Suppr超能文献

2019新型冠状病毒病:胸部高分辨率计算机断层扫描评估

Novel Corona Virus 2019 Disease: Assessment on High-Resolution Computed Tomography Thorax.

作者信息

Sakalecha Anıl K, Gr Varshitha, Thati Sai Soumya, Singh Aashish, Sawkar Shantala, Muthyal Guru Yogendra

机构信息

Radiodiagnosis, Sri Devaraj Urs Medical College, Kolar, IND.

Radiology, Sri Devaraj Urs Medical College, Kolar, IND.

出版信息

Cureus. 2023 Feb 26;15(2):e35506. doi: 10.7759/cureus.35506. eCollection 2023 Feb.

Abstract

Objectives This particular study was undertaken to assess the role of high-resolution computed tomography (HRCT) thorax in diagnosing patients with novel Corona virus-2019 disease and screening suspected COVID-19 cases. It also involves an assessment of the severity of bilateral lung involvement in proven and suspected cases of COVID-19 infection. Materials and methods Two hundred and fourteen symptomatic cases referred to the department of radio-diagnosis were evaluated in this study. HRCT thorax was performed on SIEMENS Somatom Emotion 16-slice spiral CT. Initially, a tomogram was taken, followed by sections in the lung window at B90s, kVp 130, with a pitch of 1.15. The images are then reconstructed into 1.0-mm-thin slices. Radiologists then interpreted the scans for features of COVID-19 disease. Various imaging features and the severity of the disease were analysed in all patients. Results We observed that the male population was more affected by the disease (72% of the total cases). The most consistent and common HRCT finding is that of ground-glass opacity (GGO), which was present in 172 cases, corresponding to 78.4% of the cases. Crazy pavement appearance was seen in 41.2 % of the cases. Other findings included consolidation, discrete nodules surrounded by ground-glass opacification, subpleural linear opacities, and tubular bronchiectasis. Conclusion HRCT thorax plays an ideal role in diagnosing COVID-19 disease with high sensitivity and also provides prompt results as compared to RT-PCR. It also helps in grading the severity of the disease based on various patterns and the extent of lung parenchyma involved. Therefore, because of the immediate results and the ability to grade the disease, HRCT became invaluable in directing the treatment of COVID-19 disease.

摘要

目的 本项特定研究旨在评估胸部高分辨率计算机断层扫描(HRCT)在诊断新型冠状病毒2019疾病患者及筛查疑似COVID-19病例中的作用。它还涉及评估确诊和疑似COVID-19感染病例双侧肺部受累的严重程度。

材料与方法 本研究对转诊至放射诊断科的214例有症状病例进行了评估。使用西门子Somatom Emotion 16层螺旋CT进行胸部HRCT检查。最初拍摄一张断层图像,随后在肺窗以B90s、千伏峰值130、螺距1.15进行扫描。然后将图像重建为1.0毫米厚的切片。放射科医生随后解读扫描结果以寻找COVID-19疾病的特征。对所有患者的各种影像特征和疾病严重程度进行了分析。

结果 我们观察到男性受该疾病影响更大(占总病例的72%)。最一致且常见的HRCT表现是磨玻璃影(GGO),172例出现该表现,占病例的78.4%。41.2%的病例出现铺路石样表现。其他表现包括实变、磨玻璃影环绕的散在结节、胸膜下线状影和管状支气管扩张。

结论 胸部HRCT在诊断COVID-19疾病方面具有高灵敏度,发挥着理想作用,并且与逆转录聚合酶链反应(RT-PCR)相比能提供快速结果。它还有助于根据各种模式和肺实质受累范围对疾病严重程度进行分级。因此,由于能快速得出结果且具备对疾病分级的能力,HRCT在指导COVID-19疾病治疗方面变得至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88f8/10050792/e066d2d9ac05/cureus-0015-00000035506-i01.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验