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Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
Published on: December 19, 2020
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[COVID-19 Pneumonia].
Kenichiro Kudo1, Eiki Ichihara
1Dept. of Respiratory Medicine, National Hospital Organization Okayama Medical Center.
Gan to Kagaku Ryoho. Cancer & Chemotherapy
|December 21, 2020
Summary
Cancer patients with COVID-19 face higher risks. Differentiating COVID-19 pneumonia from drug-induced lung injury is crucial for safe cancer therapy during the pandemic.
Area of Science:
- Oncology
- Infectious Diseases
- Pulmonology
- Radiology
Background:
- Cancer patients with COVID-19 (Coronavirus Disease 2019) are at increased risk of severe illness and mortality.
- Managing cancer therapy during the COVID-19 pandemic presents significant challenges, requiring careful consideration of infectious risks.
- Pneumonia in cancer patients undergoing treatment necessitates a broad differential diagnosis, including drug-induced lung injury and various infections.
Purpose of the Study:
- To highlight the clinical features and imaging findings of COVID-19 pneumonia in cancer patients.
- To emphasize the importance of distinguishing COVID-19 pneumonia from other causes of pneumonia, particularly drug-induced lung injury.
- To provide guidance on managing cancer treatment during the COVID-19 pandemic.
Main Methods:
- Review of clinical features, including fever, malaise, cough, and dyspnea associated with COVID-19.
- Analysis of characteristic imaging findings, such as bilateral ground-glass opacities and peripheral reticular shadows on CT scans.
- Comprehensive differential diagnosis approach integrating clinical symptoms, patient history, and diagnostic tests.
Main Results:
- COVID-19 pneumonia presents with specific, yet often non-unique, clinical and imaging findings.
- Distinguishing COVID-19 pneumonia from drug-induced lung injury solely on CT findings can be challenging.
- A multidisciplinary approach is essential for accurate diagnosis and appropriate patient management.
Conclusions:
- Accurate differentiation of pneumonia etiologies is critical for optimizing cancer patient care during the COVID-19 pandemic.
- Clinical vigilance and comprehensive diagnostic evaluation are paramount when managing cancer patients with pneumonia in the current epidemic.
- Adherence to infection control measures is vital to minimize SARS-CoV-2 transmission risk in this vulnerable population.
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