Jakhotia Yash, Dhok Avinash, Mane Priyanka, Mitra Kajal
Radiodiagnosis, NKP Salve Institute of Medical Sciences and Research Centre (IMSRC) and Lata Mangeshkar Hospital, Nagpur, IND.
Cureus. 2023 Mar 18;15(3):e36330. doi: 10.7759/cureus.36330. eCollection 2023 Mar.
In the present study, we evaluated the role of portable chest radiographs in critically ill patients with COVID-19 pneumonia in whom computed tomography (CT) of the chest was not feasible.
A retrospective chest X-ray study of patients under investigation for COVID-19 was performed in our dedicated COVID hospital (DCH) during the exponential growth phase of the COVID-19 outbreak (August-October, 2020). A total of 562 on-bed chest radiographs were examined comprising 289 patients (critically ill who couldn't be mobilized for CT) along with positive reverse transcription-polymerase chain reaction (RT-PCR) tests. We categorized each chest radiograph as progressive, with changes, or improvement in appearance for COVID-19, utilizing well-documented COVID-19 imaging patterns.
In our study, portable radiographs provided optimum image quality for diagnosing pneumonia, in critically ill patients. Although less informative than CT, nevertheless radiographs detected serious complications like pneumothorax or lung cavitation and estimated the evolution of pneumonia.
A portable chest X-ray is a simple but reliable alternative for critically ill SARS-CoV-2 patients who could not undergo chest CT. With the help of portable chest radiographs, we could monitor the severity of the disease as well as different complications with minimal radiation exposure which would help in identifying the prognosis of the patient and thus help in medical management.
在本研究中，我们评估了便携式胸部X光片在无法进行胸部计算机断层扫描（CT）的新冠肺炎危重症患者中的作用。
在我们的新冠肺炎专科医院（DCH）对处于新冠肺炎疫情指数增长阶段（2020年8月至10月）正在接受新冠肺炎调查的患者进行了一项回顾性胸部X光研究。共检查了562张床旁胸部X光片，包括289例患者（因病情危重无法移动进行CT检查）且逆转录聚合酶链反应（RT-PCR）检测呈阳性。我们利用记录完备的新冠肺炎影像学模式，将每张胸部X光片归类为新冠肺炎表现为进展、有变化或改善。
在我们的研究中，便携式X光片为危重症患者的肺炎诊断提供了最佳图像质量。虽然其信息量不如CT，但X光片能检测到气胸或肺空洞等严重并发症，并评估肺炎的进展情况。
对于无法进行胸部CT检查的危重症新冠病毒患者，便携式胸部X光片是一种简单但可靠的替代方法。借助便携式胸部X光片，我们可以在辐射暴露最小的情况下监测疾病的严重程度以及不同并发症，这将有助于确定患者的预后，从而有助于医疗管理
