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10.1016/j.crad.2020.06.002

http://scihub22266oqcxt.onion/10.1016/j.crad.2020.06.002
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suck abstract from ncbi


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pmid32546365      Clin+Radiol 2020 ; 75 (8): 592-598
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  • Diagnostic utility of additional whole-chest CT as part of an acute abdominal pain CT imaging pathway during the COVID-19 pandemic #MMPMID32546365
  • Hamilton NE; Adam GH; Ifan DL; Lam SS; Johnson K; Vedwan KAG; Shambrook JS; Peebles CR; Harden SP; Abbas A
  • Clin Radiol 2020[Aug]; 75 (8): 592-598 PMID32546365show ga
  • AIM: To evaluate the diagnostic utility of additional whole-chest computed tomography (CT) in identifying otherwise unheralded COVID-19 lung disease as part of an acute abdominal pain CT imaging pathway in response to the COVID-19 pandemic. MATERIALS AND METHODS: Consecutive patients (n=172) who underwent additional whole-chest CT via a COVID-19 acute abdominal pain CT imaging pathway between 27 March and 3 May 2020 were evaluated in this retrospective single-centre study. Chest CT examinations were graded as non-COVID-19, indeterminate for, or classic/probable for COVID-19. CT examinations in the latter two categories were further divided into one of three anatomical distributions (lung base, limited chest [below carina], whole chest [above carina]) based on location of findings. Reverse transcriptase-polymerase chain reaction (RT-PCR) results and clinical features of COVID-19 were assessed to determine if COVID-19 was clinically suspected at the time of CT referral. RESULTS: Twenty-seven of the 172 (15.7%) patients had CT features potentially indicative of COVID-19 pneumonia, 6/27 (3.5%) demonstrating a classic/probable pattern and 21/27 (12.2%) demonstrating an indeterminate pattern. After correlation with clinical features and RT-PCR 8/172 (4.7%) were defined as COVID-19 positive, of which only 1/172 (0.6%) was clinically unsuspected of COVID-19 at the time of CT referral. All COVID-19 positive cases could be identified on review of the lung base alone. CONCLUSION: Whole-chest CT as part of an acute abdominal pain CT imaging pathway has a very low diagnostic yield for our cohort of patients. All COVID-19-positive patients in our cohort were identified on review of the lung bases on the abdominal CT and this offers an alternative imaging approach in this patient group.
  • |*Betacoronavirus[MESH]
  • |Abdominal Pain/*etiology[MESH]
  • |Acute Disease[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*complications/*diagnostic imaging[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*complications/*diagnostic imaging[MESH]
  • |Radiography, Thoracic/*methods[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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