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新型冠状病毒肺炎变异株影像指南:CT成像与解读

Pictorial guide for variants of Covid-19: CT imaging and interpretation.

作者信息

Bonito Giacomo, Martinelli Valeria, Vullo Francesco, Basilico Fabrizio, Polito Eleonora, Izzo Antonella, Corso Laura, Ricci Paolo

机构信息

Unit of Emergency Radiology, Policlinico Umberto I Hospital, Sapienza University of Rome, Viale Regina Elena, Rome, Italy.

Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Viale Regina Elena, Rome, Italy.

出版信息

BJR Open. 2022 Oct 5;5(1):20220011. doi: 10.1259/bjro.20220011. eCollection 2023.

Abstract

Typical radiologic images of Covid-19 pneumonia consists in a wide spectrum of chest manifestations, which range from peripheral predominant ground-glass opacities to an organizing pneumonia pattern, with additional features including crazy-paving, consolidations, fibrotic streaks and linear opacities. With variants imaging profile of Covid-19 evolves, producing relatively atypical/indeterminate CT pattern of pulmonary involvement, which overlap with imaging features of a variety of other respiratory diseases, including infections, drug reaction and hypersensitivity pneumonia. Our knowledge of these radiological findings is incomplete and there is a need to strengthen the recognition of the many faces of Covid-19 pneumonia.

摘要

新冠病毒肺炎的典型影像学表现包括广泛的胸部表现,范围从外周为主的磨玻璃影到机化性肺炎模式,其他特征包括铺路石征、实变、纤维条索和线状影。随着新冠病毒变异株影像学特征的演变,会产生相对不典型/不确定的肺部受累CT模式,这与多种其他呼吸道疾病的影像学特征重叠,包括感染、药物反应和过敏性肺炎。我们对这些影像学表现的了解并不完整,有必要加强对新冠病毒肺炎多种表现的认识。

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