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10.1016/j.ejrad.2020.109017

http://scihub22266oqcxt.onion/10.1016/j.ejrad.2020.109017
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suck abstract from ncbi


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pmid32387924      Eur+J+Radiol 2020 ; 128 (ä): 109017
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  • Early CT features and temporal lung changes in COVID-19 pneumonia in Wuhan, China #MMPMID32387924
  • Hu Q; Guan H; Sun Z; Huang L; Chen C; Ai T; Pan Y; Xia L
  • Eur J Radiol 2020[Jul]; 128 (ä): 109017 PMID32387924show ga
  • PURPOSE: To analyse the high-resolution computed tomography (HRCT) early imaging features and the changing trend of coronavirus disease 2019 (COVID-19) pneumonia. MATERIALS AND METHODS: Forty-six patients with COVID-19 pneumonia who had an isolated lesion on the first positive CT were enrolled in this study. The following parameters were recorded for each lesion: sites, sizes, location (peripheral or central), attenuation (ground-glass opacity or consolidation), and other abnormalities (supply pulmonary artery dilation, air bronchogram, interstitial thickening, etc.). The follow-up CT images were compared with the previous CT scans, and the development of the lesions was evaluated. RESULTS: The lesions tended to be peripheral and subpleural. All the lesions exhibited ground-glass opacity with or without consolidation. A higher proportion of supply pulmonary artery dilation (89.13 % [41/46]) and air bronchogram (69.57 % [32/46]) were found. Other fi ndings included thickening of the intralobular interstitium and a halo sign of ground glass around a solid nodule. Cavitation, calci fi cation or lymphadelopathy were not observed. The reticular patterns were noted from the 14 days after symptoms onset in 7 of 20 patients (45 %). At 22-31 days, the lesions were completely absorbed only in 2 of 7 patients (28.57 %). CONCLUSION: The typical early CT features of COVID-19 pneumonia are ground-glass opacity, and located peripheral or subpleural location, and with supply pulmonary artery dilation. Reticulation was evident after the 2nd week and persisted in half of patients evaluated in 4 weeks after the onset. Long-term follow-up is required to determine whether the reticulation represents irreversible fi brosis.
  • |*Tomography, X-Ray Computed/methods[MESH]
  • |Betacoronavirus/*pathogenicity[MESH]
  • |COVID-19[MESH]
  • |China/epidemiology[MESH]
  • |Coronavirus Infections/*diagnostic imaging/epidemiology/physiopathology/virology[MESH]
  • |Disease Progression[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Lung/*diagnostic imaging/*pathology/physiopathology/virology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnostic imaging/epidemiology/physiopathology/virology[MESH]


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