Radiological Society of North America Expert Consensus Document on Reporting Chest CT Findings Related to COVID-19: Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA
Radiological Society of North America Expert Consensus Document on Reporting Chest CT Findings Related to COVID-19: Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA
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DOI：
10.1148/ryct.2020200152
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发表时间：
2020-04-01
期刊：
影响因子：
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通讯作者：
Litt, Harold
中科院分区：
文献类型：
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作者：
Simpson, Scott;Kay, Fernando U.;Litt, Harold
目前大多数放射学学会不推荐使用常规CT筛查来识别冠状病毒病19（COVID-19）肺炎。然而，在接受COVID-19调查的人员中进行CT检查的数量有所增加。我们还预计，一些患者会偶然发现可能归因于COVID-19肺炎的发现，这需要放射科医生决定是否将COVID-19作为鉴别诊断的可能性。我们旨在为放射科医生报告可能归因于COVID-19肺炎的CT结果提供指导，包括在应对COVID-19的可能性时减少报告变异性的标准化语言。当流行地区偶然发现COVID-19肺炎的典型或不确定特征时，我们建议联系转诊提供者，讨论病毒感染的可能性。这些偶然发现不一定需要报告为COVID-19肺炎。在这种情况下，使用术语病毒性肺炎可能是一个合理和包容的替代方案。然而，如果在偶然情况下选择使用COVID-19一词，请考虑提供的标准化报告语言。此外，实践模式可能会有所不同，本文件旨在作为指导。建议咨询每个机构的临床同事，以建立共识报告方法。这项专家共识的目标是帮助放射科医生认识到COVID-19肺炎的发现，并帮助他们与其他医疗保健提供者进行沟通，在这一大流行期间协助管理患者。
Routine screening CT for the identification of coronavirus disease 19 (COVID-19) pneumonia is currently not recommended by most radiology societies. However, the number of CT examinations performed in persons under investigation for COVID-19 has increased. We also anticipate that some patients will have incidentally detected findings that could be attributable to COVID-19 pneumonia, requiring radiologists to decide whether or not to mention COVID-19 specifically as a differential diagnostic possibility. We aim to provide guidance to radiologists in reporting CT findings potentially attributable to COVID-19 pneumonia, including standardized language to reduce reporting variability when addressing the possibility of COVID-19. When typical or indeterminate features of COVID-19 pneumonia are present in endemic areas as an incidental finding, we recommend contacting the referring providers to discuss the likelihood of viral infection. These incidental findings do not necessarily need to be reported as COVID-19 pneumonia. In this setting, using the term viral pneumonia can be a reasonable and inclusive alternative. However, if one opts to use the term COVID-19 in the incidental setting, consider the provided standardized reporting language. In addition, practice patterns may vary, and this document is meant to serve as a guide. Consultation with clinical colleagues at each institution is suggested to establish a consensus reporting approach. The goal of this expert consensus is to help radiologists recognize findings of COVID-19 pneumonia and aid their communication with other health care providers, assisting management of patients during this pandemic.