Imaging findings in COVID-19 pneumonia
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/171400 |
Resumo: | The coronavirus disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARSCoV-2), emerged in Wuhan city and was declared a pandemic in March 2020. Although the virus is not restricted to the lung parenchyma, the use of chest imaging in COVID-19 can be especially useful for patients with moderate to severe symptoms or comorbidities. This article aimed to demonstrate the chest imaging findings of COVID-19 on different modalities: chest radiography, computed tomography, and ultrasonography. In addition, it intended to review recommendations on imaging assessment of COVID-19 and to discuss the use of a structured chest computed tomography report. Chest radiography, despite being a low-cost and easily available method, has low sensitivity for screening patients. It can be useful in monitoring hospitalized patients, especially for the evaluation of complications such as pneumothorax and pleural effusion. Chest computed tomography, despite being highly sensitive, has a low specificity, and hence cannot replace the reference diagnostic test (reverse transcription polymerase chain reaction). To facilitate the confection and reduce the variability of radiological reports, some standardizations with structured reports have been proposed. Among the available classifications, it is possible to divide the radiological findings into typical, indeterminate, atypical, and negative findings. The structured report can also contain an estimate of the extent of lung involvement (e.g., more or less than 50% of the lung parenchyma). Pulmonary ultrasonography can also be an auxiliary method, especially for monitoring hospitalized patients in intensive care units, where transfer to a tomography scanner is difficult. |
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Clinics |
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Imaging findings in COVID-19 pneumoniaSARS-CoV-2COVID-19CoronavirusRadiographyComputed TomographyUltrasonographyThe coronavirus disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARSCoV-2), emerged in Wuhan city and was declared a pandemic in March 2020. Although the virus is not restricted to the lung parenchyma, the use of chest imaging in COVID-19 can be especially useful for patients with moderate to severe symptoms or comorbidities. This article aimed to demonstrate the chest imaging findings of COVID-19 on different modalities: chest radiography, computed tomography, and ultrasonography. In addition, it intended to review recommendations on imaging assessment of COVID-19 and to discuss the use of a structured chest computed tomography report. Chest radiography, despite being a low-cost and easily available method, has low sensitivity for screening patients. It can be useful in monitoring hospitalized patients, especially for the evaluation of complications such as pneumothorax and pleural effusion. Chest computed tomography, despite being highly sensitive, has a low specificity, and hence cannot replace the reference diagnostic test (reverse transcription polymerase chain reaction). To facilitate the confection and reduce the variability of radiological reports, some standardizations with structured reports have been proposed. Among the available classifications, it is possible to divide the radiological findings into typical, indeterminate, atypical, and negative findings. The structured report can also contain an estimate of the extent of lung involvement (e.g., more or less than 50% of the lung parenchyma). Pulmonary ultrasonography can also be an auxiliary method, especially for monitoring hospitalized patients in intensive care units, where transfer to a tomography scanner is difficult.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2020-06-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/clinics/article/view/17140010.6061/clinics/2020/e2027Clinics; Vol. 75 (2020); e2027Clinics; v. 75 (2020); e2027Clinics; Vol. 75 (2020); e20271980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/171400/161459https://www.revistas.usp.br/clinics/article/view/171400/161460Copyright (c) 2020 Clinicsinfo:eu-repo/semantics/openAccessFarias, Lucas de Pádua Gomes deFonseca, Eduardo Kaiser Ururahy NunesStrabelli, Daniel GiunchettiLoureiro, Bruna Melo CoelhoNeves, Yuri Costa SarnoRodrigues, Thiago PotrichChate, Rodrigo CarusoNomura, Cesar HigaSawamura, Márcio Valente YamadaCerri, Giovanni Guido2020-06-23T21:10:08Zoai:revistas.usp.br:article/171400Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2020-06-23T21:10:08Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Imaging findings in COVID-19 pneumonia |
