Mes: abril 2020

Chest CT quantification is a solid early predictor of COVID outcomes

Visual and software-based quantification of well aerated lung parenchyma on admission chest CT were predictors of intensive care unit (ICU) admission or death in patients with COVID-19 pneumonia. Visually assessed well ventilated lung parenchyma on admission on chest CT less than 73% was associated with ICU admission or death. Patients with COVID-19 pneumonia at baseline…
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Computed Tomographic Features and Short-term Prognosis of Coronavirus Disease 2019 (COVID-19) Pneumonia

Consolidation, air-bronchograms, central lung involvement, crazy paving and pleural effusion on initial CT chest have potential prognostic values, the features more commonly observed in critically ill patients. https://pubs.rsna.org/doi/10.1148/ryct.2020200130

The Role of Chest Imaging in Patient Management during the COVID-19 Pandemic

A Multinational Consensus Statement from the Fleischner Society Imaging is not indicated in patients with suspected COVID-19 and mild clinical features unless they are at risk for disease progression. Imaging is indicated in a patient with COVID-19 and worsening respiratory status. In a resource-constrained environment, imaging is indicated for medical triage of patients with suspected…
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In patients suspected of having COVID-19, the initial chest CT showed high sensitivity of 92%, but low specificity of 63% in a recent Chinese retrospective multicenter study.

Coronavirus disease 2019 (COVID-19) is a new viral respiratory disease that has recently emerged from China, becoming a pandemic. However, few studies have analyzed data regarding the clinical performance of chest computed tomography (CT) obtained in subjects with suspected COVID-19 at the initial presentation to medical facilities.The purpose of the present study was to evaluate…
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Patients with fever and low lymphocytes in COVID-19 areas are highly recommended to get low dose chest CT scans.

According to an article in the German Medical Journal “Deutsches Ärzteblatt Jg.117 Heft 14 3. April 2020” the Munich Hospital Rechts der Isar started a new and simple scheme for COVID-19 detection: Patients with a history of fever or temperature >37.3°C / 99.1°F and a lymphocyte count <1,1 G/L get an immediate low-dose chest CT…
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