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Clinical and computed tomographic (CT) images characteristics in the patients with COVID-19 infection: What should radiologists need to know?
J Xray Sci Technol. 2020; 28(3):369-381.JX

Abstract

OBJECTIVE

To evaluate the clinical and computed tomographic (CT) features in the patients with COVID-19 pneumonia confirmed by the real-time reverse transcriptase polymerase chain reaction (rRT-PCR) amplification of the viral DNA from a sputum sample.

MATERIAL AND METHODS

Clinical information and CT findings of a total of 14 patients with COVID-19 infection (age range, 12-83 years; females 6) were analyzed retrospectively. The clinical information includes the history of exposure, laboratory results, and the symptoms (such as fever, cough, headache, etc.); CT findings of chest include the extension and distribution of lesion, the ground-glass opacity (GGO), consolidation, bronchovascular enlarged, irregular linear appearances, pleural effusion, and lymphadenopathy.

RESULTS

Eight patients had the exposure history for recent travel to Wuhan of Hubei province (8/14, 57%), 6 had the exposure to patients with COVID-19 infection. Significant statistical differences were observed in lymphocyte percentage decreased and C-reactive protein elevated (p = 0.015). Seven patients had fever, 7 had cough, 2 had headache, 3 had fatigue, 1 had body soreness, 3 had diarrhea, and 2 had no obvious symptoms. In chest CT examination, 10 patients were positive (10/14, 71.43%). Among these patients, 9 had lesions involving both lungs (9/10, 90%), 8 had lesions involving 4 to 5 lobes (8/10, 80%). Most of lesions were distributed peripherally and the most significant lesions were observed in the right lower lobe in 9 patients (9/10, 90%). Nodules were observed in 5 patients (5/10, 50%); GGO, consolidation, and bronchovascular enlarged were shown in 9 patients (9/10, 90%); irregular linear appearances were revealed in 7 patients (7/10, 70%); and pleural effusions were exhibited in 2 patients (2/10, 20%). Last, no patients showed lymphadenopathy.

CONCLUSION

There were some typical CT features for diagnosis of COVID-19 pneumonia. The radiologists should know these CT findings and clinical information, which could help for accurate analysis in the patients with 2019 novel coronavirus infection.

Authors+Show Affiliations

Department of Radiology, the Affiliated Hospital of Guizhou Medical University. Guiyang, China.Department of Radiology, the Affiliated Hospital of Guizhou Medical University. Guiyang, China.Department of Radiology, the Affiliated Hospital of Guizhou Medical University. Guiyang, China.Department of Medical Insurance, the Affiliated Hospital of Guizhou Medical University, Guiyang, China.Department of Radiology, the Affiliated Hospital of Guizhou Medical University. Guiyang, China.Department of Radiology, the Affiliated Hospital of Guizhou Medical University. Guiyang, China.Department of Radiology, the Affiliated Hospital of Guizhou Medical University. Guiyang, China.Department of Radiology, the Affiliated Hospital of Guizhou Medical University. Guiyang, China.Department of Electrical and Computer Engineering, College of Engineering, University of Texas, El Paso, TX, USA.Department of Radiology, the Affiliated Hospital of Guizhou Medical University. Guiyang, China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32280076

Citation

Lei, Pinggui, et al. "Clinical and Computed Tomographic (CT) Images Characteristics in the Patients With COVID-19 Infection: what Should Radiologists Need to Know?" Journal of X-ray Science and Technology, vol. 28, no. 3, 2020, pp. 369-381.
Lei P, Huang Z, Liu G, et al. Clinical and computed tomographic (CT) images characteristics in the patients with COVID-19 infection: What should radiologists need to know? J Xray Sci Technol. 2020;28(3):369-381.
Lei, P., Huang, Z., Liu, G., Wang, P., Song, W., Mao, J., Shen, G., Zhou, S., Qian, W., & Jiao, J. (2020). Clinical and computed tomographic (CT) images characteristics in the patients with COVID-19 infection: What should radiologists need to know? Journal of X-ray Science and Technology, 28(3), 369-381. https://doi.org/10.3233/XST-200670
Lei P, et al. Clinical and Computed Tomographic (CT) Images Characteristics in the Patients With COVID-19 Infection: what Should Radiologists Need to Know. J Xray Sci Technol. 2020;28(3):369-381. PubMed PMID: 32280076.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical and computed tomographic (CT) images characteristics in the patients with COVID-19 infection: What should radiologists need to know? AU - Lei,Pinggui, AU - Huang,Zhaoshu, AU - Liu,Guoli, AU - Wang,Pingxian, AU - Song,Wen, AU - Mao,Jujiang, AU - Shen,Guiquan, AU - Zhou,Shi, AU - Qian,Wei, AU - Jiao,Jun, PY - 2020/4/14/pubmed PY - 2020/7/10/medline PY - 2020/4/14/entrez KW - COVID-19 infection KW - Novel coronavirus KW - computed tomographic findings KW - virus pneumonia SP - 369 EP - 381 JF - Journal of X-ray science and technology JO - J Xray Sci Technol VL - 28 IS - 3 N2 - OBJECTIVE: To evaluate the clinical and computed tomographic (CT) features in the patients with COVID-19 pneumonia confirmed by the real-time reverse transcriptase polymerase chain reaction (rRT-PCR) amplification of the viral DNA from a sputum sample. MATERIAL AND METHODS: Clinical information and CT findings of a total of 14 patients with COVID-19 infection (age range, 12-83 years; females 6) were analyzed retrospectively. The clinical information includes the history of exposure, laboratory results, and the symptoms (such as fever, cough, headache, etc.); CT findings of chest include the extension and distribution of lesion, the ground-glass opacity (GGO), consolidation, bronchovascular enlarged, irregular linear appearances, pleural effusion, and lymphadenopathy. RESULTS: Eight patients had the exposure history for recent travel to Wuhan of Hubei province (8/14, 57%), 6 had the exposure to patients with COVID-19 infection. Significant statistical differences were observed in lymphocyte percentage decreased and C-reactive protein elevated (p = 0.015). Seven patients had fever, 7 had cough, 2 had headache, 3 had fatigue, 1 had body soreness, 3 had diarrhea, and 2 had no obvious symptoms. In chest CT examination, 10 patients were positive (10/14, 71.43%). Among these patients, 9 had lesions involving both lungs (9/10, 90%), 8 had lesions involving 4 to 5 lobes (8/10, 80%). Most of lesions were distributed peripherally and the most significant lesions were observed in the right lower lobe in 9 patients (9/10, 90%). Nodules were observed in 5 patients (5/10, 50%); GGO, consolidation, and bronchovascular enlarged were shown in 9 patients (9/10, 90%); irregular linear appearances were revealed in 7 patients (7/10, 70%); and pleural effusions were exhibited in 2 patients (2/10, 20%). Last, no patients showed lymphadenopathy. CONCLUSION: There were some typical CT features for diagnosis of COVID-19 pneumonia. The radiologists should know these CT findings and clinical information, which could help for accurate analysis in the patients with 2019 novel coronavirus infection. SN - 1095-9114 UR - https://www.unboundmedicine.com/medline/citation/32280076/Clinical_and_computed_tomographic__CT__images_characteristics_in_the_patients_with_COVID_19_infection:_What_should_radiologists_need_to_know L2 - https://content.iospress.com/openurl?genre=article&id=doi:10.3233/XST-200670 DB - PRIME DP - Unbound Medicine ER -