title |
Imaging findings in COVID-19 pneumonia |
spellingShingle |
Imaging findings in COVID-19 pneumonia Farias, Lucas de Pádua Gomes de SARS-CoV-2 COVID-19 Coronavirus Radiography Computed Tomography Ultrasonography |
title_short |
Imaging findings in COVID-19 pneumonia |
title_full |
Imaging findings in COVID-19 pneumonia |
title_fullStr |
Imaging findings in COVID-19 pneumonia |
title_full_unstemmed |
Imaging findings in COVID-19 pneumonia |
title_sort |
Imaging findings in COVID-19 pneumonia |
author |
Farias, Lucas de Pádua Gomes de |
author_facet |
Farias, Lucas de Pádua Gomes de Fonseca, Eduardo Kaiser Ururahy Nunes Strabelli, Daniel Giunchetti Loureiro, Bruna Melo Coelho Neves, Yuri Costa Sarno Rodrigues, Thiago Potrich Chate, Rodrigo Caruso Nomura, Cesar Higa Sawamura, Márcio Valente Yamada Cerri, Giovanni Guido |
author_role |
author |
author2 |
Fonseca, Eduardo Kaiser Ururahy Nunes Strabelli, Daniel Giunchetti Loureiro, Bruna Melo Coelho Neves, Yuri Costa Sarno Rodrigues, Thiago Potrich Chate, Rodrigo Caruso Nomura, Cesar Higa Sawamura, Márcio Valente Yamada Cerri, Giovanni Guido |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Farias, Lucas de Pádua Gomes de Fonseca, Eduardo Kaiser Ururahy Nunes Strabelli, Daniel Giunchetti Loureiro, Bruna Melo Coelho Neves, Yuri Costa Sarno Rodrigues, Thiago Potrich Chate, Rodrigo Caruso Nomura, Cesar Higa Sawamura, Márcio Valente Yamada Cerri, Giovanni Guido |
dc.subject.por.fl_str_mv |
SARS-CoV-2 COVID-19 Coronavirus Radiography Computed Tomography Ultrasonography |
topic |
SARS-CoV-2 COVID-19 Coronavirus Radiography Computed Tomography Ultrasonography |
description |
The coronavirus disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARSCoV-2), emerged in Wuhan city and was declared a pandemic in March 2020. Although the virus is not restricted to the lung parenchyma, the use of chest imaging in COVID-19 can be especially useful for patients with moderate to severe symptoms or comorbidities. This article aimed to demonstrate the chest imaging findings of COVID-19 on different modalities: chest radiography, computed tomography, and ultrasonography. In addition, it intended to review recommendations on imaging assessment of COVID-19 and to discuss the use of a structured chest computed tomography report. Chest radiography, despite being a low-cost and easily available method, has low sensitivity for screening patients. It can be useful in monitoring hospitalized patients, especially for the evaluation of complications such as pneumothorax and pleural effusion. Chest computed tomography, despite being highly sensitive, has a low specificity, and hence cannot replace the reference diagnostic test (reverse transcription polymerase chain reaction). To facilitate the confection and reduce the variability of radiological reports, some standardizations with structured reports have been proposed. Among the available classifications, it is possible to divide the radiological findings into typical, indeterminate, atypical, and negative findings. The structured report can also contain an estimate of the extent of lung involvement (e.g., more or less than 50% of the lung parenchyma). Pulmonary ultrasonography can also be an auxiliary method, especially for monitoring hospitalized patients in intensive care units, where transfer to a tomography scanner is difficult. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-06-23 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/171400 10.6061/clinics/2020/e2027 |
url |
https://www.revistas.usp.br/clinics/article/view/171400 |
identifier_str_mv |
10.6061/clinics/2020/e2027 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/171400/161459 https://www.revistas.usp.br/clinics/article/view/171400/161460 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 75 (2020); e2027 Clinics; v. 75 (2020); e2027 Clinics; Vol. 75 (2020); e2027 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
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1800222765130711040 |