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CT imaging changes of corona virus disease 2019(COVID-19): a multi-center study in Southwest China.
J Transl Med. 2020 04 06; 18(1):154.JT

Abstract

BACKGROUND

Since the first case of a coronavirus disease 2019 (COVID-19) infection pneumonia was detected in Wuhan, China, a series of confirmed cases of the COVID-19 were found in Southwest China. The aim of this study was to describe the imaging manifestations of hospitalized patients with confirmed COVID-19 infection in southwest China.

METHODS

In this retrospective study, data were collected from 131 patients with confirmed coronavirus disease 2019 (COVID-19) from 3 Chinese hospitals. Their common clinical manifestations, as well as characteristics and evolvement features of chest CT images, were analyzed.

RESULTS

A total of 100 (76%) patients had a history of close contact with people living in Wuhan, Hubei. The clinical manifestations of COVID-19 included cough, fever. Most of the lesions identified in chest CT images were multiple lesions of bilateral lungs, lesions were more localized in the peripheral lung, 109 (83%) patients had more than two lobes involved, 20 (15%) patients presented with patchy ground glass opacities, patchy ground glass opacities and consolidation of lesions co-existing in 61 (47%) cases. Complications such as pleural thickening, hydrothorax, pericardial effusion, and enlarged mediastinal lymph nodes were detected but only in rare cases. For the follow-up chest CT examinations (91 cases), We found 66 (73%) cases changed very quickly, with an average of 3.5 days, 25 cases (27%) presented absorbed lesions, progression was observed in 41 cases (46%), 25 (27%) cases showed no significant changes.

CONCLUSION

Chest CT plays an important role in diagnosing COVID-19. The imaging pattern of multifocal peripheral ground glass or mixed consolidation is highly suspicious of COVID-19, that can quickly change over a short period of time.

Authors+Show Affiliations

Department of Radiology, First Affiliated Hospital to Army Medical University, Chongqing, China.Department of Radiology, Three Gorges Central Hospital, Chongqing, China.Department of Radiology, Three Gorges Central Hospital, Chongqing, China.Department of Radiology, Three Gorges Central Hospital, Chongqing, China.Department of Radiology, Hubei Provincial Corps Hospital Chinese People's Armed Police Forces, Wuhan, Hubei, China.Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China.Department of Radiology, Chongqing Wuxi County People's Hospital, Chongqing, China.Department of Radiology, Dianjiang People's Hospital of Chongqing, Chongqing, China.Department of Radiology, First Affiliated Hospital to Army Medical University, Chongqing, China.Department of Radiology, First Affiliated Hospital to Army Medical University, Chongqing, China. liuchen@aifmri.com.Department of Radiology, First Affiliated Hospital to Army Medical University, Chongqing, China. wangjian_811@yahoo.com.

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

32252784

Citation

Li, Xiaoming, et al. "CT Imaging Changes of Corona Virus Disease 2019(COVID-19): a Multi-center Study in Southwest China." Journal of Translational Medicine, vol. 18, no. 1, 2020, p. 154.
Li X, Zeng W, Li X, et al. CT imaging changes of corona virus disease 2019(COVID-19): a multi-center study in Southwest China. J Transl Med. 2020;18(1):154.
Li, X., Zeng, W., Li, X., Chen, H., Shi, L., Li, X., Xiang, H., Cao, Y., Chen, H., Liu, C., & Wang, J. (2020). CT imaging changes of corona virus disease 2019(COVID-19): a multi-center study in Southwest China. Journal of Translational Medicine, 18(1), 154. https://doi.org/10.1186/s12967-020-02324-w
Li X, et al. CT Imaging Changes of Corona Virus Disease 2019(COVID-19): a Multi-center Study in Southwest China. J Transl Med. 2020 04 6;18(1):154. PubMed PMID: 32252784.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - CT imaging changes of corona virus disease 2019(COVID-19): a multi-center study in Southwest China. AU - Li,Xiaoming, AU - Zeng,Wenbing, AU - Li,Xiang, AU - Chen,Haonan, AU - Shi,Linping, AU - Li,Xinghui, AU - Xiang,Hongnian, AU - Cao,Yang, AU - Chen,Hui, AU - Liu,Chen, AU - Wang,Jian, Y1 - 2020/04/06/ PY - 2020/03/08/received PY - 2020/03/28/accepted PY - 2020/4/8/entrez PY - 2020/4/8/pubmed PY - 2020/4/11/medline KW - Computed tomography KW - Coronavirus KW - Evolvement KW - Pneumonia KW - The chest SP - 154 EP - 154 JF - Journal of translational medicine JO - J Transl Med VL - 18 IS - 1 N2 - BACKGROUND: Since the first case of a coronavirus disease 2019 (COVID-19) infection pneumonia was detected in Wuhan, China, a series of confirmed cases of the COVID-19 were found in Southwest China. The aim of this study was to describe the imaging manifestations of hospitalized patients with confirmed COVID-19 infection in southwest China. METHODS: In this retrospective study, data were collected from 131 patients with confirmed coronavirus disease 2019 (COVID-19) from 3 Chinese hospitals. Their common clinical manifestations, as well as characteristics and evolvement features of chest CT images, were analyzed. RESULTS: A total of 100 (76%) patients had a history of close contact with people living in Wuhan, Hubei. The clinical manifestations of COVID-19 included cough, fever. Most of the lesions identified in chest CT images were multiple lesions of bilateral lungs, lesions were more localized in the peripheral lung, 109 (83%) patients had more than two lobes involved, 20 (15%) patients presented with patchy ground glass opacities, patchy ground glass opacities and consolidation of lesions co-existing in 61 (47%) cases. Complications such as pleural thickening, hydrothorax, pericardial effusion, and enlarged mediastinal lymph nodes were detected but only in rare cases. For the follow-up chest CT examinations (91 cases), We found 66 (73%) cases changed very quickly, with an average of 3.5 days, 25 cases (27%) presented absorbed lesions, progression was observed in 41 cases (46%), 25 (27%) cases showed no significant changes. CONCLUSION: Chest CT plays an important role in diagnosing COVID-19. The imaging pattern of multifocal peripheral ground glass or mixed consolidation is highly suspicious of COVID-19, that can quickly change over a short period of time. SN - 1479-5876 UR - https://www.unboundmedicine.com/medline/citation/32252784/CT_imaging_changes_of_corona_virus_disease_2019_COVID_19_:_a_multi_center_study_in_Southwest_China_ L2 - https://translational-medicine.biomedcentral.com/articles/10.1186/s12967-020-02324-w DB - PRIME DP - Unbound Medicine ER -