Klinik Araştırma
Yıl 2023,
Cilt: 6 Sayı: 1, 137 - 142, 28.02.2023
Öz
Kaynakça
- World Health Organization (WHO) coronavirus (COVID-19) Dashboard. Available at: covid19.who.int (accessed 17 June 2022).
- Guan WJ, Ni ZY, Hu Y, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;382(18):1708-1720. doi:10.1056/NEJMoa2002032
- Ai T, Yang Z, Hou H, et al. Correlation of chest CT and RT-PCR testing in coronavirus disease 2019 (COVID-19) in China: a report of 1014 cases. Radiology. 2020;296(2):E32-E40. doi:10.1148/radiol.2020200642
- Li Y, Yao L, Li J, et al. Stability issues of RT-PCR testing of SARS-CoV-2 for hospitalized patients clinically diagnosed with COVID-19. J Med Virol. 2020;92(7):903-908. doi:10.1002/jmv.25786
- Hu Q, Guan H, Sun Z, et al. Early CT features and temporal lung changes in COVID-19 pneumonia in Wuhan, China. Eur J Radiol. 2020;128:109017. doi:10.1016/j.ejrad.2020.109017
- Yoon SH, Lee KH, Kim JY, et al. Chest radiographic and CT findings of the 2019 novel coronavirus disease (COVID-19): analysis of nine patients treated in Korea. Korean J Radiol. 2020;21(4):494-500.
- Chung M, Bernheim A, Mei X, et al. CT imaging features of 2019 novel coronavirus (2019-nCoV). Radiology. 2020;295(1):202-207. doi:10.1148/radiol.2020200230
- Lei J, Li J, Li X, Qi X. CT Imaging of the 2019 Novel Coronavirus (2019-nCoV) Pneumonia. Radiology. 2020;295(1):18. doi:10.1148/radiol.2020200236
- Simpson S, Kay FU, Abbara S, et al. Radiological Society of North America expert consensus statement on reporting chest CT findings related to COVİD-19. Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA. Radiol Cardiothorac Imaging. 2020;2(2):e200152. doi:10.1148/ryct.2020200152
- Yang J, Zheng Y, Gou X, et al. Prevalence of comorbidities and its effects in coronavirus disease 2019 patients: a systematic review and meta-analysis. Int J Infect Dis. 2020;94:91-95. doi:10.1016/j.ijid.2020.03.017
- Guan WJ, Liang WH, Zhao Y, et al. Comorbidity and its impact on 1590 patients with COVID-19 in China: a nationwide analysis. Eur Respir J. 2020;55(5):2000547.
- Hansell DM, Bankier AA, MacMahon H, et al. Fleischner Society: glossary of terms for thoracic imaging. Radiology. 2008;246(3):697-722. doi:10.1148/radiol.2462070712
- Kwee TC, Kwee RM. Chest CT in COVID-19: What the Radiologist Needs to Know. Radiographics. 2020;40(7):1848-1865. doi:10.1148/rg.2020200159
- Ye Z, Zhang Y, Wang Y, Huang Z, Song B. Chest CT manifestations of new coronavirus disease 2019 (COVID-19): a pictorial review. Eur Radiol. 2020;30:4381-4389. doi:10.1007/s00330-020-06801-0
- Li X, Zeng X, Liu B, Yu Y. COVID-19 infection presenting with CT halo sign. Radiol Cardiothorac Imaging. 2020;2(1):e200026. doi:10.1148/ryct.2020200026
- Aydin N, Cihan Ç, Us T, et al. Correlation of Indeterminate Lesions of Covid-19 Pneumonia Detected on Computed Tomography with RT-PCR Results. Curr Med Imaging. 2022;18(8):862-868. doi:10.2174/1573405618666220111095357
- Song F, Shi N, Shan F, et al. Emerging 2019 novel coronavirus (2019-nCoV) pneumonia. Radiology. 2020;295(1):210-217. doi:10.1148/radiol.2020200274
- Li Y, Xia L. Coronavirus disease 2019 (COVID-19): role of chest CT in diagnosis and management. AJR Am J Roentgenol. 2020;214(6):1280-1286. doi:10.2214/AJR.20.22954
- Zhao W, Zhong Z, Xie X, Yu Q, Liu J. Relation between chest CT findings and clinical conditions of coronavirus disease (COVID-19) pneumonia: a multicenter study. AJR Am J Roentgenol. 2020;214:1072-1077. doi:10.2214/AJR.20.22976
ACİL SERVİSE BAŞVURAN VE COVID-19 PNÖMONİSİ OLAN HASTALARDA BİLGİSAYARLI TOMOGRAFİDEKİ BELİRSİZ LEZYONLARIN DEĞERLENDİRİLMESİ
Öz
Amaç: Belirsiz BT bulguları, acil serviste komorbiditeleri olan hastalarda COVID-19 pnömonisi tanısını zorlaştırabilir ve geciktirebilir. Bu çalışmanın amacı, belirsiz akciğer BT bulgularını analiz etmek ve COVID-19 pnömonisi için tanısal olabilecek RT-PCR pozitif ve negatif hastalarda prediktif özellikleri ayırt etmektir.
Yöntem: Bu kesitsel çalışmada, BT raporlarında belirsiz olarak tanımlanan lezyonları olan ve COVID-19 pnömonisinden şüphelenilen hastalar retrospektif olarak incelendi. Tüm BT değişkenleri ve komorbiditeler kör olarak kaydedildi. Lezyonlar, RT-PCR pozitif ve negatif hastalar arasında yer, çokluk, konfigürasyon, dağılım ve sınır özellikleri açısından karşılaştırıldı.
