Department of Neurology, Tongji Medical College, Huazhong University of Science and Technology, Union Hospital, Wuhan, Hubei, China.
Department of Radiology, Tongji Medical College, Huazhong University of Science and Technology, Union Hospital, Wuhan, Hubei, China.
Diagn Interv Imaging. 2021 Feb;102(2):69-75. doi: 10.1016/j.diii.2020.11.008. Epub 2020 Nov 24.
With the rapid spread of COVID-19 worldwide, early detection and efficient isolation of suspected patients are especially important to prevent the transmission. Although nucleic acid testing of SARS-CoV-2 is still the gold standard for diagnosis, there are well-recognized early-detection problems including time-consuming in the diagnosis process, noticeable false-negative rate in the early stage and lacking nucleic acid testing kits in some areas. Therefore, effective and rational applications of imaging technologies are critical in aiding the screen and helping the diagnosis of suspected patients. Currently, chest computed tomography is recommended as the first-line imaging test for detecting COVID-19 pneumonia, which could allow not only early detection of the typical chest manifestations, but also timely estimation of the disease severity and therapeutic effects. In addition, other radiological methods including chest X-ray, magnetic resonance imaging, and positron emission computed tomography also show significant advantages in the detection of COVID-19 pneumonia. This review summarizes the applications of radiology and nuclear medicine in detecting and diagnosing COVID-19. It highlights the importance for these technologies to curb the rapid transmission during the pandemic, considering findings from special groups such as children and pregnant women.
随着 COVID-19 在全球范围内的迅速传播,早期检测和对疑似患者的高效隔离对于防止传播至关重要。尽管 SARS-CoV-2 的核酸检测仍然是诊断的金标准,但存在公认的早期检测问题,包括诊断过程耗时、早期明显的假阴性率以及某些地区缺乏核酸检测试剂盒。因此,影像学技术的有效和合理应用对于辅助筛查和帮助疑似患者诊断至关重要。目前,胸部计算机断层扫描被推荐为检测 COVID-19 肺炎的一线影像学检查方法,不仅可以早期发现典型的胸部表现,还可以及时评估疾病严重程度和治疗效果。此外,包括胸部 X 线摄影、磁共振成像和正电子发射计算机断层扫描在内的其他放射学方法在 COVID-19 肺炎的检测中也显示出显著优势。本综述总结了放射学和核医学在检测和诊断 COVID-19 中的应用。考虑到儿童和孕妇等特殊群体的发现,本文强调了这些技术在遏制大流行期间快速传播的重要性。