Noninvasive Imaging for Patients with COVID-19 and Acute Chest Pain

Javaid, Awad; Saleh, Yehia; Ahmed, Ahmed Ibrahim; Saad, Jean Michel; Malahfji, Maan; Al-Mallah, Mouaz

doi:10.14797/mdcvj.1040

Cited by 4 publications

(7 citation statements)

References 60 publications

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“…RETROSPECTIVE CASECONTROL STUDY 1 Zulfiya N. Sukmarova� * , 2 Firuza M. Ibragimova�, 3 Alexander A. Baev�, 4 Natalya Yu. Osipova�, 5 Alexander I. Gromov�…”

Section: Pleural and Pericardial Effusion Incidentally Detected On Br...mentioning

confidence: 99%

“…In the 2022 group, at the time of survey, 36% had general inflammatory symptoms in addition to chest pain. In 2022 vs 2019 increase the chance of encountering a pleural effusion (OR 5 [3][4][5][6][7][8]), the volume of effusion (5 [2-11] mm vs 2 [2-5] mm), incidence of pericardial (OR 31 ) and combined effusion (OR 11 ). The detection and the size of effusion of any localization didn't correlate with age.…”

Section: Introductionmentioning

confidence: 99%

“…При этом точная диагностика этиологии симптомов не всегда бывает возможна, кроме того, боль одновременно может быть связана с несколькими патофизиологическими процессами [4,5]. Так как структура острых стационарных и тяжелых случаев данного спектра описаны [3][4][5], было интересно отследить, насколько часто недиагностированное воспаление, ассоциированное с SARS-CоV-2, может коррелировать с атипичной болью в груди в отдаленном периоде у пациентов с легким COVID-19 в анамнезе. Ранее нам удалось выявить большую встречаемость признаков воспаления сердца и плевры среди пациентов кардиолога, обратившихся с болью в грудной клетке спустя 1-4 мес после COVID-19 [1].…”

Section: Introductionunclassified

“…Толщина слоя жидкости в плевральной полости также была больше в группе 2022 г.: 5[2][3][4][5][6][7][8][9][10][11] мм против 2[2][3][4][5] мм в 2019 г. (р=0,0003) (рис.…”

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“…Двусторонний плевральный и сочетанный выпот в плевральную и перикардиальную полости (рис. 5) в 2022 г. выявлялся также чаще по сравнению с исторической контрольной группой, ОШ 6[3][4][5][6][7][8][9][10][11][12][13][14] и 11 соответственно (p<0,0001).Подгруппа имплантов была обследована в среднем через 40 [19-56] мес после операции в 2019 г. и через 29 мес в 2022 г. Выпот любой локализации в подгруппе с имплантами по сравнению с подгруппой без имплантов встречался чаще в 2019 г. (ОШ 3 [1-8], p=0,05), но не в 2022 г.…”

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Pleural and pericardial effusion incidentally detected on breast magnetic resonance imaging in post-COVID-19 patients: retrospective case-control study

Sukmarova

Ибрагимова²,

Baev

et al. 2023

Lučevaâ diagn. ter.

