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Current Respiratory Medicine Reviews

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ISSN (Print): 1573-398X
ISSN (Online): 1875-6387

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Review Article

COVID 19, All a Radiologist Needs to Know: A Narrative Review

Author(s): Farzaneh Shobeirian*

Volume 16, Issue 2, 2020

Page: [84 - 92] Pages: 9

DOI: 10.2174/1573398X16999200727170424

Price: $65

Abstract

Background: Coronaviruses are non-segmented enveloped positive-sense single-strand RNA viruses, and COVID-19 is the seventh known coronavirus, infecting humans.

Objective: As the COVID-19 continued to spread the world wildly, every radiologist or clinician needs to be familiar with its imaging findings.

Methods: In this study, we reviewed available studies to provide a comprehensive statement on COVID-19 imaging findings.

Results: Ground-glass opacities, linear opacities, interlobular septal thickening, consolidation, and Crazy-paving patterns are the most frequent findings in computed tomography (CT) of lungs in patients with COVID-19 pneumonia, which are mostly bilateral, multifocal, and peripheral. Staff needs to follow some rules to reduce infection transmission.

Conclusion: COVID-19 pneumonia is a new global concern that has many unknown features. In this article, the radiologic characteristics of COVID-19 pneumonia are discussed. We also discussed appropriate protective measures that the radiology team should be aware of.

Keywords: COVID-19, lung, radiography, virus, X-ray, computed tomography.

