Current Imaging Trends in COVID-19 Pneumonia

Jha, Anamika; Lohani, B; Ghimire, Ram Kumar

doi:10.31729/jnma.4992

Cited by 3 publications

(4 citation statements)

References 14 publications

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“…16 To decide which imaging modality of choice to be used effectively for COVID-19 imaging diagnosis, many factors should be considered such as mobility of patient, availability, and ease of deep cleaning. 72 A CXR is a critical tool for diagnosing and detecting a COVID-19 pneumonia. 73 In contrast, chest CT was debated as the most accurate and sensitive in detecting COVID-19, at an early stage.…”

Section: Discussionmentioning

confidence: 99%

The Role and Challenges of Clinical Imaging During COVID-19 Outbreak

Alhasan

Hasaneen²

2021

Journal of Diagnostic Medical Sonography

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Objective: The Radiology department played a crucial role in detecting and following up with the COVID-19 disease during the pandemic. The purpose of this review was to highlight and discuss the role of each imaging modality, in the radiology department, that can help in the current pandemic and to determine the challenges faced by staff and how to overcome them. Materials and Methods: A literature search was performed using different databases, including PubMed, Google scholar, and the college electronic library to access 2020 published related articles. Results: A chest computed tomogram (CT) was found to be superior to a chest radiograph, with regards to the early detection of COVID-19. Utilizing lung point of care ultrasound (POCUS) with pediatric patients, demonstrated excellent sensitivity and specificity, compared to a chest radiography. In addition, lung ultrasound (LUS) showed a high correlation with the disease severity assessed with CT. However, magnetic resonance imaging (MRI) has some limiting factors with regard to its clinical utilization, due to signal loss. The reported challenges that the radiology department faced were mainly related to infection control, staff workload, and the training of students. Conclusion: The choice of an imaging modality to provide a COVID-19 diagnosis is debatable. It depends on several factors that should be carefully considered, such as disease stage, mobility of the patient, and ease of applying infection control procedures. The pros and cons of each imaging modality were highlighted, as part of this review. To control the spread of the infection, precautionary measures such as the use of portable radiographic equipment and the use of personal protective equipment (PPE) must be implemented.

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Section: Discussionmentioning

confidence: 99%

The Role and Challenges of Clinical Imaging During COVID-19 Outbreak

Alhasan

Hasaneen²

2021

Journal of Diagnostic Medical Sonography

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“…Total score is 25, for five lobes, each lobe having 5 score according to percentage of involvements(i.e <5% =1,5-25%=2,25-50%=3,50-75%=4 and >75%=5). it was further divided in mild(<9), moderate (9)(10)(11)(12)(13)(14)(15)(16)…”

Section: Methodsmentioning

confidence: 99%

“…CT pulmonary angiography is also performed for case of pulmonary embolism. 10 COVID -19 pandemic second wave was terrifying and subsequents waves are seen less impacting. Due to vaccination and public awareness there is decreased in cases.…”

Section: Introductionmentioning

confidence: 99%

HRCT Chest in Patient of COVID-19 Pneumonia at a tertiary College of Medical Sciences, Bharatpur, Nepal

Acharya

Chhetri

Prasad

et al. 2022

J Coll Med Sci-Nepal

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Background: COVID19 pneumonia is caused by novel corona virus. The HRCT chest is helpful in identification of COVID-19 Pneumonia. CT chest play a crucial role in assessing the pattern of manifestation and severity of lung involvement in COVID-19. The objective of this study is to described high resolution computed tomography (HRCT) chest findings in COVID-19 Pneumonia patients in college of medical sciences Bharatpur Nepal. Method: A prospective, HRCT Chest findings were analaysed in 375 patients. Patients with high CORADS score and suspicious for COVID-19 pneumonia were further tested positive in PCR examination. The study was done for a year period of time Result: A total 375 patients suspected for COVID-19 pneumonia in HRCT, 341 were PCR positive. The mean age affected by viral pneumonia was 51.9 (51-60 year group). The male were 240 and female were 135. Ground glass opacities is noted in 188 patients, followed by GGO and consolidation in 177, consolidations only in 7 and others findings chest findings in 3 patients. Conclusion: HRCT chest can help in early detection of COVID-pneumonia. It can also asses the percentages of lung involvement and severity of disease that can guide physician.

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“…8 CT pulmonary angiography is considered as a diagnostic aid in patients with complications where pulmonary embolism is suspected. 11 Higher lung severity score is associated with altered laboratory tests. Correlation has been seen between altered lymphocytopenia, D-dimer, LDH, CRP and fibrinogen tests and severity of the lungs involvement on chest CT. 12 This study aims to assess the association of deranged laboratory parameters of COVID-19 patients with severity of lung involvement as seen on chest CT.…”

Section: Introductionmentioning

confidence: 99%

Association of laboratory parameters with chest CT findings in COVID-19 patients

Gurung¹,

Baral²,

Koirala³

et al. 2021

Nepal J Obstet Gynaecol

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Aims: To analyze the Chest CT Scan and association of the severity score with the serum biomarkers D- dimer, C-reactive protein (CRP), Lactate dehydrogenase (LDH) and Ferritin levels. Methods: This is a retrospective study done from the database of Department of Radiology and Department of Pathology at Nobel medical college and teaching hospital during the peak of the second wave of the pandemic from 1st April 2021 to 31 st May 2021. Data for the Chest CT scan and lab parameters were analyzed and correlated. Ethical approval was obtained from the Institutional review committee of Nobel Medical College and Teaching Hospital. Descriptive statistical analysis was performed. Results: A total of 263 cases of Chest CT scan were done in 2 months period who were diagnosed as cases of COVID 19. In this study the severity and scores were taken from the database in the Radiology department. The lab parameters like D-dimer, CRP, LDH and Ferritin levels were studied from the database in the lab. Age of the patients ranged from 19 to 89 years with maximum cases 68 (25.8%) seen in the age group of 50-59 years. According to the chest CT Scan the severity score was in between 11-15 in 92 (48.3%) cases. Fifty six cases showed abnormal levels of D-dimer, Ferritin, CRP and LDH. D-dimer was raised in 26 (46.4%), LDH was raised in 48 (87.2%) while Ferritin and CRP was also raised in all 56 cases. Conclusions: There was a positive correlation between the biomarkers and the Chest CT severity score. The severity of the disease with involvement of the lungs can be estimated by correlating with the lab parameters.

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Current Imaging Trends in COVID-19 Pneumonia

Cited by 3 publications

References 14 publications

The Role and Challenges of Clinical Imaging During COVID-19 Outbreak

The Role and Challenges of Clinical Imaging During COVID-19 Outbreak

HRCT Chest in Patient of COVID-19 Pneumonia at a tertiary College of Medical Sciences, Bharatpur, Nepal

Association of laboratory parameters with chest CT findings in COVID-19 patients

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