion from COVID-19 pneumonia in a structured reporting system. In this review, the role of radiology and chest imaging in patient management during the SARS-CoV-2 pandemic, expected chest CT findings in COVID-19 pneumonia, the evolution of the findings with time and currently available structured reporting systems were summarized.

Özet

SARS-CoV-2’in primer olarak solunum sistemi tutması, COVID-19 pnömonisi tanısında, bulguların ve hastalığın şiddetinin değerlendirilmesinde ve ayırıcı tanısında, akciğer incelemesini, özellikle de toraks BT’yi tercih edilen yardımcı tanı yöntemi hâline getirmiştir. Toraks BT, orta-şiddetli klinik bulguları olan hastalarda ve moleküler tanı testlerinin kısıtlı olması durumunda testin pozitif çıkma olasılığı yüksek hastalarda, COVID-19 ayırıcı tanısı için çok önemli olan hızlı ve doğru tanı sağlar. COVID-19 pnömonisinin tipik ve olası BT bulguları tanımlanmıştır. Radyologların bu bulguları COVID-19 pnömonisi için kuşku derecesini belirten yapılandırılmış bir raporlama sistemi ile raporlandırması gerekir. Bu derlemede SARS-CoV-2 pandemisi sırasında radyolojinin ve akciğer görüntülemenin hasta yönetiminde rolü, COVID-19 pnömonisinde beklenen toraks BT bulguları, bulguların zaman içinde değişimi ve mevcut yapılandırılmış raporlama sistemlerini özetlenmiştir.

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Cite This Article

PEKÇEVİK, Y., BELET, Ü. (2020). Patient Management in the Radiology Department, the Role of Chest Imaging During the SARS-CoV-2 Pandemic and Chest CT Findings Related to COVID-19 Pneumonia. İzmir Tepecik Eğitim Hastanesi Dergisi, Cilt: 30 - Sayı: 0, 195–212. https://ajindex.com/articles/186535

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References (3)

  1. Ai T, Yang Z, Hou H, et al. Correlation of Chest CT and RT-PCR Testing in Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases. Radiology 2020
  2. 200642. [CrossRef] 2. Fang Y, Zhang H, Xie J, et al. Sensitivity of Chest CT for COVID19: Comparison to RT-PCR. Radiology 2020 Feb 19:200432. [CrossRef] 3. Wong HYF, Lam HYS, Fong AH, et al. Frequency and Distribution of Chest Radiographic Findings in COVID-19 Positive Patients. Radiology 2020:201160. [CrossRef] 4. 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
  3. [CrossRef] 5. Soldati G, Smargiassi A, Inchingolo R, et al. Is there a role for lung ultrasound during the COVID-19 pandemic? J Ultrasound Med 2020 Mar 20. [CrossRef] 6. Rubin GD, Ryerson CJ, Haramati LB, et al. The role of chest imaging in patient management during the COVID-19 pandemic: a multinational consensus statement from the Fleischner Society Radiology 2020 Apr 7. [CrossRef] 7. Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72314 Cases From the Chinese Center for Disease Control and Prevention. JAMA: the journal of the American Medical Association 2020. [CrossRef] 8. COVID-19 BSTI Statement and Guidance. COVID-19. Statement from the British Society of Thoracic Imaging (BSTI). https://www.bsti.org.uk/training-and-education/ covid-19-bsti-imaging-database/ 9. Simpson S, Kay FU, Abbara S, 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. J Thorac Imaging 2020 Apr 28. [CrossRef] 10. Salehi S, Abedi A, Balakrishnan S, et al. Coronavirus disease 2019 (COVID-19) imaging reporting and data system (COVIDRADS) and common lexicon: a proposal based on the imaging data of 37 studies. Eur Radiol 2020 Apr 28. [CrossRef] 11. Prokop M, van Everdingen W, van Rees Vellinga T et al. CO-RADS - A categorical CT assessment scheme for patients with suspected COVID-19: definition and evaluation. Radiology 2020 Apr 27:201473. [CrossRef] 12. Güneyli S, Atçeken Z, Doğan H, et al. Radiological approach to COVID-19 pneumonia with an emphasis on chest CT. Diagn Interv Radiol 2020 Apr 30. [CrossRef] 13. Rubin GD, Ryerson CJ, Haramati LB, et al. The Role of