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新型冠状病毒肺炎后随访计算机断层扫描

Follow-up computed tomography scan in post-COVID-19 pneumonia.

作者信息

Chohan Asad, Choudhury Saiara, Dadhwal Rahul, Vakil Abhay P, Franco Rene, Taweesedt Pahnwat Tonya

机构信息

Pulmonary Medicine, Corpus Christi Medical Center, Corpus Christi, TX 78411, United States.

出版信息

World J Radiol. 2022 Apr 28;14(4):104-106. doi: 10.4329/wjr.v14.i4.104.

DOI:10.4329/wjr.v14.i4.104
PMID:35646289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9124981/
Abstract

The coronavirus disease 2019 (COVID-19) global pandemic can be a severe illness that leads to morbidity and mortality. With the increasing number of COVID-19 pneumonia survivors, several long-term changes may persist, including abnormal imaging of lung parenchyma. In addition to the clinical course, it is vital to follow up on pulmonary imaging during the post-infectious period, which is not routinely required in other common pulmonary diagnoses. Computed tomography (CT) scan of the chest is an effective and diagnostic tool for pneumonia which gives an insight into structural abnormalities within the lungs, complications, and possible progression of the disease. Several studies have monitored COVID-19 pneumonia and its complications using serial CT chest imaging from the initial phase of infection, hospitalization, and post-discharge. Nonetheless, long-term follow-up imaging data in post-COVID-19 is still limited. We have summarized the findings utilizing a systematic review of the literature regarding COVID-19 pneumonia imaging, including long-term follow-up.

摘要

2019年冠状病毒病(COVID-19)全球大流行可能是一种导致发病和死亡的严重疾病。随着COVID-19肺炎幸存者数量的增加,可能会持续出现一些长期变化,包括肺实质的影像学异常。除了临床病程外,在感染后阶段对肺部影像学进行随访至关重要,而这在其他常见肺部疾病诊断中并非常规要求。胸部计算机断层扫描(CT)是诊断肺炎的有效工具,可深入了解肺部结构异常、并发症及疾病可能的进展情况。多项研究通过在感染初期、住院期间及出院后对胸部进行系列CT成像,监测了COVID-19肺炎及其并发症。尽管如此,COVID-19后长期随访的影像学数据仍然有限。我们通过对有关COVID-19肺炎影像学(包括长期随访)的文献进行系统综述,总结了相关研究结果。

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本文引用的文献

1
Review on radiological evolution of COVID-19 pneumonia using computed tomography.利用计算机断层扫描对新型冠状病毒肺炎的放射学演变进行综述。
World J Radiol. 2021 Sep 28;13(9):294-306. doi: 10.4329/wjr.v13.i9.294.
2
Chest CT Patterns from Diagnosis to 1 Year of Follow-up in Patients with COVID-19.COVID-19 患者从诊断到 1 年随访的胸部 CT 模式。
Radiology. 2022 Mar;302(3):709-719. doi: 10.1148/radiol.2021211199. Epub 2021 Oct 5.
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One-year follow-up of chest CT findings in patients after SARS-CoV-2 infection.SARS-CoV-2 感染后患者胸部 CT 随访 1 年。
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CT appearances, patterns of progression, and follow-up of COVID-19: evaluation on thin-section CT.新型冠状病毒肺炎的CT表现、进展模式及随访:薄层CT评估
Insights Imaging. 2021 Jun 10;12(1):73. doi: 10.1186/s13244-021-01019-0.
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Follow-Up Study of the Chest CT Characteristics of COVID-19 Survivors Seven Months After Recovery.新冠康复者康复七个月后胸部CT特征的随访研究
Front Med (Lausanne). 2021 Mar 1;8:636298. doi: 10.3389/fmed.2021.636298. eCollection 2021.
6
Chest Computed Tomography and Clinical Follow-Up of Discharged Patients with COVID-19 in Wenzhou City, Zhejiang, China.中国浙江省温州市出院 COVID-19 患者的胸部计算机断层扫描和临床随访。
Ann Am Thorac Soc. 2020 Oct;17(10):1231-1237. doi: 10.1513/AnnalsATS.202004-324OC.