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新型冠状病毒肺炎:典型影像学特征综述

COVID-19 pneumonia: A review of typical radiological characteristics.

作者信息

Churruca María, Martínez-Besteiro Elisa, Couñago Felipe, Landete Pedro

机构信息

Pulmonology Department, Hospital Universitario de La Princesa, Madrid 28006, Spain.

Department of Radiation Oncology, Hospital Universitario Quirónsalud Madrid, Madrid 28223, Spain.

出版信息

World J Radiol. 2021 Oct 28;13(10):327-343. doi: 10.4329/wjr.v13.i10.327.

DOI:10.4329/wjr.v13.i10.327
PMID:34786188
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8567439/
Abstract

Coronavirus disease 2019 (COVID-19) was first discovered after unusual cases of severe pneumonia emerged by the end of 2019 in Wuhan (China) and was declared a global public health emergency by the World Health Organization in January 2020. The new pathogen responsible for the infection, genetically similar to the beta-coronavirus family, is known as severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), and the current gold standard diagnostic tool for its detection in respiratory samples is the reverse transcription-polymerase chain reaction test. Imaging findings on COVID-19 have been widely described in studies published throughout last year, 2020. In general, ground-glass opacities and consolidations, with a bilateral and peripheral distribution, are the most typical patterns found in COVID-19 pneumonia. Even though much of the literature focuses on chest computed tomography (CT) and X-ray imaging and their findings, other imaging modalities have also been useful in the assessment of COVID-19 patients. Lung ultrasonography is an emerging technique with a high sensitivity, and thus useful in the initial evaluation of SARS-CoV-2 infection. In addition, combined positron emission tomography-CT enables the identification of affected areas and follow-up treatment responses. This review intends to clarify the role of the imaging modalities available and identify the most common radiological manifestations of COVID-19.

摘要

2019年冠状病毒病(COVID-19)最早是在2019年底中国武汉出现异常严重肺炎病例后被发现的,并于2020年1月被世界卫生组织宣布为全球突发公共卫生事件。导致该感染的新型病原体在基因上与β冠状病毒家族相似,被称为严重急性呼吸综合征冠状病毒2(SARS-CoV-2),目前在呼吸道样本中检测该病毒的金标准诊断工具是逆转录-聚合酶链反应检测。关于COVID-19的影像学表现已在2020年全年发表的研究中得到广泛描述。一般来说,磨玻璃影和实变影,呈双侧及外周分布,是COVID-19肺炎中最典型的表现形式。尽管许多文献聚焦于胸部计算机断层扫描(CT)和X线成像及其表现,但其他成像方式在评估COVID-19患者时也很有用。肺部超声检查是一项新兴技术,灵敏度高,因此对SARS-CoV-2感染的初始评估很有用。此外,正电子发射断层扫描-CT联合检查能够识别受影响区域并追踪治疗反应。本综述旨在阐明现有成像方式的作用,并确定COVID-19最常见的影像学表现。

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