Aim The purpose of this study is to describe the main chest radiological features (CXR) of COVID-19 and correlate them with clinical outcome. Materials and methods This is a retrospective study involving patients with clinical-epidemiological suspect of COVID-19 infection, who performed CXRs at the emergency department (ED) of our University Hospital from March 1 to March 31, 2020. All patients performed RT-PCR nasopharyngeal and throat swab, CXR at the ED and clinical-epidemiological data. RT-PCR results were considered the reference standard. The final outcome was expressed as discharged or hospitalized patients into a medicine department or intensive care unit (ICU). Results Patients that had a RT-PCR positive for COVID-19 infection were 234 in total: 153 males (65.4%) and 81 females (34.6%), with a mean age of 66.04 years (range 18-97 years). Thirteen CXRs were negative for radiological thoracic involvement (5.6%). The following alterations were more commonly observed: 135 patients with lung consolidations (57.7%), 147 (62.8%) with GGO, 55 (23.5%) with nodules and 156 (66.6%) with reticular-nodular opacities. Patients with consolidations and GGO coexistent in the same radiography were 35.5% of total. Peripheral (57.7%) and lower zone distribution (58.5%) were the most common predominance. Moreover, bilateral involvement (69.2%) was most frequent than unilateral one. Baseline CXR sensitivity in our experience is about 67.1%. The most affected patients were especially males in the age group 60-79 years old (45.95%, of which 71.57% males). RALE score was slightly higher in male than in female patients. ANOVA with Games-Howell post hoc showed significant differences of RALE scores for group 1 vs 3 (p < 0.001) and 2 vs 3 (p = 0.001). Inter-reader agreement in assigning RALE score was very good (ICC: 0.92-with 95% confidence interval 0.88-0.95). Conclusion In COVID-19, CXR shows patchy or diffuse reticular-nodular opacities and consolidation, with basal, peripheral and bilateral predominance. In our experience, baseline CXR had a sensitivity of 68.1%. The RALE score can be used in the emergency setting as a quantitative method of the extent of SARS-CoV-2 pneumonia, correlating with an increased risk of ICU admission.
Context. Optical long-baseline interferometry is moving a crucial step forward with the advent of general-user scientific instruments that equip large aperture and hectometric baseline facilities, such as the Very Large Telescope Interferometer (VLTI). Aims. AMBER is one of the VLTI instruments that combines up to three beams with low, moderate and high spectral resolutions in order to provide milli-arcsecond spatial resolution for compact astrophysical sources in the near-infrared wavelength domain. Its main specifications are based on three key programs on young stellar objects, active galactic nuclei central regions, masses, and spectra of hot extra-solar planets. Methods. These key science goals led to scientific specifications, which were used to propose and then validate the instrument concept. AMBER uses single-mode fibers to filter the entrance signal and to reach highly accurate, multiaxial three-beam combination, yielding three baselines and a closure phase, three spectral dispersive elements, and specific self-calibration procedures. Results. The AMBER measurements yield spectrally dispersed calibrated visibilities, color-differential complex visibilities, and a closure phase allows astronomers to contemplate rudimentary imaging and highly accurate visibility and phase differential measurements. AMBER was installed in 2004 at the Paranal Observatory. We describe here the present implementation of the instrument in the configuration with which the astronomical community can access it. Conclusions. After two years of commissioning tests and preliminary observations, AMBER has produced its first refereed publications, allowing assessment of its scientific potential.
Aims. In this paper, we present an innovative data reduction method for single-mode interferometry. It has been specifically developed for the AMBER instrument, the three-beam combiner of the Very Large Telescope Interferometer, but it can be derived for any single-mode interferometer. Methods. The algorithm is based on a direct modelling of the fringes in the detector plane. As such, it requires a preliminary calibration of the instrument in order to obtain the calibration matrix that builds the linear relationship between the interferogram and the interferometric observable, which is the complex visibility. Once the calibration procedure has been performed, the signal processing appears to be a classical least-square determination of a linear inverse problem. From the estimated complex visibility, we derive the squared visibility, the closure phase, and the spectral differential phase. Results. The data reduction procedures have been gathered into the so-called amdlib software, now available for the community, and are presented in this paper. Furthermore, each step in this original algorithm is illustrated and discussed from various on-sky observations conducted with the VLTI, with a focus on the control of the data quality and the effective execution of the data reduction procedures. We point out the present limited performances of the instrument due to VLTI instrumental vibrations which are difficult to calibrate.
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