nach oben

Emergency Radiology

Erschienen in:

30.01.2021 | COVID-19 | Pictorial Essay Zur Zeit gratis

COVID-19 pneumonia—ultrasound, radiographic, and computed tomography findings: a comprehensive pictorial essay

verfasst von: Michaela Cellina, Carlo Martinenghi, Pietro Marino, Giancarlo Oliva

Erschienen in: Emergency Radiology | Ausgabe 3/2021

Einloggen, um Zugang zu erhalten

Abstract

Ultrasound, chest X-ray, and computed tomography (CT) have been used with excellent results in diagnosis, first assessment, and follow-up of COVID-19 confirmed and suspected patients. Ultrasound and chest X-ray have the advantages of the wide availability and acquisition at the patient’s bed; CT showed high sensitivity in COVID-19 diagnosis. Ground-glass opacities and consolidation are the main CT and X-ray features; the distribution of lung abnormalities is typically bilateral and peripheral. Less typical findings, including pleural effusion, mediastinal lymphadenopathies, the bubble air sign, and cavitation, can also be visible on chest CT. Radiologists should be aware of the advantages and limitations of the available imaging techniques and of the different pulmonary aspects of COVID-19 infection.

Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, Zhao X, Huang B, Shi W, Lu R, Niu P, Zhan F, Ma X, Wang D, Xu W, Wu G, Gao GF, Tan W (2020) China novel coronavirus investigating and research team. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med20;382(8):727-733. https://doi.org/10.1056/NEJMoa2001017

Coronaviridae Study Group of the International Committee on Taxonomy of Viruses (2020) The species Severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2. Nat Microbiol 5(4):536–544. https://doi.org/10.1038/s41564-020-0695-zCrossRef

WHO Coronavirus disease (COVID-19) dashboard. https://covid19.who.int/ accessed November 22

Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, Liu L, Shan H, Lei CL, Hui DSC, Du B, Li LJ, Zeng G, Yuen KY, Chen RC, Tang CL, Wang T, Chen PY, Xiang J, Li SY, Wang JL, Liang ZJ, Peng YX, Wei L, Liu Y, Hu YH, Peng P, Wang JM, Liu JY, Chen Z, Li G, Zheng ZJ, Qiu SQ, Luo J, Ye CJ, Zhu SY, Zhong NS (2020) China medical treatment expert group for Covid-19. Clinical characteristics of coronavirus disease 2019 in China. N Engl J med 30;382(18):1708-1720. https://doi.org/10.1056/NEJMoa2002032

Hu Z, Song C, Xu C, Jin G, Chen Y, Xu X, Ma H, Chen W, Lin Y, Zheng Y, Wang J, Hu Z, Yi Y, Shen H (2020) Clinical characteristics of 24 asymptomatic infections with COVID-19 screened among close contacts in Nanjing, China. Sci China Life Sci 63(5):706–711. https://doi.org/10.1007/s11427-020-1661-4CrossRefPubMed

Vernuccio F, Giambelluca D, Cannella R, Lombardo FP, Panzuto F, Midiri M, Cabassa P (2020) Radiographic and chest CT imaging presentation and follow-up of COVID-19 pneumonia: a multicenter experience from an endemic area. Emerg Radiol 11:1–10. https://doi.org/10.1007/s10140-020-01817-xCrossRef

Rubin GD, Ryerson CJ, Haramati LB, Sverzellati N, Kanne JP, Raoof S, Schluger NW, Volpi A, Yim JJ, Martin IBK, Anderson DJ, Kong C, Altes T, Bush A, Desai SR, Goldin O, Goo JM, Humbert M, Inoue Y, Kauczor HU, Luo F, Mazzone PJ, Prokop M, Remy-Jardin M, Richeldi L, Schaefer-Prokop CM, Tomiyama N, Wells AU, Leung AN (2020) The role of chest imaging in patient management during the COVID-19 pandemic: a multinational consensus statement from the Fleischner society. Radiology 296(1):172–180. https://doi.org/10.1148/radiol.2020201365CrossRefPubMed

Pakray A, Walker D, Figacz A, Kilanowski S, Rhodes C, Doshi S, Coffey M (2020) Imaging evaluation of COVID-19 in the emergency department. Emerg Radiol 27(6):579–588. https://doi.org/10.1007/s10140-020-01787-0CrossRefPubMed

Diagnosis and treatment protocols of COVID-19 infection (trial version 5). The National Health Commission of the People’s Republic of China. http://www.nhc.gov.cn/yzygj/ s7653p/202002/3b09b894ac9b4204a79db5b8912d4440.shtml. Accessed 4 Feb 2020

10.

Sofia S, Boccatonda A, Montanari M, Spampinato M, D'ardes D, Cocco G, Accogli E, Cipollone F, Schiavone C (2020) Thoracic ultrasound and SARS-COVID-19: a pictorial essay. J Ultrasound 23(2):217–221. https://doi.org/10.1007/s40477-020-00458-7CrossRefPubMedPubMedCentral

11.

