The role of chest imaging in the diagnosis, management, and monitoring of coronavirus disease 2019 (COVID-19)

Insights into Imaging

Yusuke Watanabe¹  Yudai Nakai¹  Osamu Abe¹  Masanori Ishida¹  Wataru Gonoi¹  Shohei Inui²  Akira Fujikawa³  Keita Sakurai⁴  Ryo Kurokawa⁵ 

[1] Department of Radiology, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan;Department of Radiology, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan;Department of Radiology, Japan Self-Defense Forces Central Hospital, 1-2-24, Ikejiri, Setagaya-ku, 154-0001, Tokyo, Japan;Department of Radiology, Japan Self-Defense Forces Central Hospital, 1-2-24, Ikejiri, Setagaya-ku, 154-0001, Tokyo, Japan;Department of Radiology, National Center for Geriatrics and Gerontology, 7-430, Morioka-cho, 474-8511, Obu, Aichi, Japan;Division of Neuroradiology, Department of Radiology, University of Michigan, 1500 E Medical Center Dr, UH B2, 48109, Ann Arbor, MI, USA;

关键词: SARS-CoV-2;    2019 novel coronavirus;    COVID-19;    CO-RADS;    The RSNA expert consensus statement;   

DOI  :  10.1186/s13244-021-01096-1

来源: Springer

【 摘 要 】

Coronavirus disease 2019 (COVID-19) pandemic has posed a major public health crisis all over the world. The role of chest imaging, especially computed tomography (CT), has evolved during the pandemic paralleling the accumulation of scientific evidence. In the early stage of the pandemic, the performance of chest imaging for COVID-19 has widely been debated especially in the context of comparison to real-time reverse transcription polymerase chain reaction. Current evidence is against the use of chest imaging for routine screening of COVID-19 contrary to the initial expectations. It still has an integral role to play, however, in its work up and staging, especially when assessing complications or disease progression. Chest CT is gold standard imaging modality for COVID-19 pneumonia; in some situations, chest X-ray or ultrasound may be an effective alternative. The most important role of radiologists in this context is to be able to identify those patients at greatest risk of imminent clinical decompensation by learning to stratify cases of COVID-19 on the basis of radiologic imaging in the most efficient and timely fashion possible. The present availability of multiple and more refined CT grading systems and classification is now making this task easier and thereby contributing to the recent improvements achieved in COVID-19 treatment and outcomes. In this article, evidence of chest imaging regarding diagnosis, management and monitoring of COVID-19 will be chronologically reviewed.

【 授权许可】

CC BY