COVID-19 的多系统影像学表现,第 2 部分:从心脏并发症到儿科表现。

Multisystem Imaging Manifestations of COVID-19, Part 2: From Cardiac Complications to Pediatric Manifestations.

机构信息

From the Department of Radiology and Biomedical Imaging, Yale University School of Medicine, 333 Cedar St, PO Box 208042, Room TE-2, New Haven, CT 06520 (M.V.R., A.M., A.S.B.); Department of Radiology, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, Manhasset, NY (S.R., R.W., C.D., R.D.P., K.C., C.K., J.S.P.); and Department of Diagnostic Radiology, Danbury Radiological Associates, PC, Danbury, Conn (N.C.S.).

出版信息

Radiographics. 2020 Nov-Dec;40(7):1866-1892. doi: 10.1148/rg.2020200195.

Abstract

Infection with severe acute respiratory syndrome coronavirus 2 results in coronavirus disease 2019 (COVID-19), which was declared an official pandemic by the World Health Organization on March 11, 2020. COVID-19 has been reported in most countries, and as of August 15, 2020, there have been over 21 million cases of COVID-19 reported worldwide, with over 800 000 COVID-19-associated deaths. Although COVID-19 predominantly affects the respiratory system, it has become apparent that many other organ systems can also be involved. Imaging plays an essential role in the diagnosis of all manifestations of the disease and its related complications, and proper utilization and interpretation of imaging examinations is crucial. A comprehensive understanding of the diagnostic imaging hallmarks, imaging features, multisystem involvement, and evolution of imaging findings is essential for effective patient management and treatment. In part 1 of this article, the authors described the viral pathogenesis, diagnostic imaging hallmarks, and manifestations of the pulmonary and peripheral and central vascular systems of COVID-19. In part 2 of this article, the authors focus on the key imaging features of the varied pathologic manifestations of COVID-19, involving the cardiac, neurologic, abdominal, dermatologic and ocular, and musculoskeletal systems, as well as the pediatric and pregnancy-related manifestations of the virus. RSNA, 2020.

摘要

严重急性呼吸综合征冠状病毒 2 感染导致 2019 年冠状病毒病(COVID-19),世界卫生组织于 2020 年 3 月 11 日宣布 COVID-19 为正式大流行。COVID-19 已在大多数国家报告,截至 2020 年 8 月 15 日,全球已报告超过 2100 万例 COVID-19 病例,COVID-19 相关死亡人数超过 80 万。尽管 COVID-19 主要影响呼吸系统,但显然许多其他器官系统也可能受到影响。影像学在疾病及其相关并发症的所有表现的诊断中发挥着重要作用,正确利用和解释影像学检查至关重要。全面了解诊断影像学特征、影像学表现、多系统受累以及影像学发现的演变对于有效管理和治疗患者至关重要。在本文的第 1 部分,作者描述了 COVID-19 的病毒发病机制、诊断影像学特征以及肺部和外周及中央血管系统的表现。在本文的第 2 部分,作者重点介绍了 COVID-19 各种病理表现的关键影像学特征,涉及心脏、神经系统、腹部、皮肤科和眼科以及肌肉骨骼系统,以及病毒的儿科和妊娠相关表现。RSNA,2020 年。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3872/7646410/9b16d94b52eb/rg.2020200195.fig1.jpg

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