Department of Radiology, Montefiore Medical Center/Albert Einstein College of Medicine, 111 East 210th Street, Bronx, NY 10467, United States of America.
Department of Radiology, Montefiore Medical Center/Albert Einstein College of Medicine, 111 East 210th Street, Bronx, NY 10467, United States of America.
Clin Imaging. 2021 Nov;79:300-313. doi: 10.1016/j.clinimag.2021.08.003. Epub 2021 Aug 8.
The coronavirus disease 2019 (COVID-19) pandemic caused by the novel severe acute respiratory syndrome coronavirus (SARS-CoV-2) has affected almost every country in the world resulting in severe morbidity, mortality and economic hardship, altering the landscape of healthcare forever. Its devastating and most frequent thoracic and cardiac manifestations have been well reported since the start of the pandemic. Its extra-thoracic manifestations are myriad and understanding them is critical in diagnosis and disease management. The role of radiology is growing in the second wave and second year of the pandemic as the multiorgan manifestations of COVID-19 continue to unfold. Musculoskeletal, neurologic and vascular disease processes account for a significant number of COVID-19 complications and understanding their frequency, clinical sequelae and imaging manifestations is vital in guiding management and improving overall survival. The authors aim to provide a comprehensive overview of the pathophysiology of the virus along with a detailed and systematic imaging review of the extra-thoracic manifestation of COVID-19. In Part I, abdominal manifestations of COVID-19 in adults and multisystem inflammatory syndrome in children will be reviewed. In Part II, manifestations of COVID-19 in the musculoskeletal, central nervous and vascular systems will be reviewed.
由新型严重急性呼吸系统综合征冠状病毒(SARS-CoV-2)引起的 2019 年冠状病毒病(COVID-19)大流行几乎影响了世界上的每个国家,导致严重的发病率、死亡率和经济困难,永远改变了医疗保健的面貌。自大流行开始以来,其具有破坏性的最常见的胸部和心脏表现已经得到了很好的报道。其肺外表现多种多样,了解这些表现对于诊断和疾病管理至关重要。随着 COVID-19 的多器官表现不断显现,放射科在大流行的第二波和第二年中的作用不断增强。肌肉骨骼、神经和血管疾病过程是 COVID-19 并发症的重要组成部分,了解其频率、临床后果和影像学表现对于指导管理和提高整体生存率至关重要。作者旨在提供有关病毒病理生理学的全面概述,以及 COVID-19 肺外表现的详细和系统的影像学综述。在第一部分中,将回顾成人 COVID-19 的腹部表现和儿童多系统炎症综合征。在第二部分中,将回顾 COVID-19 在肌肉骨骼、中枢神经系统和血管系统中的表现。