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新冠疫情期间的心脏磁共振成像:意大利南部单中心经验

Cardiac magnetic resonance imaging during the COVID-19 pandemic: A southern Italian single-center experience.

作者信息

Ponsiglione Andrea, Nappi Carmela, Imbriaco Massimo, Ascione Raffaele, Megna Rosario, Petretta Mario, Cuocolo Alberto

机构信息

Department of Advanced Biomedical Sciences, University of Naples Federico II, Via Pansini 5, 80131, Naples, Italy.

Institute of Biostructure and Bioimaging, National Council of Research, Via De Amicis 95, 80145, Naples, Italy.

出版信息

Eur J Radiol Open. 2021;8:100319. doi: 10.1016/j.ejro.2020.100319. Epub 2020 Dec 26.

DOI:10.1016/j.ejro.2020.100319
PMID:33392363
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7764388/
Abstract

PURPOSE

We aimed to assess the impact of COVID-19 pandemic on cardiac magnetic resonance (CMR) imaging studies performed during the lockdown imposed by the Italian Government from March 2020 to May 2020.

MATERIALS AND METHOD

We reviewed the number and the findings of CMR scans performed during the COVID-19 pandemic between March and May 2020 at University of Naples Federico II. The number and the findings of CMR studies acquired in the corresponding months of 2017, 2018 and 2019 were also assessed for direct comparison.

RESULTS

A total of 117 CMR studies was considered, including the procedures performed during the pandemic (n = 18) and those performed in the corresponding months of the prior 3 years (n = 99). The number of CMR studies performed during the COVID-19 pandemic was significantly (P < .01) lower compared to the mean number (n = 33) of the procedures performed in the corresponding months of 2017-2019. The percentage of abnormal CMR studies was similar (P = 0.73) during the pandemic (67 %) compared to that found in the corresponding months of 2017-2019 (70 %) suggesting that many abnormal tests were missed due to the lockdown.

CONCLUSION

The number of CMR studies was significantly reduced during the COVID-19 pandemic compared to the corresponding period of the previous three years. The lack of difference in the prevalence of abnormal CMR studies between the two study time intervals strongly suggests that many patients with potentially abnormal imaging test have been missed during the pandemic.

摘要

目的

我们旨在评估2020年3月至5月意大利政府实施封锁期间,新型冠状病毒肺炎(COVID-19)大流行对心脏磁共振(CMR)成像研究的影响。

材料与方法

我们回顾了那不勒斯费德里科二世大学在2020年3月至5月COVID-19大流行期间进行的CMR扫描的数量和结果。还评估了2017年、2018年和2019年相应月份进行的CMR研究的数量和结果,以便进行直接比较。

结果

共纳入117项CMR研究,包括大流行期间进行的检查(n = 18)和前3年相应月份进行的检查(n = 99)。与2017 - 2019年相应月份进行的检查的平均数量(n = 33)相比,COVID-19大流行期间进行的CMR研究数量显著减少(P < 0.01)。大流行期间CMR研究异常的百分比(67%)与2017 - 2019年相应月份发现的百分比(7%)相似(P = 0.73),这表明由于封锁,许多异常检查被遗漏。

结论

与前三年的相应时期相比,COVID-19大流行期间CMR研究的数量显著减少。两个研究时间间隔内CMR研究异常患病率缺乏差异,强烈表明在大流行期间许多可能有异常成像检查的患者被遗漏。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e635/7779716/0a89cb16a38d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e635/7779716/aed5beea319a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e635/7779716/e98eec7be5a6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e635/7779716/0a89cb16a38d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e635/7779716/aed5beea319a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e635/7779716/e98eec7be5a6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e635/7779716/0a89cb16a38d/gr3.jpg

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