Features of computed tomography in diagnostics COVID-19

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Abstract

COVID-19 (Coronavirus disease-19) is an acute infectious disease caused by the SARS-CoV-2 coronavirus. First identified in Wuhan (China) in December 2019, COVID-19 has spread widely outside of China. High contagiousness, severe clinical course of the disease and a high risk of developing complications leading to death - all this determines COVID-19 as the most pressing problem of the global medical community. Today, not only clinical, laboratory, but also radiodiagnosis of manifestations of pulmonary pathology in COVID-19 deserves special attention. Among the main CT signs of COVID-19 viral pneumonia, the presence of polygonal ground-glass infiltrates is noted. In the course of our study, it was revealed that one of the reasons for the incorrect interpretation of computed tomography images of patients with COVID-19 associated lung lesions was the failure to comply with the research methodology. False-positive scan results based on the results of computed tomography on the presence of ground glass changes in the lung parenchyma may be associated with the impossibility of holding the breath during the study (the patients serious condition and violation of the technique).

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About the authors

V. V Ryazanov

Saint Petersburg Pediatric University Ministry of Health of the Russia

Email: val9126@mail.ru

доктор медицинских наук, доцент

V. P Kutsenko

Saint Petersburg Pediatric University Ministry of Health of the Russia

Email: val9126@mail.ru

кандидат медицинских наук, доцент

S. K Sadykova

Saint Petersburg Pediatric University Ministry of Health of the Russia

Email: val9126@mail.ru

кандидат медицинских наук

S. V Menshikova

Saint Petersburg Pediatric University Ministry of Health of the Russia

Email: val9126@mail.ru

P. V Seliverstov

I.I. Mechnikov North-Western State Medical University Ministry of Health of the Russia

Author for correspondence.
Email: val9126@mail.ru

кандидат медицинских наук, доцент

References

  1. Гаврилов П.В., Лукина О.В., Смольникова У.А. и др. Рентгенологическая семиотика изменений в легких, связанных с новой коронавирусной инфекцией (COVID-19). Лучевая диагностика и терапия. 2020; 11 (2): 29-36. doi: 10.22328/2079-5343-2020-11-2-29-36
  2. Котляров П.М., Сергеев Н.И., Солодкий В.А. и др. Мультиспиральная компьютерная томография в ранней диагностике пневмонии, вызванной SARS-CoV-2. Пульмонология. 2020; 30 (5): 561-8. doi: 10.18093/0869-0189-2020-30-5-561-568
  3. Сперанская А.А. Лучевые проявления новой коронавирусной инфекции COVID-19. Лучевая диагностика и терапия. 2020; 11 (1): 18-26. doi: 10.22328/2079- 5343-2020-11-118-25
  4. Супотницкий М. В. COVID-19: трудный экзамен для человечества. 2-е изд. М.: Русская панорама; СПСЛ, 2022; 256 с.
  5. Супотницкий М. В. Пандемия COVID-19 как индикатор «белых пятен» в эпидемиологии и инфекционной патологии. Вестник войск РХБЗ. 2020; 4 (3): 338-73. doi: 10.35825/2587-5728-2020-4-3-338-373
  6. Терновой С.К., Серова Н.С., Беляев А.С. и др. COVID-19: первые результаты лучевой диагностики в ответе на новый вызов. REJR. 2020; 10 (1): 8-15. doi: 10.21569/2222-74152020-10-1-8-15
  7. Ядренцева С.В., Нуднов Н.В., Гасымов Э.Г. и др. КТ-диагностика осложнений, возникающих при естественном течении и терапии COVID-19. Вестник рентгенологии и радиологии. 2021; 102 (3): 183-95. doi: 10.20862/0042-4676-2021-102-3-183-195
  8. Coronavirus - What Radiologists Need to Know About the COVID-19 Pandemic! URL: https://radiogyan.com/articles/coronavirus-radiology/iimaging-features-of-novel-coronavirus-covid-19-on-ct

Supplementary files

Supplementary Files
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2. Computed tomography of a female patient with a positive polymerase chain reaction test for COVID-19: a – scanning without inspiration breath hold – there are frosted glass type areas that imitate a viral lesion of the lung; the tracheal configuration – semilunar due to the fact that the membranous part of the trachea is not straightened and protrudes into its lumen allowed the absence of inhalation delay to be suspected; б – re-scanning after instructing the female patient (inspiration breath hold) – ground glass areas are not detected

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