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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Adv+Radiat+Oncol
2020 ; 5
(4
): 697-699
Nephropedia Template TP
gab.com Text
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Effectiveness of Cone Beam Computed Tomography Imaging During Radiation Therapy
for the Detection of Initial Coronavirus Lung Disease 2019
#MMPMID32395669
Sepulcri M
; Paronetto C
; El Khouzai B
; Novo A
; Aldegheri V
; Scaggion A
; Fusella M
Adv Radiat Oncol
2020[Jul]; 5
(4
): 697-699
PMID32395669
show ga
In this unique historic period afflicted by the severe acute respiratory syndrome
coronavirus-2 (SARS-CoV-2) pandemic, radiation therapy treatments cannot be
delayed or suspended. We report the case of a 73-year-old woman with recently
diagnosed extensive-stage small cell lung cancer with metastatic liver and bone
lesions. A SARS-CoV-2 test was performed upon hospital admission and was
negative. After 5 days she underwent radiation therapy on T6 and T11 with single
fractions of 8 Gy each. Before treatment a cone beam computed tomography (CBCT)
scan was performed to check the setup of the patient. Some suspected lung areas
of ground glass opacities (GGOs) were clearly visible in the CBCT without any
counterpart in the previous computed tomography (CT) simulation scan 3 days
before. A new high-quality chest CT scan confirmed the previously suspected GGOs.
The exam revealed multiple bilateral areas of subpleural GGOs, which are the
primary findings on CT scan in the early phases of coronavirus disease 2019
(COVID-19) lung infection, in addition to pleural effusions, a finding that may
occur as a complication of COVID-19. The patient then urgently repeated the
SARS-CoV-2 test, which was positive and confirmed the infection. In conclusion,
daily CBCT can be effective for early detection of COVID-19 lung disease in
asymptomatic or mildly symptomatic patients.
free
free
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