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[1]
aQin C, Liu F, Yen T-C, Lan X. 2020.; bZhu N, Zhang D, Wang W, et al. China novel coronavirus investigating and research team. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020; 382(8): 727-33.
[http://dx.doi.org/10.1056/NEJMoa2001017 ] [PMID: 31978945]
[2]
2020.https://globalbiodefense.com/2020/02/11/who-names-disease-caused-by-new-coronavirus-covid-19/
[3]
Yoon SH, Lee KH, Kim JY, et al. Chest radiographic and CT findings of the 2019 Novel Coronavirus Disease (COVID-19): analysis of nine patients treated in Korea. Korean J Radiol 2020; 21(4): 494-500.
[http://dx.doi.org/10.3348/kjr.2020.0132 ] [PMID: 32100485]
[4]
2020.https://www.nature.com/articles/d41586-020-00154-w
[5]
2020.
[6]
Kooraki S, Hosseiny M, Myers L, Gholamrezanezhad A. Coronavirus (COVID-19) Outbreak: what the Department of Radiology Should Know. J Am Coll Radiol 2020; 17(4): 447-51.
[http://dx.doi.org/10.1016/j.jacr.2020.02.008 ] [PMID: 32092296]
[7]
Bernheim A, Mei X, Huang M, et al. Chest CT Findings in Coronavirus Disease-19 (COVID-19): relationship to duration of infection. Radiology 2020; 295(3)200463
[http://dx.doi.org/10.1148/radiol.2020200463 ] [PMID: 32077789]
[8]
Xiong Y, Sun D, Liu Y, et al. Clinical and high-resolution CT features of the COVID-19 infection: Comparison of the initial and follow-up changes. Invest Radiol 2020; 55(6): 332-9.
[http://dx.doi.org/10.1097/RLI.0000000000000674 ] [PMID: 32134800]
[9]
Sohrabi C, Alsafi Z, O’Neill N, et al. World Health Organization declares Global Emergency: a review of the 2019 Novel Coronavirus (COVID-19). Int J Surg 2020.
[http://dx.doi.org/10.1016/j.ijsu.2020.02.034]
[10]
Kim H. Outbreak of novel coronavirus (COVID-19): What is the role of radiologists?. Springer 2020.
[11]
Xie X, Zhong Z, Zhao W, Zheng C, Wang F, Liu J. Chest CT for typical 2019-nCoV pneumonia: relationship to negative RT-PCR testing. Radiology 2020; •••200343
[http://dx.doi.org/10.1148/radiol.2020200343 ] [PMID: 32049601]
[12]
aKanne JP. 2020.; bWu J, Wu X, Zeng W, et al. Chest CT Findings in Patients With Coronavirus Disease 2019 and Its Relationship With Clinical Features 2020.; cLi K, Wu J, Wu F, et al. The Clinical and Chest CT Features Associated With Severe and Critical COVID-19 Pneumonia. Invest Radiol 2020; 55(6): 327-31.
[http://dx.doi.org/10.1097/RLI.0000000000000672 ] [PMID: 32118615]
[13]
Sun P, Lu X, Xu C, Sun W, Pan B. Understanding of COVID-19 based on current evidence. J Med Virol 2020; 92(6): 548-51.
[http://dx.doi.org/10.1002/jmv.25722 ] [PMID: 32096567]
[14]
Pan F, Ye T, Sun P, et al. Time course of lung changes on chest CT during recovery from 2019 novel coronavirus (COVID-19) pneumonia. Radiology 2020; •••200370
[15]
Hosseiny M, Kooraki S, Gholamrezanezhad A, Reddy S, Myers L. Radiology Perspective of Coronavirus Disease 2019 (COVID-19): Lessons From Severe Acute Respiratory Syndrome and Middle East Respiratory Syndrome. AJR Am J Roentgenol 2020; 214(5): 1078-82.
[http://dx.doi.org/10.2214/AJR.20.22969 ] [PMID: 32108495]
[16]
Lee EYP, Ng M-Y, Khong P-L. COVID-19 pneumonia: what has CT taught us? Lancet Infect Dis 2020; 20(4): 384-5.
[http://dx.doi.org/10.1016/S1473-3099(20)30134-1 ] [PMID: 32105641]
[17]
Kanne JP, Little BP, Chung JH, Elicker BM, Ketai LH. Essentials for Radiologists on COVID-19: An Update-Radiology Scientific Expert Panel. Radiology 2020; •••200527
[http://dx.doi.org/10.1148/radiol.2020200527 ] [PMID: 32105562]
[18]
Pan Y, Guan H. Clinical and computed tomographic imaging features of novel coronavirus pneumonia caused by SARS-CoV-2. J Infect 2020; 80(4): 394-400.
[http://dx.doi.org/10.1016/j.jinf.2020.02.017 ] [PMID: 32109443]
[19]
Jin Y-H, Cai L, Cheng Z-S, et al. A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version). Mil Med Res 2020; 7(1): 4.
[http://dx.doi.org/10.1186/s40779-020-0233-6 ] [PMID: 32029004]
[20]
Chung M, Bernheim A, Mei X, et al. CT imaging features of 2019 novel coronavirus (2019-nCoV). Radiology 2020; 295(1): 202-7.
[http://dx.doi.org/10.1148/radiol.2020200230 ] [PMID: 32017661]
[21]
Zhao W, Zhong Z, Xie X, Yu Q, Liu J. Relation Between Chest CT Findings and Clinical Conditions of Coronavirus Disease (COVID-19) Pneumonia: A Multicenter Study. AJR Am J Roentgenol 2020; 214(5): 1072-7.
[http://dx.doi.org/10.2214/AJR.20.22976 ] [PMID: 32125873]
[22]
Xu X, Yu C, Qu J, et al. Imaging and clinical features of patients with 2019 novel coronavirus SARS-CoV-2. Eur J Nucl Med Mol Imaging 2020; 47(5): 1275-80.
[http://dx.doi.org/10.1007/s00259-020-04735-9 ] [PMID: 32107577]
[23]
Shi H, Han X, Jiang N, et al. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. Lancet Infect Dis 2020; 20(4): 425-34.
[http://dx.doi.org/10.1016/S1473-3099(20)30086-4 ] [PMID: 32105637]
[24]
Zhou S, Wang Y, Zhu T, Xia L. CT Features of Coronavirus Disease 2019 (COVID-19) Pneumonia in 62 Patients in Wuhan, China. AJR Am J Roentgenol 2020; 214(6): 1287-94.
[http://dx.doi.org/10.2214/AJR.20.22975 ] [PMID: 32134681]
[25]
Zhu Y, Liu Y-L, Li Z-P, et al. Clinical and CT imaging features of 2019 novel coronavirus disease (COVID-19). J Infect 2020.
[http://dx.doi.org/10.1016/j.jinf.2020.03.033]
[26]
Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020; 395(10223): 507-13.
[http://dx.doi.org/10.1016/S0140-6736(20)30211-7 ] [PMID: 32007143]
[27]
Pan Y, Guan H, Zhou S, et al. Initial CT findings and temporal changes in patients with the novel coronavirus pneumonia (2019-nCoV): a study of 63 patients in Wuhan, China. Eur Radiol 2020; 30(6): 3306-9.
[http://dx.doi.org/10.1007/s00330-020-06731-x ] [PMID: 32055945]
[28]
Albarello F, Pianura E, Di Stefano F, et al. 2019.
[29]
aDuan YN, Qin J. 2020.; bZhou C, Gao C, Xie Y, Xu M. COVID-19 with spontaneous pneumomediastinum. Lancet Infect Dis 2020; 20(4): 510.
[http://dx.doi.org/10.1016/S1473-3099(20)30156-0 ] [PMID: 32164830]
[30]
Dai WC, Zhang HW, Yu J, et al. CT imaging and differential diagnosis of COVID-19. Can Assoc Radiol J 2020; 71(2): 195-200.
[http://dx.doi.org/10.1177/0846537120913033 ] [PMID: 32129670]
[31]
Fang Y, Zhang H, Xie J, et al. Sensitivity of Chest CT for COVID-19: Comparison to RT-PCR. Radiology 2020; •••200432
[http://dx.doi.org/10.1148/radiol.2020200432 ] [PMID: 32073353]
[32]
Yang W, Yan F. Patients with RT-PCR-confirmed COVID-19 and Normal Chest CT. Radiology 2020; 295(2)E3
[http://dx.doi.org/10.1148/radiol.2020200702 ] [PMID: 32142398]
[33]
Mirza SK, Tragon TR, Fukui MB, Hartman MS, Hartman AL. Microbiology for radiologists: how to minimize infection transmission in the radiology department. Radiographics 2015; 35(4): 1231-44.
[http://dx.doi.org/10.1148/rg.2015140034 ] [PMID: 26046943]
[34]
Seto WH, Tsang D, Yung RW, et al. Effectiveness of precautions against droplets and contact in prevention of nosocomial transmission of severe acute respiratory syndrome (SARS). Lancet 2003; 361(9368): 1519-20.
[http://dx.doi.org/10.1016/S0140-6736(03)13168-6 ] [PMID: 12737864]
[35]
Zhang H-W, Yu J, Xu H-J, et al. Corona Virus International Public Health Emergencies: Implications for Radiology Management. Acad Radiol 2020; 27(4): 463-7.
[http://dx.doi.org/10.1016/j.acra.2020.02.003 ] [PMID: 32113880]

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