Bulgular: Araştırmaya toplam 81 hasta dahil edildi. Hastaların 35'inin (%43,2) RT-PCR testi pozitifken, 46'sının (%56,8) negatifti. RT-PCR negatif hastalarda iyi tanımlanmış merkezi GGO ve tomurcuklu ağaç nodülleri sıklıkla görüldü (sırasıyla p=0,016 ve p=0,027). RT-PCR pozitif hastaların 16'sında (%45,7), RT-PCR negatif hastaların 34'ünde (%73,9) lezyonlar sol alt lob yerleşimliydi (p=0,010). RT-PCR pozitif hastaların %68,6'sında ve negatif hastaların %54,3'ünde non-dependan yerleşim olduğu izlendi. Regresyon analizi sonucuna göre; non-dependan yerleşim varlığı (OR: 4,91, %95 GA: 1,12–20,21) ve tomurcuklanan ağaç nodüllerinin olmaması (OR: 0,15, %95 GA: 0,03–0,78) pozitif RT-PCR test sonucunun bağımsız belirteçleri olarak bulundu.
Sonuç: Akciğerde non-dependan lezyonların görülmesi ve tomurcuklanan ağaç nodüllerinin görülmemesi; pozitif RT-PCR test sonucu ile ilişkili olabilir.
Anahtar Kelimeler
Kaynakça
- World Health Organization (WHO) coronavirus (COVID-19) Dashboard. Available at: covid19.who.int (accessed 17 June 2022).
- Guan WJ, Ni ZY, Hu Y, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;382(18):1708-1720. doi:10.1056/NEJMoa2002032
- Ai T, Yang Z, Hou H, et al. Correlation of chest CT and RT-PCR testing in coronavirus disease 2019 (COVID-19) in China: a report of 1014 cases. Radiology. 2020;296(2):E32-E40. doi:10.1148/radiol.2020200642
- Li Y, Yao L, Li J, et al. Stability issues of RT-PCR testing of SARS-CoV-2 for hospitalized patients clinically diagnosed with COVID-19. J Med Virol. 2020;92(7):903-908. doi:10.1002/jmv.25786
- Hu Q, Guan H, Sun Z, et al. Early CT features and temporal lung changes in COVID-19 pneumonia in Wuhan, China. Eur J Radiol. 2020;128:109017. doi:10.1016/j.ejrad.2020.109017
- Yoon SH, Lee KH, Kim JY, et al. Chest radiographic and CT findings of the 2019 novel coronavirus disease (COVID-19): analysis of nine patients treated in Korea. Korean J Radiol. 2020;21(4):494-500.
- Chung M, Bernheim A, Mei X, et al. CT imaging features of 2019 novel coronavirus (2019-nCoV). Radiology. 2020;295(1):202-207. doi:10.1148/radiol.2020200230
- Lei J, Li J, Li X, Qi X. CT Imaging of the 2019 Novel Coronavirus (2019-nCoV) Pneumonia. Radiology. 2020;295(1):18. doi:10.1148/radiol.2020200236
- Simpson S, Kay FU, Abbara S, et al. Radiological Society of North America expert consensus statement on reporting chest CT findings related to COVİD-19. Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA. Radiol Cardiothorac Imaging. 2020;2(2):e200152. doi:10.1148/ryct.2020200152
- Yang J, Zheng Y, Gou X, et al. Prevalence of comorbidities and its effects in coronavirus disease 2019 patients: a systematic review and meta-analysis. Int J Infect Dis. 2020;94:91-95. doi:10.1016/j.ijid.2020.03.017
- Guan WJ, Liang WH, Zhao Y, et al. Comorbidity and its impact on 1590 patients with COVID-19 in China: a nationwide analysis. Eur Respir J. 2020;55(5):2000547.
- Hansell DM, Bankier AA, MacMahon H, et al. Fleischner Society: glossary of terms for thoracic imaging. Radiology. 2008;246(3):697-722. doi:10.1148/radiol.2462070712
- Kwee TC, Kwee RM. Chest CT in COVID-19: What the Radiologist Needs to Know. Radiographics. 2020;40(7):1848-1865. doi:10.1148/rg.2020200159
- Ye Z, Zhang Y, Wang Y, Huang Z, Song B. Chest CT manifestations of new coronavirus disease 2019 (COVID-19): a pictorial review. Eur Radiol. 2020;30:4381-4389. doi:10.1007/s00330-020-06801-0
- Li X, Zeng X, Liu B, Yu Y. COVID-19 infection presenting with CT halo sign. Radiol Cardiothorac Imaging. 2020;2(1):e200026. doi:10.1148/ryct.2020200026
- Aydin N, Cihan Ç, Us T, et al. Correlation of Indeterminate Lesions of Covid-19 Pneumonia Detected on Computed Tomography with RT-PCR Results. Curr Med Imaging. 2022;18(8):862-868. doi:10.2174/1573405618666220111095357
- Song F, Shi N, Shan F, et al. Emerging 2019 novel coronavirus (2019-nCoV) pneumonia. Radiology. 2020;295(1):210-217. doi:10.1148/radiol.2020200274
- Li Y, Xia L. Coronavirus disease 2019 (COVID-19): role of chest CT in diagnosis and management. AJR Am J Roentgenol. 2020;214(6):1280-1286. doi:10.2214/AJR.20.22954
- Zhao W, Zhong Z, Xie X, Yu Q, Liu J. Relation between chest CT findings and clinical conditions of coronavirus disease (COVID-19) pneumonia: a multicenter study. AJR Am J Roentgenol. 2020;214:1072-1077. doi:10.2214/AJR.20.22976
Toplam 19 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Radyoloji ve Organ Görüntüleme |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 28 Şubat 2023 |
| Gönderilme Tarihi | 5 Aralık 2022 |
| Kabul Tarihi | 6 Şubat 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 6 Sayı: 1 |
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