Mathew Rishi Philip, Jose Merin, Jayaram Vinayak, Joy Paul, George Danny, Joseph Maria, Sleeba Teena, Toms Ajith
Department of Radiology, Rajagiri Hospital, Kochi 683112, Kerala, India.
World J Radiol. 2020 Dec 28;12(12):272-288. doi: 10.4329/wjr.v12.i12.272.
With each day the number coronavirus disease 2019 (COVID-19) cases continue to rise rapidly and our imaging knowledge of this disease is expeditiously evolving. The role of chest computed tomography (CT) in the screening or diagnosis of COVID-19 remains the subject of much debate. Despite several months having passed since identifying the disease, and numerous studies related to it, controversy and concern still exists regarding the widespread use of chest CT in the evaluation and management of COVID-19 suspect patients. Several institutes and organizations around the world have released guidelines, recommendations and statements against the use of CT for diagnosing or screening COVID-19 infection and advocating its use only for those cases with a strong clinical suspicion of complication or an alternate diagnosis. However, these guidelines and recommendations are in disagreement with majority of the widely available literature, which strongly favour CT as a pivotal tool in the early diagnosis, management and even follow-up of COVID-19 infection. This article besides comprehensively reviewing the current status quo on COVID-19 disease in general, also writes upon the current consensus statements/recommendations on the use of diagnostic imaging in COVID-19 as well as highlighting the precautions and various disinfection procedures being employed world-wide at the workplace to prevent the spread of infection.
随着新型冠状病毒肺炎(COVID-19)病例数每天都在迅速攀升,我们对这种疾病的影像学认识也在迅速发展。胸部计算机断层扫描(CT)在COVID-19筛查或诊断中的作用仍是诸多争论的焦点。尽管自发现该疾病已过去数月,且有大量相关研究,但对于在评估和管理COVID-19疑似患者时广泛使用胸部CT仍存在争议和担忧。世界各地的一些机构和组织已发布指南、建议和声明,反对使用CT诊断或筛查COVID-19感染,主张仅对那些临床高度怀疑有并发症或其他诊断的病例使用CT。然而,这些指南和建议与大多数现有文献不一致,这些文献强烈支持CT作为COVID-19感染早期诊断、管理甚至随访的关键工具。本文除了全面综述COVID-19疾病的总体现状外,还阐述了目前关于COVID-19诊断成像使用的共识声明/建议,并强调了全球各地工作场所为防止感染传播而采取的预防措施和各种消毒程序。