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Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
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[Covid-19 - radiologic and histologic features].

Ann Mari Svensson1, Tomas Hansen2, Sven Nyren3

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Summary
This summary is machine-generated.

This study details the lung imaging and biopsy findings of coronavirus disease (COVID-19). It correlates computed tomography (CT) scans with histopathology, revealing progressive changes from ground-glass opacities to diffuse alveolar damage.

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Area of Science:

  • Pulmonology
  • Radiology
  • Pathology

Background:

  • Coronavirus disease (COVID-19), caused by SARS-CoV-2, presents with diverse pulmonary manifestations.
  • Understanding the radiologic and histologic features is crucial for diagnosis and management.

Purpose of the Study:

  • To describe the current knowledge on radiologic and histologic pulmonary features of COVID-19.
  • To present lung histology from a fatal COVID-19 case.
  • To correlate imaging findings with histopathologic changes.

Main Methods:

  • Review of current literature on COVID-19 pulmonary findings.
  • Presentation of computed tomography (CT) findings.
  • Detailed description of lung histology from a fatal case.

Main Results:

  • Initial CT findings include peripheral, bilateral ground-glass opacities and alveolar edema.
  • Progression shows peripheral consolidations, organizing pneumonia, and potentially reversible fibrosis.
  • Severe cases exhibit thickened interlobular septa and crazy paving patterns, correlating with diffuse alveolar damage (DAD).
  • Histologic DAD features include edema, hyaline membranes, reactive epithelium, inflammation, and fibrosis.

Conclusions:

  • CT findings evolve with disease severity, reflecting underlying histopathologic changes.
  • Peripheral and posterior lung involvement is characteristic.
  • The progression of radiologic findings mirrors the stages of diffuse alveolar damage in severe COVID-19.