Detection of incidental findings on chest CT scans in patients with suspected COVID-19 pneumonia

Dündar, İlyas; Durmaz, Fahri; Çoban, L. T.; Aygün, Gökhan; Yıldız, Reyhan; Akıncı, Muzaffer; Türko, Ensar; Türkoğlu, Saim

doi:10.5505/ejm.2021.26428

Cited by 8 publications

(5 citation statements)

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“…The most prevalent condition affecting bones globally is osteoporosis and it is the most common metabolic bone disease in the elderly (9,10). The condition is generally overlooked, though, which results in underdiagnoses and undertreatment (2,5,11). Even in our study group, patients with normal density were less than two-thirds of the study group.…”

Section: Discussionmentioning

confidence: 61%

The frequency of osteoporosis in the thoracic surgery patient population: An opportunity assessment from thorax computed tomography scans

SUBAŞI

Eren

2023

Anadolu Kliniği Tıp Bilimleri Dergisi

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Aim: To investigate the prevalence of osteoporosis in thoracic surgery patients and highlight the clinical significance for physicians. Methods: Thoracic computed tomographies(CT) of 306 patients were examined for medullary density of T12 vertebra. Hounsfield units (HU) between men and women; under the age of 70 and those who are "70 years and older" groups were compared. To evaluate the diagnostic performance of the age parameter in predicting osteoporosis, ROC analysis, and logistic regression analysis were used. The rib cortical defects identified in this study group and their causes were explained. Results: HUs of 51 subjects (or 16.7%) was less than 110 (osteoporosis); of 177 people (57.8%) was higher than 160 (normal). HU values ranged from 111 to 159 (borderline) for 78 individuals (25.5%). There was no significant difference between males and females. It was discovered that the difference between the population under 70 and the population over 70 was statistically significant (p

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Section: Discussionmentioning

confidence: 61%

The frequency of osteoporosis in the thoracic surgery patient population: An opportunity assessment from thorax computed tomography scans

SUBAŞI

Eren

2023

Anadolu Kliniği Tıp Bilimleri Dergisi

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“…As reported in the study of Dündar et al, CT was used as a screening method in some centers (13). Although CT is not used as a screening tool in patients with clinical suspicion of COVID-19 in our hospital, it has become a frequently used diagnostic aid due to the limited access to RT-PCR tests and the prolonged time required for the test results, especially in the early stages of the pandemic.…”

Section: Resultsmentioning

confidence: 88%

Evaluation of Non-COVID-19 CT Scan Findings Detected on CT Images Performed due to Suspected COVID-19 Pneumonia: A Retrospective Analysis of 6669 Cases

Özdemir,

Turkay,

Atasoy

et al. 2024

Phnx Med J.

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Aim: For about a few years, COVID-19 infection has continued to play a significant role in our lives as a serious threat and concern with the increase in the number of cases. During this pandemic stage, chest CT has been proven to have great importance for rapid and accurate diagnosis and a pivotal role in assisting the clinical management of patients with uncertain clinical scenarios. Material and Methods: The present retrospective study aimed to inform the clinicians who referred chest CT and the radiologists reporting these CTs about the frequency and variety of non-COVID-19 findings in patients who underwent chest CT examination with the suspicion of COVID-19 pneumonia. This retrospective study was approved by our Institutional Ethics Committee. The requirement for written informed consent was waived. Our study included 6669 patients who applied to the emergency room with the suspicion of COVID-19 infection between March 20th and April 20th, 2020. The inclusion criteria were patients who had suspicious symptoms of having COVID-19 infection and/or had close contact with a patient with COVID-19 infection and (ii) patients who underwent chest CT. They evaluated CT scans individually, and all non-COVID-19 findings (NCF) were recorded manually Results: The study population consisted of 6669 consecutive patients (males 55.5% and females 44.5%). The overall mean age was 41.7 years [SD 15.1]. There were incidental non-COVID-19 findings in 3159 (47.4%) patients and none in 3510 (52.6%) patients Conclusions: CT examinations performed in patients with suspected COVID-19 pneumonia should be examined in detail regarding clinically significant findings. It is vital to take necessary precautions in advance regarding pathologies that may be clinically significant regarding appropriate treatment and follow-up planning at the appropriate time. It is crucial that the clues are stated in the radiology report so that the clinician can make appropriate management regarding these pathologies.

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“…Dündar et al, in a retrospective study, investigated 1,540 suspected COVID-19 pneumonia patients who underwent thorax CT scans with a mean age of 41.96 (±17.08) and 2 (0.13%) patients who had a primary lung malignancy. 13 In a prospective screening study by Ronit et al, lung cancer was detected in 3 (0.33%) out of 901 HIV patients whose median age was 50.4 (43.5-59). 14 In another retrospective study by Manser et al, the prevalence of incidental lung cancer in patients dying from natural causes (n=24,708) was 0.34%, while the median age of incidental lung cancer patients was 72 years.…”

Section: Discussionmentioning

confidence: 98%

The Incidental Diagnosis of Lung Cancer Through Chest Tomography During the COVID-19 Pandemic

DÜZKÖPRÜ,

İNANÇ İMAMOĞLU,

ÇILBIR

et al. 2023

J Oncol Sci

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Coronavirus disease-2019 (COVID-19) is caused by severe acute respiratory syndrome-coronavirus-2, which primarily affects the respiratory tract. After emerging in China in late 2019, it was declared a pandemic by the World Health Organization (WHO) on March 11, 2020. 1 As of March 13, 2023, 760,360,956 cases have been reported globally, and 17,042,722 cases in Türkiye were reported until November 27, 2022. 2,3 Reverse transcription-polymerase chain reaction (RT-PCR) is considered the standard diagnostic test for COVID-19 infection. 4 Furthermore, chest computed tomography (CT) is used to assess the severity of lung involvement in the COVID-19 patients with a positive RT-PCR result. However, chest CT can also help in diagnosing and guidance on the treatment for COVID-19 patients with a negative RT-PCR report. 5 Thus, CT scans are increasingly used by emergency departments and outpatient clinics for diagnostic purposes. Moreover, the number of incidental findings has increased due to the enhanced utilization of CT scans during the COVID-19 pandemic. 6 Lung cancer is one of the most frequently diagnosed cancers and a leading cause of cancer-related deaths worldwide. The majority of lung cancer patients have locally advanced or metastatic

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Detection of incidental findings on chest CT scans in patients with suspected COVID-19 pneumonia

Cited by 8 publications

References 0 publications

The frequency of osteoporosis in the thoracic surgery patient population: An opportunity assessment from thorax computed tomography scans

The frequency of osteoporosis in the thoracic surgery patient population: An opportunity assessment from thorax computed tomography scans

Evaluation of Non-COVID-19 CT Scan Findings Detected on CT Images Performed due to Suspected COVID-19 Pneumonia: A Retrospective Analysis of 6669 Cases

The Incidental Diagnosis of Lung Cancer Through Chest Tomography During the COVID-19 Pandemic

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