Allinovi M, Parise A, Giacalone M, Amerio A, Delsante M, Odone A, Franci A, Gigliotti F, Amadasi S, Delmonte D, Parri N, Mangia A (2020) Lung ultrasound may support diagnosis and monitoring of COVID-19 pneumonia. Ultrasound Med Biol 46(11):2908–2917. https://doi.org/10.1016/j.ultrasmedbio.2020.07.018CrossRefPubMedPubMedCentral

12.

Wong HYF, Lam HYS, Fong AH, Leung ST, Chin TW, Lo CSY, Lui MM, Lee JCY, Chiu KW, Chung TW, Lee EYP, Wan EYF, Hung IFN, Lam TPW, Kuo MD, Ng MY (2020) Frequency and distribution of chest radiographic findings in patients positive for COVID-19. Radiology 296(2):E72–E78. https://doi.org/10.1148/radiol.2020201160CrossRefPubMed

13.

ACR Recommendations for the use of chest radiography and computed tomography (CT) for suspected COVID-19 infection | American College of Radiology. https://www.acr.org/Advocacy-and-Economics/ACR-Position-Statements/Recommendations-for-Chest-Radiography-and-CT-for-Suspected-COVID19-Infection, accessed March 11, 2020

14.

Orsi MA, Oliva G, Toluian T, Valenti Pittino C, Panzeri M, Cellina M (2020) Feasibility, reproducibility, and clinical validity of a quantitative chest X-ray assessment for COVID-19. Am J Trop Med Hyg 103(2):822–827. https://doi.org/10.4269/ajtmh.20-0535CrossRefPubMedPubMedCentral

15.

Rodrigues JCL, Hare SS, Edey A, Devaraj A, Jacob J, Johnstone A, McStay R, Nair A, Robinson G (2020) An update on COVID-19 for the radiologist - a British society of thoracic imaging statement. Clin Radiol 75(5):323–325. https://doi.org/10.1016/j.crad.2020.03.003CrossRefPubMedPubMedCentral

16.

Cellina M, Panzeri M, Oliva G (2020) Chest radiograph features predict a favorable outcome in patients with COVID-19. Radiology 297(1):E238. https://doi.org/10.1148/radiol.2020202326CrossRefPubMedPubMedCentral

17.

Kim HW, Capaccione KM, Li G, Luk L, Widemon RS, Rahman O, Beylergil V, Mitchell R, D'Souza BM, Leb JS, Dumeer S, Bentley-Hibbert S, Liu M, Jambawalikar S, Austin JHM, Salvatore M (2020) The role of initial chest X-ray in triaging patients with suspected COVID-19 during the pandemic. Emerg Radiol 27(6):617–621. https://doi.org/10.1007/s10140-020-01808-yCrossRefPubMed

18.

Li K, Wu J, Wu F, Guo D, Chen L, Fang Z, Li C (2020) The clinical and chest CT features associated with severe and critical COVID-19 pneumonia. Investig Radiol 55(6):327–331. https://doi.org/10.1097/RLI.0000000000000672CrossRef

19.

Selvaraj V, Dapaah-Afriyie K (2020) Lung cavitation due to COVID-19 pneumonia. BMJ Case Rep 13(7):e237245. https://doi.org/10.1136/bcr-2020-237245CrossRefPubMedPubMedCentral

20.

Salehi S, Abedi A, Balakrishnan S, Gholamrezanezhad A (2020) Coronavirus disease 2019 (COVID-19): a systematic review of imaging findings in 919 patients. AJR Am J Roentgenol 215(1):87–93. https://doi.org/10.2214/AJR.20.23034CrossRef

21.

López Vega JM, Parra Gordo ML, Diez Tascón A, Ossaba Vélez S (2020) Pneumomediastinum and spontaneous pneumothorax as an extrapulmonary complication of COVID-19 disease. Emerg Radiol 27(6):727–730. https://doi.org/10.1007/s10140-020-01806-0CrossRefPubMed

22.

Cellina M, Orsi M, Oliva G (2020) How to reorganize the radiology departments to face the 2019 coronavirus disease outbreak. Disaster med public health prep 1-3. https://doi.org/10.1017/dmp.2020.159

23.

Barbosa CS, Chaves GWOG, de Oliveira CV, Bachion GH, Chi CK, Cerri GG, Lima TC, Lee HJ (2020) COVID-19 pneumonia in the emergency department: correlation of initial chest CT findings with short-term outcome. Emerg Radiol 27(6):691–699. https://doi.org/10.1007/s10140-020-01863-5CrossRefPubMed

24.

Pan F, Ye T, Sun P, Gui S, Liang B, Li L, Zheng D, Wang J, Hesketh RL, Yang L, Zheng (2020) Time course of lung changes at chest CT during recovery from coronavirus disease 2019 (COVID-19). Radiology 295(3):715–721. https://doi.org/10.1148/radiol.2020200370CrossRefPubMed

25.

