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10.1016/j.acra.2020.07.031

http://scihub22266oqcxt.onion/10.1016/j.acra.2020.07.031
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32773328!7392075!32773328
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suck abstract from ncbi


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pmid32773328      Acad+Radiol 2020 ; 27 (11): 1608-1621
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  • Imaging Findings of SARS-CoV-2 Infection in Pediatrics: A Systematic Review of Coronavirus Disease 2019 (COVID-19) in 850 Patients #MMPMID32773328
  • Katal S; Johnston SK; Johnston JH; Gholamrezanezhad A
  • Acad Radiol 2020[Nov]; 27 (11): 1608-1621 PMID32773328show ga
  • RATIONALE AND OBJECTIVES: Children with COVID-19 seem to have a relatively milder disease and better prognosis; however, severe disease or death could still occur in this age group. Although the knowledge on the clinical and epidemiology of COVID-19 in pediatric patients is being accumulated rapidly, relevant comprehensive review on its radiological manifestations is still lacking. The present article reviews the radiological characteristics of COVID-19 in pediatrics, based on the previous studies. MATERIALS AND METHODS: We conducted a systematic literature search for published articles by using Medline, Scopus, Google Scholar and Embase online databases. All studies describing CT findings of COVID-19 in pediatrics (<18years) were included. RESULTS: A total of 39 studies with 850 pediatric patients were reviewed. 225 (26.5%) of patients had normal CT findings. Ground-glass opacities and consolidations were the most common CT abnormalities (384/625, 61.5%). Other findings were halo sign, interstitial opacities, bronchial wall thickening, and crazy-paving sign. Approximately 55% of patients had unilateral pulmonary findings. Most studies found peripheral and lower-lobe distribution to be a prominent imaging finding. CONCLUSION: Our study showed that imaging findings in children were often milder and more focal than adults, typically as ground-glass opacities and consolidations with unilateral lower-lobe predominance, which have been regressed during the recovery time. A balance must be struck between the risk of radiation and the need for chest CT. If still necessary, low-dose CT is more appropriate in this age group. Albeit, due to the limited number of reported pediatrics with COVID-19, and the lack of consistency in CT descriptors, further work is still needed in this regard.
  • |*Coronavirus[MESH]
  • |*Coronavirus Infections[MESH]
  • |*Pandemics[MESH]
  • |*Pediatrics[MESH]
  • |*Pneumonia, Viral[MESH]
  • |Adult[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Child[MESH]
  • |Humans[MESH]
  • |Lung[MESH]


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