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10.1016/j.ejrad.2020.109092

http://scihub22266oqcxt.onion/10.1016/j.ejrad.2020.109092
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32485335!7250080!32485335
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suck abstract from ncbi


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pmid32485335      Eur+J+Radiol 2020 ; 129 (ä): 109092
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  • Diagnostic impact of bedside chest X-ray features of 2019 novel coronavirus in the routine admission at the emergency department: case series from Lombardy region #MMPMID32485335
  • Ippolito D; Pecorelli A; Maino C; Capodaglio C; Mariani I; Giandola T; Gandola D; Bianco I; Ragusi M; Talei Franzesi C; Corso R; Sironi S
  • Eur J Radiol 2020[Aug]; 129 (ä): 109092 PMID32485335show ga
  • PURPOSE: To evaluate the diagnostic accuracy and the imaging features of routine admission chest X-ray in patients suspected for novel Coronavirus 2019 (SARS-CoV-2) infection. METHOD: We retrospectively evaluated clinical and X-ray features in all patients referred to the emergency department for suspected SARS-CoV-2 infection between March 1st and March 13th. A single radiologist with more than 15 years of experience in chest-imaging evaluated the presence and extent of alveolar opacities, reticulations, and/or pleural effusion. The percentage of lung involvement (range <25 % to 75-100 %) was also calculated. We stratified patients in groups according to the time interval between symptoms onset and X-ray imaging ( 5 days) and according to age ( 50 years old). RESULTS: A total of 518 patients were enrolled. Overall 314 patients had negative and 204 had positive RT-PCR results. Lung lesions in patients with SARS-Cov2 pneumonia primarily manifested as alveolar and interstitial opacities and were mainly bilateral (60.8 %). Lung abnormalities were more frequent and more severe by symptom duration and by increasing age. The sensitivity and specificity of chest X-ray at admission in the overall cohort were 57 % (95 % CI?=?47-67) and 89 % (83-94), respectively. Sensitivity was higher for patients with symptom onset > 5 days compared to 50 years old compared to
  • |*Betacoronavirus[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Clinical Laboratory Techniques/methods/*standards[MESH]
  • |Coronavirus Infections/diagnosis/*diagnostic imaging[MESH]
  • |Diagnostic Tests, Routine/methods/standards[MESH]
  • |Dyspnea/diagnostic imaging/virology[MESH]
  • |Emergency Service, Hospital[MESH]
  • |Female[MESH]
  • |Fever/diagnostic imaging/virology[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Italy[MESH]
  • |Lung/diagnostic imaging[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Patient Admission/standards[MESH]
  • |Pleural Effusion/diagnostic imaging/virology[MESH]
  • |Pneumonia, Viral/*diagnostic imaging[MESH]
  • |Point-of-Care Testing/standards[MESH]
  • |Pulmonary Alveoli/diagnostic imaging[MESH]
  • |Radiography[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]
  • |Sensitivity and Specificity[MESH]
  • |Time-to-Treatment[MESH]
  • |Tomography, X-Ray Computed[MESH]
  • |X-Rays[MESH]


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