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Chest CT in COVID-19: What the Radiologist Needs to Know

Chest CT has a potential role in the diagnosis, detection of complications, and prognostication of coronavirus disease 2019 (COVID-19). Implementation of appropriate precautionary safety measures, chest CT protocol optimization, and a standardized reporting system based on the pulmonary findings in...

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Autores principales: Kwee, Thomas C., Kwee, Robert M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Radiological Society of North America 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7587296/
https://www.ncbi.nlm.nih.gov/pubmed/33095680
http://dx.doi.org/10.1148/rg.2020200159
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author Kwee, Thomas C.
Kwee, Robert M.
author_facet Kwee, Thomas C.
Kwee, Robert M.
author_sort Kwee, Thomas C.
collection PubMed
description Chest CT has a potential role in the diagnosis, detection of complications, and prognostication of coronavirus disease 2019 (COVID-19). Implementation of appropriate precautionary safety measures, chest CT protocol optimization, and a standardized reporting system based on the pulmonary findings in this disease will enhance the clinical utility of chest CT. However, chest CT examinations may lead to both false-negative and false-positive results. Furthermore, the added value of chest CT in diagnostic decision making is dependent on several dynamic variables, most notably available resources (real-time reverse transcription–polymerase chain reaction [RT-PCR] tests, personal protective equipment, CT scanners, hospital and radiology personnel availability, and isolation room capacity) and the prevalence of both COVID-19 and other diseases with overlapping manifestations at chest CT. Chest CT is valuable to detect both alternative diagnoses and complications of COVID-19 (acute respiratory distress syndrome, pulmonary embolism, and heart failure), while its role for prognostication requires further investigation. The authors describe imaging and managing care of patients with COVID-19, with topics including (a) chest CT protocol, (b) chest CT findings of COVID-19 and its complications, (c) the diagnostic accuracy of chest CT and its role in diagnostic decision making and prognostication, and (d) reporting and communicating chest CT findings. The authors also review other specific topics, including the pathophysiology and clinical manifestations of COVID-19, the World Health Organization case definition, the value of performing RT-PCR tests, and the radiology department and personnel impact related to performing chest CT in COVID-19. (©)RSNA, 2020 An earlier incorrect version of this article appeared online and in print. This article was corrected on October 22, 2021.
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spelling pubmed-75872962020-11-06 Chest CT in COVID-19: What the Radiologist Needs to Know Kwee, Thomas C. Kwee, Robert M. Radiographics Chest Imaging Chest CT has a potential role in the diagnosis, detection of complications, and prognostication of coronavirus disease 2019 (COVID-19). Implementation of appropriate precautionary safety measures, chest CT protocol optimization, and a standardized reporting system based on the pulmonary findings in this disease will enhance the clinical utility of chest CT. However, chest CT examinations may lead to both false-negative and false-positive results. Furthermore, the added value of chest CT in diagnostic decision making is dependent on several dynamic variables, most notably available resources (real-time reverse transcription–polymerase chain reaction [RT-PCR] tests, personal protective equipment, CT scanners, hospital and radiology personnel availability, and isolation room capacity) and the prevalence of both COVID-19 and other diseases with overlapping manifestations at chest CT. Chest CT is valuable to detect both alternative diagnoses and complications of COVID-19 (acute respiratory distress syndrome, pulmonary embolism, and heart failure), while its role for prognostication requires further investigation. The authors describe imaging and managing care of patients with COVID-19, with topics including (a) chest CT protocol, (b) chest CT findings of COVID-19 and its complications, (c) the diagnostic accuracy of chest CT and its role in diagnostic decision making and prognostication, and (d) reporting and communicating chest CT findings. The authors also review other specific topics, including the pathophysiology and clinical manifestations of COVID-19, the World Health Organization case definition, the value of performing RT-PCR tests, and the radiology department and personnel impact related to performing chest CT in COVID-19. (©)RSNA, 2020 An earlier incorrect version of this article appeared online and in print. This article was corrected on October 22, 2021. Radiological Society of North America 2020-10-23 /pmc/articles/PMC7587296/ /pubmed/33095680 http://dx.doi.org/10.1148/rg.2020200159 Text en 2020 by the Radiological Society of North America, Inc. This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.
spellingShingle Chest Imaging
Kwee, Thomas C.
Kwee, Robert M.
Chest CT in COVID-19: What the Radiologist Needs to Know
title Chest CT in COVID-19: What the Radiologist Needs to Know
title_full Chest CT in COVID-19: What the Radiologist Needs to Know
title_fullStr Chest CT in COVID-19: What the Radiologist Needs to Know
title_full_unstemmed Chest CT in COVID-19: What the Radiologist Needs to Know
title_short Chest CT in COVID-19: What the Radiologist Needs to Know
title_sort chest ct in covid-19: what the radiologist needs to know
topic Chest Imaging
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7587296/
https://www.ncbi.nlm.nih.gov/pubmed/33095680
http://dx.doi.org/10.1148/rg.2020200159
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