Razek Ahmed, Fouda Nehad, Fahmy Dalia, Tanatawy Mohamed Salah, Sultan Amina, Bilal Maha, Zaki Maysaa, Abdel-Aziz Mahmoud, Sobh Donia
Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Pol J Radiol. 2021 Feb 22;86:e122-e135. doi: 10.5114/pjr.2021.104049. eCollection 2021.
We aim in the current study to review pulmonary and extra-pulmonary imaging features in patients infected with COVID-19. COVID-19 appears to be a highly contagious viral disease that attacks the respiratory system causing pneumonia. Since the beginning of the outbreak, several reports have been published describing various radiological patterns related to COVID-19. Radiological features of COVID-19 are classified into; pulmonary signs of which ground glass opacities are considered the characteristic followed by consolidation, and extra-pulmonary signs such as pulmonary embolism and pneumothorax, which are far less common and appear later in progressive disease. We review the different structured reporting systems that are published by different groups of radiologists using simple unified terms to enable good communication between the radiologist and the referring physician. Computed tomography of the chest is beneficial for early diagnosis of COVID-19 pneumonia, assessment of disease progression and guide to therapy, surveillance of patients with response to therapy, prediction of overlying bacterial infection, differentiation from simulating lesions, and screening with prevention and controls of the disease.
在当前研究中,我们旨在回顾新型冠状病毒肺炎(COVID-19)感染患者的肺部及肺外影像学特征。COVID-19似乎是一种极具传染性的病毒性疾病,侵袭呼吸系统导致肺炎。自疫情爆发以来,已有多篇报告发表,描述了与COVID-19相关的各种放射学表现。COVID-19的放射学特征分为:肺部表现,其中磨玻璃影被认为是特征性表现,其次是实变;以及肺外表现,如肺栓塞和气胸,这些表现远不常见,且在疾病进展后期出现。我们回顾了不同放射科医生小组发布的不同结构化报告系统,使用简单统一的术语以便放射科医生与转诊医生之间进行良好沟通。胸部计算机断层扫描有助于COVID-19肺炎的早期诊断、疾病进展评估及治疗指导、监测患者对治疗的反应、预测叠加细菌感染、与模拟病变相鉴别以及疾病的预防和控制筛查。