Role of chest imaging in the diagnosis and treatment of COVID-19

被引:1
作者
Kwon, Yong Shik [1 ]
Kim, Jin Young [2 ]
机构
[1] Keimyung Univ, Keimyung Univ Dongsan Hosp, Dept Internal Med, Div Pulmonol,Sch Med, Daegu, South Korea
[2] Keimyung Univ, Keimyung Univ Sch Med, Dept Radiol, Dongsan Hosp, Daegu, South Korea
来源
JOURNAL OF THE KOREAN MEDICAL ASSOCIATION | 2021年 / 64卷 / 10期
关键词
COVID-19; Diagnosis; Treatment; Diagnostic imaging; Pneumonia; PNEUMONIA;
D O I
10.5124/jkma.2021.64.10.655
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Thousands of new patients are diagnosed with coronavirus disease 2019 (COVID-19) daily worldwide. We reviewed the role of chest imaging in the diagnosis and treatment of patients with COVID-19. Current Concepts: Chest imaging is not recommended as a primary diagnostic tool for COVID-19. However, when real-time polymerase chain reaction is difficult to perform or when COVID-19 is strongly suspected, chest imaging can assist in the diagnosis. Thus, chest imaging is recommended for high-risk patients and patients with worsening respiratory symptoms, but not for asymptomatic patients. Bilateral peripheral pneumonia is a typical imaging finding in patients with COVID-19. However, there are cases where chest imaging shows atypical findings or appears normal. The extent of COVID-19 pneumonia on chest imaging is related to the severity of the disease. The presence and extent of pneumonia on chest imaging can help monitor patients, select appropriate treatment agents, determine whether the patient should be hospitalized, and predict the prognosis. Discussion and Conclusion: Appropriate use of chest imaging is needed for clinicians to help triage patients with COVID-19 and decide on the treatment plan.
引用
收藏
页码:655 / 663
页数:9
相关论文
共 34 条
[1]   Correlation of Chest CT and RT-PCR Testing for Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases [J].
Ai, Tao ;
Yang, Zhenlu ;
Hou, Hongyan ;
Zhan, Chenao ;
Chen, Chong ;
Lv, Wenzhi ;
Tao, Qian ;
Sun, Ziyong ;
Xia, Liming .
RADIOLOGY, 2020, 296 (02) :E32-E40
[2]   Use of Chest Imaging in the Diagnosis and Management of COVID-19: A WHO Rapid Advice Guide [J].
Akl, Elie A. ;
Blazic, Ivana ;
Yaacoub, Sally ;
Frija, Guy ;
Chou, Roger ;
Appiah, John Adabie ;
Fatehi, Mansoor ;
Flor, Nicola ;
Hitti, Eveline ;
Jafri, Hussain ;
Jin, Zheng-Yu ;
Kauczor, Hans Ulrich ;
Kawooya, Michael ;
Kazerooni, Ella Annabelle ;
Ko, Jane P. ;
Mahfouz, Rami ;
Muglia, Valdair ;
Nyabanda, Rose ;
Sanchez, Marcelo ;
Shete, Priya B. ;
Ulla, Marina ;
Zheng, Chuansheng ;
van Deventer, Emilie ;
Perez, Maria del Rosario .
RADIOLOGY, 2021, 298 (02) :E63-E69
[3]  
[Anonymous], YONHAP NEWS
[4]   Remdesivir for the Treatment of Covid-19-Final Report [J].
Beigel, John H. ;
Tomashek, Kay M. ;
Dodd, Lori E. ;
Mehta, Aneesh K. ;
Zingman, Barry S. ;
Kalil, Andre C. ;
Hohmann, Elizabeth ;
Chu, Helen Y. ;
Luetkemeyer, Annie ;
Kline, Susan ;
de Castilla, Diego Lopez ;
Finberg, Robert W. ;
Dierberg, Kerry ;
Tapson, Victor ;
Hsieh, Lanny ;
Patterson, Thomas F. ;
Paredes, Roger ;
Sweeney, Daniel A. ;
Short, William R. ;
Touloumi, Giota ;
Lye, David Chien ;
Ohmagari, Norio ;
Oh, Myoung-don ;
Ruiz-Palacios, Guillermo M. ;
Benfield, Thomas ;
Faetkenheuer, Gerd ;
Kortepeter, Mark G. ;
Atmar, Robert L. ;
Creech, C. Buddy ;
Lundgren, Jens ;
Babiker, Abdel G. ;
Pett, Sarah ;
Neaton, James D. ;
Burgess, Timothy H. ;
Bonnett, Tyler ;
Green, Michelle ;
Makowski, Mat ;
Osinusi, Anu ;
Nayak, Seema ;
Lane, H. Clifford .
NEW ENGLAND JOURNAL OF MEDICINE, 2020, 383 (19) :1813-1826
[5]   Adverse Initial CT Findings Associated with Poor Prognosis of Coronavirus Disease [J].
Chon, YoungJun ;
Kim, Jin Young ;
Suh, Young Joo ;
Lee, Ji Yeon ;
Park, Jae Seok ;
Moon, Sung Min ;
Lee, Mu Sook ;
Yi, Jaehyuck .
JOURNAL OF KOREAN MEDICAL SCIENCE, 2020, 35 (34)
[6]   Bacterial Pneumonia in COVID-19 Critically Ill Patients: A Case Series [J].
Dudoignon, Emmanuel ;
Camelena, Francois ;
Deniau, Benjamin ;
Habay, Adrien ;
Coutrot, Maxime ;
Ressaire, Quentin ;
Plaud, Benoit ;
Bercot, Beatrice ;
Depret, Francois .
CLINICAL INFECTIOUS DISEASES, 2021, 72 (05) :905-906
[7]   Predictors of adverse prognosis in COVID-19: A systematic review and meta-analysis [J].
Figliozzi, Stefano ;
Masci, Pier Giorgio ;
Ahmadi, Navid ;
Tondi, Lara ;
Koutli, Evangelia ;
Aimo, Alberto ;
Stamatelopoulos, Kimon ;
Dimopoulos, Meletios-Athanasios ;
Caforio, Alida L. P. ;
Georgiopoulos, Georgios .
EUROPEAN JOURNAL OF CLINICAL INVESTIGATION, 2020, 50 (10)
[8]   Fibrotic Interstitial Lung Abnormalities at 1-year Follow-up CT after Severe COVID-19 [J].
Han, Xiaoyu ;
Fan, Yanqing ;
Alwalid, Osamah ;
Zhang, Xin ;
Jia, Xi ;
Zheng, Yuting ;
Shi, Heshui .
RADIOLOGY, 2021, 301 (03) :E438-E440
[9]   Six-month Follow-up Chest CT Findings after Severe COVID-19 Pneumonia [J].
Han, Xiaoyu ;
Fan, Yanqing ;
Alwalid, Osamah ;
Li, Na ;
Jia, Xi ;
Yuan, Mei ;
Li, Yumin ;
Cao, Yukun ;
Gu, Jin ;
Wu, Hanping ;
Shi, Heshui .
RADIOLOGY, 2021, 299 (01) :E177-E186
[10]   Life-threatening cardiac tamponade complicating myo-pericarditis in COVID-19 [J].
Hua, Alina ;
O'Gallagher, Kevin ;
Sado, Daniel ;
Byrne, Jonathan .
EUROPEAN HEART JOURNAL, 2020, 41 (22) :2130-2130