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INTRODUCTION: In recent years we have observed various consequences of systemic hyperinflammation associated with COVID-19, including pericardium and pleura involvement. From 2020 to 2022 an increase in the incidence of effusion into the pleural and pericardial cavities was noted in the numerous of breast MRI studies, which could potentially be associated with the COVID-19 pandemic.OBJECTIVE: To objectify this impression a comparative study was planned, which aimed to analyze the occurrence of pleural and pericardial effusion in groups of patients in 2022 compared with a matched group in 2019 and to describe the structures of the identified changes.MATERIALS AND METHODS: Тhe database of breast MRI studies during 2019 and 2022 was processed, data from 220 women were selected, indicating as a complaint for breast pain at a mammologist’s appointment and COVID-19 transferred in the group 2022. The telephone questionnaire of the 2022nd year patients were conducted about the presence of common symptoms of inflammation. Statistic: Statistical analysis was carried out using the program Statistica 13.5.0.17 TIBCO Inc. Quantitative parameters are presented as median, 5th-95th percentiles. A 2-tailed t-test was used to compare quantitative parameters. Binary data correlations were carried out using a contingency table. RESULTS: Age included 46 [33–66] years old. MRI was performed 105 [21–198] days after COVID-19. In the 2022 group, at the time of survey, 36% had general inflammatory symptoms in addition to chest pain. In 2022 vs 2019 increase the chance of encountering a pleural effusion (OR 5 [3–8]), the volume of effusion (5 [2–11] mm vs 2 [2–5] mm), incidence of pericardial (OR 31 [11–89]) and combined effusion (OR 11 [4–28]). The detection and the size of effusion of any localization didn’t correlate with age. Patients with breast implants during the pandemic years turned to a mammologist after 29 [8–44] months, before the pandemic — after 40 [19–56] months after surgery and tended to more frequent detection of effusion of all localizations and an increase in the volume of seromas. In the majority of MRI protocols, the effusion was not described.DISCUSSION: Our study will help to increase the doctors literacy about the frequency and manifestations of serositis associated with COVID-19 in a group of young, non-comorbid women who had a mild infection on an outpatient basis. The barriers to describing a small effusion on an MRI are its probability in physiological conditions, the absence of specific symptoms at the patient and none request from the attending physician. Considering the possibility that effusion into serous cavities may be a sign of pathology that led to chest pain will allow diagnosticians to describe it even with a small amount and will give the attending physician a support for a differential diagnosis. Findings in patients with breast implants confirm the connection of changes with an infectious trigger, and that there is some initial tension of the immune system, which, with additional external provocation, results in a brighter response.CONCLUSIONS: Effusion into the pleural cavity or pericardium is a common finding in patients who have undergone COVID19, which may reflect systemic inflammatory syndrome and cause chest pain.

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“…RETROSPECTIVE CASECONTROL STUDY 1 Zulfiya N. Sukmarova� * , 2 Firuza M. Ibragimova�, 3 Alexander A. Baev�, 4 Natalya Yu. Osipova�, 5 Alexander I. Gromov�…”

Section: Pleural and Pericardial Effusion Incidentally Detected On Br...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionunclassified

unclassified

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Pleural and pericardial effusion incidentally detected on breast magnetic resonance imaging in post-COVID-19 patients: retrospective case-control study

Sukmarova

Ибрагимова²,

Baev

et al. 2023

Lučevaâ diagn. ter.

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A joint segmentation and classification framework for COVID‐19 infection segmentation and detection from chest CT images

Sakkarai

Valarmathi²

2023

Int J Imaging Syst Tech

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In COVID19 management, CT images are used as noninvasive diagnostic tools for screening and disease monitoring. Segmentation of infections provides valuable visual interpretations in the process of prognosis and decision making. Segmentation of COVID19 infection from chest CT images is challenging due to the presence of multiple infection types and complex morphological patterns. This paper presents a novel multi task learning framework for COVID19 infection segmentation and detection. The proposed model called DB‐YNet, is built on YNet architecture with a dense bottleneck and attention based UNet backbone. This model is trained and tested with standard datasets, demonstrating superior segmentation and classification metrics. It achieves a Dice score of 0.9923 for segmentation, and classification accuracies of 0. 0.9875 and 0.9961 under binary and multi class classifications respectively. In COVID19 triage, DB‐YNet is a promising tool to assist physicians in the early identification of COVID19 infected patients for quick clinical interventions.

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Novel Cardiovascular and Pulmonary Findings in the Noninvasive Ischemic Assessment of Patients With Coronavirus 2019 (COVID-19)

Hamsley,

Pour-Ghaz,

Alkhatib

et al. 2024

Current Problems in Cardiology

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Noninvasive Imaging for Patients with COVID-19 and Acute Chest Pain

Cited by 4 publications

References 60 publications

Pleural and pericardial effusion incidentally detected on breast magnetic resonance imaging in post-COVID-19 patients: retrospective case-control study

Pleural and pericardial effusion incidentally detected on breast magnetic resonance imaging in post-COVID-19 patients: retrospective case-control study

A joint segmentation and classification framework for COVID‐19 infection segmentation and detection from chest CT images

Novel Cardiovascular and Pulmonary Findings in the Noninvasive Ischemic Assessment of Patients With Coronavirus 2019 (COVID-19)

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