Wu J, Wu X, Zeng W, Guo D, Fang Z, Chen L, Huang H, Li C Chest CT findings in patients with coronavirus disease 2019 And its relationship with clinical features. Investig Radiol 55(5):257–261. https://doi.org/10.1097/RLI.0000000000000670

26.

Hansell DM, Bankier AA, MacMahon H, McLoud TC, Müller NL, Remy J (2008) Fleischner society: glossary of terms for thoracic imaging. Radiology 246(3):697–722. https://doi.org/10.1148/radiol.2462070712CrossRefPubMed

27.

Majidi H, Bani-Mostafavi ES, Mardanshahi Z, Godazandeh F, Ghasemian R, Heydari K, Alizadeh-Navaei R (2020) High-resolution computed tomography finding in 552 patients with symptomatic COVID-19: first report from north of Iran. Emerg Radiol 27(6):633–639. https://doi.org/10.1007/s10140-020-01819-9CrossRefPubMed

28.

Shi H, Han X, Jiang N, Cao Y, Alwalid O, Gu J, Fan Y, Zheng C (2020) Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. Lancet Infect Dis 20(4):425–434. https://doi.org/10.1016/S1473-3099(20)30086-4CrossRefPubMedPubMedCentral

29.

Pan Y, Guan H, Zhou S, Wang Y, Li Q, Zhu T, Hu Q, Xia L (2020) Initial CT findings and temporal changes in patients with the novel coronavirus pneumonia (2019-nCoV): a study of 63 patients in Wuhan, China. Eur Radiol 30(6):3306–3309. https://doi.org/10.1007/s00330-020-06731-xCrossRefPubMed

30.

Colombi D, Villani GD, Maffi G, Risoli C, Bodini FC, Petrini M, Morelli N, Anselmi P, Milanese G, Silva M, Sverzellati N, Michieletti E. Qualitative and quantitative chest CT parameters as predictors of specific mortality in COVID-19 patients. Emerg Radiol 27(6):701–710. https://doi.org/10.1007/s10140-020-01867-1

31.

Ye Z, Zhang Y, Wang Y, Huang Z, Song B (2020) Chest CT manifestations of new coronavirus disease 2019 (COVID-19): a pictorial review. Eur Radiol 30(8):4381–4389. https://doi.org/10.1007/s00330-020-06801-0CrossRefPubMed

32.

Song F, Shi N, Shan F, Zhang Z, Shen J, Lu H, Ling Y, Jiang Y, Shi Y (2020) Emerging 2019 novel coronavirus (2019-nCoV) pneumonia. Radiology 295(1):210–217. https://doi.org/10.1148/radiol.2020200274CrossRefPubMed

33.

Ojha V, Mani A, Pandey NN, Sharma S, Kumar S (2020) CT in coronavirus disease 2019 (COVID-19): a systematic review of chest CT findings in 4410 adult patients. Eur Radiol 30:1–10. https://doi.org/10.1007/s00330-020-06975-7CrossRef

34.

Liu D, Zhang W, Pan F, Li L, Yang L, Zheng D, Wang J, Liang B (2020) The pulmonary sequalae in discharged patients with COVID-19: a short-term observational study. Respir res 24;21(1):125. https://doi.org/10.1186/s12931-020-01385-1

Titel: COVID-19 pneumonia—ultrasound, radiographic, and computed tomography findings: a comprehensive pictorial essay
verfasst von: Michaela Cellina
Carlo Martinenghi
Pietro Marino
Giancarlo Oliva
Publikationsdatum: 30.01.2021
Verlag: Springer International Publishing
Schlagwort: COVID-19
Erschienen in: Emergency Radiology / Ausgabe 3/2021
Print ISSN: 1070-3004
Elektronische ISSN: 1438-1435
DOI: https://doi.org/10.1007/s10140-021-01905-6

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

COVID-19 pneumonia—ultrasound, radiographic, and computed tomography findings: a comprehensive pictorial essay

Abstract

Neu im Fachgebiet Radiologie

Darf man die Behandlung eines Neonazis ablehnen?

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Akuter Schwindel: Wann lohnt sich eine MRT?

Update Radiologie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2021

Renal vein injuries: a 10-year, single institution experience with a rare injury following blunt abdominal trauma

Post-traumatic spinal hematoma in ankylosing spondylitis

Automated processing of social media content for radiologists: applied deep learning to radiological content on twitter during COVID-19 pandemic

Spontaneous bilateral orbital subperiosteal hemorrhage resulting from thoracoabdominal crush injury

Spectrum of lung perfusion changes on dual-energy CT in COVID-19: incremental benefit to conventional CT

Clinical and laboratory parameters in blunt pelvic trauma not associated with subsequent positive conventional angiography in patients with positive CTA

Neu im Fachgebiet Radiologie

Darf man die Behandlung eines Neonazis ablehnen?

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Akuter Schwindel: Wann lohnt sich eine MRT?

Update Radiologie