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Comparison of CT findings of coronavirus disease 2019 (COVID-19) pneumonia caused by different major variants.
Inui, Shohei; Fujikawa, Akira; Gonoi, Wataru; Kawano, Shuichi; Sakurai, Keita; Uchida, Yuto; Ishida, Masanori; Abe, Osamu.
  • Inui S; Department of Radiology, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. shohei.inui.ndmc@gmail.com.
  • Fujikawa A; Department of Radiology, Japan Self-Defense Forces Central Hospital, 1-2-24, Ikejiri, Setagaya-ku, Tokyo, 154-0001, Japan. shohei.inui.ndmc@gmail.com.
  • Gonoi W; Department of Radiology, Japan Self-Defense Forces Central Hospital, 1-2-24, Ikejiri, Setagaya-ku, Tokyo, 154-0001, Japan.
  • Kawano S; Department of Radiology, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
  • Sakurai K; Department of Respiratory Medicine, Japan Self-Defense Forces Central Hospital, 1-2-24, Ikejiri, Setagaya-ku, Tokyo, 154-0001, Japan.
  • Uchida Y; Department of Radiology, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu, Aichi, 474-8511, Japan.
  • Ishida M; Department of Neurology, Graduate School of Medicine, Nagoya City University, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Aichi, 467-8601, Japan.
  • Abe O; Department of Radiology, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Jpn J Radiol ; 40(12): 1246-1256, 2022 Dec.
Article in English | MEDLINE | ID: covidwho-1906494
ABSTRACT

PURPOSE:

To explore the CT findings and pneumonnia progression pattern of the Alpha and Delta variants of SARS-CoV-2 by comparing them with the pre-existing wild type.

METHOD:

In this retrospective comparative study, a total of 392 patients with COVID-19 were included 118 patients with wild type (70 men, 56.8 ± 20.7 years), 137 with Alpha variant (93 men, 49.4 ± 17.0 years), and 137 with Delta variant (94 men, 45.4 ± 12.4). Chest CT evaluation included opacities and repairing changes as well as lesion distribution and laterality. Chest CT severity score was also calculated. These parameters were statistically compared across the variants.

RESULTS:

Ground glass opacity (GGO) with consolidation and repairing changes were more frequent in the order of Delta variant, Alpha variant, and wild type throughout the disease course. Delta variant showed GGO with consolidation more conspicuously than did the other two on days 1-4 (vs. wild type, Bonferroni corrected p = 0.01; vs. Alpha variant, Bonferroni corrected p = 0.003) and days 5-8 (vs. wild type, Bonferroni corrected p < 0.001; vs. Alpha variant, Bonferroni corrected-p = 0.003). Total lung CT severity scores of Delta variant were higher than those of wild type on days 1-4 and 5-8 (Bonferroni corrected p = 0.01 and Bonferroni corrected p = 0.005, respectively) and that of Alpha variant on days 1-4 (Bonferroni corrected p = 0.002). There was no difference in the CT findings between wild type and Alpha variant.

CONCLUSIONS:

Pneumonia progression of Delta variant may be more rapid and severe in the early stage than in the other two.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Topics: Variants Limits: Humans / Male Language: English Journal: Jpn J Radiol Journal subject: Diagnostic Imaging / Radiology / Radiotherapy Year: 2022 Document Type: Article Affiliation country: S11604-022-01301-1

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Topics: Variants Limits: Humans / Male Language: English Journal: Jpn J Radiol Journal subject: Diagnostic Imaging / Radiology / Radiotherapy Year: 2022 Document Type: Article Affiliation country: S11604-022-01301-1