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CT appearances, patterns of progression, and follow-up of COVID-19: evaluation on thin-section CT.
Guan, Chun-Shuang; Lv, Zhi-Bin; Li, Jing-Jing; Du, Yan-Ni; Chen, Hui; Cui, Tao; Guo, Ning; Chen, Bu-Dong; Xie, Ru-Ming.
  • Guan CS; Department of Radiology, Beijing Ditan Hospital, Capital Medical University, No. 8 Jingshun East Street, Chaoyang District, Beijing, China.
  • Lv ZB; Department of Radiology, Beijing Ditan Hospital, Capital Medical University, No. 8 Jingshun East Street, Chaoyang District, Beijing, China.
  • Li JJ; Department of Radiology, Beijing Ditan Hospital, Capital Medical University, No. 8 Jingshun East Street, Chaoyang District, Beijing, China.
  • Du YN; Department of Radiology, Beijing Ditan Hospital, Capital Medical University, No. 8 Jingshun East Street, Chaoyang District, Beijing, China.
  • Chen H; Department of Radiology, Beijing Ditan Hospital, Capital Medical University, No. 8 Jingshun East Street, Chaoyang District, Beijing, China.
  • Cui T; Department of Radiology, Beijing Ditan Hospital, Capital Medical University, No. 8 Jingshun East Street, Chaoyang District, Beijing, China.
  • Guo N; Department of Clinical Research, Shukun (Beijing) Technology Co., Ltd., Jinhui Bd, Qiyang Rd, Chaoyang District, Beijing, China.
  • Chen BD; Department of Radiology, Beijing Ditan Hospital, Capital Medical University, No. 8 Jingshun East Street, Chaoyang District, Beijing, China. chenbudong00@126.com.
  • Xie RM; Department of Radiology, Beijing Ditan Hospital, Capital Medical University, No. 8 Jingshun East Street, Chaoyang District, Beijing, China. mingrux1@163.com.
Insights Imaging ; 12(1): 73, 2021 Jun 10.
Article in English | MEDLINE | ID: covidwho-1264192
ABSTRACT

BACKGROUND:

To retrospectively analyze CT appearances and progression pattern of COVID-19 during hospitalization, and analyze imaging findings of follow-up on thin-section CT.

METHODS:

CT findings of 69 patients with COVID-19 were evaluated on initial CT, peak CT, and pre-discharge CT. CT pattern were divided into four types on CT progression. Lesion percentage of pulmonary lobe (lobe score) was graded. Correlation analysis was made between scores and intervals. 53 patients were followed up by CT.

RESULTS:

Among 69 patients, 33.3% exhibited improvement pattern, 65.2% peak pattern, 1.5% deterioration pattern, and 0% fluctuation pattern. The lobe scores were positively correlated with most of intervals. It was more common to observe consolidation, pleural thickening and pleural effusion on the peak CT, and irregular line and reticulation on pre-discharge CT. The peak-initial interval were shortened when the initial CT with consolidation and pleural thickening. The intervals were extended when the irregular lines appeared on peak CT and reticulation on pre-discharge CT. Among 53 follow-up patients, 37.7% showed normal chest CT, and 62.3% showed viral pneumonia remained that mainly included GGO (100.0%) and irregular lines (33.3%).

CONCLUSIONS:

COVID-19 displayed different appearances on CT as progressing. The peak pattern was the most common progression pattern. The CT appearances showed closely related to the intervals. The COVID-19 pneumonia can be remained or completely absorbed on CT with follow-up.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Prognostic study Language: English Journal: Insights Imaging Year: 2021 Document Type: Article Affiliation country: S13244-021-01019-0

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Prognostic study Language: English Journal: Insights Imaging Year: 2021 Document Type: Article Affiliation country: S13244-021-01019-0