Thoracic imaging in COVID-19

Thoracic imaging in COVID-19
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DOI:
10.3949/ccjm.87a.ccc032
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发表时间:
2020-08-01
影响因子:
6.1
通讯作者:
Graham, Ruffin
Graham, Ruffin
中科院分区:
医学4区
文献类型:
--
作者:
Yadav, Ruchi;Sahoo, Debasis;Graham, Ruffin

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新型冠状病毒肺炎的典型胸片和CT表现包括双侧、多灶实质混浊(有或无实变的磨玻璃混浊、“疯狂铺路”)。在大多数病例中,混浊主要在周围和肺下区,少数呈圆形形态。然而,这些影像学表现并非COVID-19肺炎的典型症状,在其他病毒和细菌感染以及药物毒性和结缔组织疾病等非感染性原因中也可以看到。大多数放射专业组织和学会建议不要常规筛查CT来诊断或排除COVID-19。
The typical findings of COVID-19 on chest radiography and computed tomography (CT) include bilateral, multifocal parenchymal opacities (ground-glass opacities with or without consolidation, and "crazy paving"). In most cases, the opacities are predominantly in the peripheral and lower lung zones, and several have rounded morphology. However, these imaging findings are not pathognomonic for COVID-19 pneumonia and can be seen in other viral and bacterial infections, as well as with noninfectious causes such as drug toxicity and connective tissue disease. Most radiology professional organizations and societies recommend against routine screening CT to diagnose or exclude COVID-19.