CT appearances, patterns of progression, and follow-up of COVID-19: evaluation on thin-section CT

Insights into Imaging

Ning Guo¹  Jing-Jing Li²  Bu-Dong Chen²  Chun-Shuang Guan²  Hui Chen²  Ru-Ming Xie²  Yan-Ni Du²  Tao Cui²  Zhi-Bin Lv² 

[1] Department of Clinical Research, Shukun (Beijing) Technology Co., Ltd., Jinhui Bd, Qiyang Rd, Chaoyang District, Beijing, China;Department of Radiology, Beijing Ditan Hospital, Capital Medical University, No. 8 Jingshun East Street, Chaoyang District, Beijing, China;

关键词: COVID-19;    Pneumonia;    Infectious disease medicine;    Multidetector computed tomography;   

DOI  :  10.1186/s13244-021-01019-0

来源: Springer

【 摘 要 】

BackgroundTo retrospectively analyze CT appearances and progression pattern of COVID-19 during hospitalization, and analyze imaging findings of follow-up on thin-section CT.MethodsCT findings of 69 patients with COVID-19 were evaluated on initial CT, peak CT, and pre-discharge CT. CT pattern were divided into four types on CT progression. Lesion percentage of pulmonary lobe (lobe score) was graded. Correlation analysis was made between scores and intervals. 53 patients were followed up by CT.ResultsAmong 69 patients, 33.3% exhibited improvement pattern, 65.2% peak pattern, 1.5% deterioration pattern, and 0% fluctuation pattern. The lobe scores were positively correlated with most of intervals. It was more common to observe consolidation, pleural thickening and pleural effusion on the peak CT, and irregular line and reticulation on pre-discharge CT. The peak-initial interval were shortened when the initial CT with consolidation and pleural thickening. The intervals were extended when the irregular lines appeared on peak CT and reticulation on pre-discharge CT. Among 53 follow-up patients, 37.7% showed normal chest CT, and 62.3% showed viral pneumonia remained that mainly included GGO (100.0%) and irregular lines (33.3%).ConclusionsCOVID-19 displayed different appearances on CT as progressing. The peak pattern was the most common progression pattern. The CT appearances showed closely related to the intervals. The COVID-19 pneumonia can be remained or completely absorbed on CT with follow-up.

【 授权许可】

CC BY