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Updated: Oct 20, 2025

Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
Published on: December 19, 2020
Chest CT abnormalities in COVID-19: a systematic review
Ramy Abou Ghayda1,2, Keum Hwa Lee3, Jae Seok Kim4
1Division of Urology, Brigham and Women's Hospital and Harvard Medical School Boston, MA 02115, USA.
Insights
Chest computed tomography (CT) is crucial for diagnosing coronavirus disease 2019 (COVID-19). This study details common CT findings like vascular enlargement and ground-glass opacity in 3768 patients, aiding in COVID-19 diagnosis.
Area of Science:
- Radiology
- Infectious Diseases
- Pulmonology
Background:
- Computed tomography (CT) of the chest is a primary diagnostic tool for coronavirus disease 2019 (COVID-19).
- Understanding CT findings is vital for assessing disease severity and guiding patient management.
- Previous reviews have not comprehensively compiled radiologic characteristics from extensive case series.
Purpose of the Study:
- To document chest CT findings in patients with confirmed COVID-19.
- To analyze the association between CT findings and clinical severity.
- To provide a comprehensive summary of radiologic characteristics in a large cohort.
Main Methods:
- Systematic literature search of PubMed, MEDLINE, Embase, and Web of Science (up to May 4, 2020).
- Inclusion of 31 case reports comprising 3768 patients with confirmed COVID-19.
- Review of reference lists from previous systematic reviews.
Main Results:
- The most frequent CT findings included vascular enlargement (84.8%), ground-glass opacity (GGO) (60.1%), air-bronchogram (47.8%), and consolidation (41.4%).
- Lung lesions were predominantly peripheral (72.2%) and bilateral (76%).
- Common symptoms were fever (78.7%) and cough (60.2%), with normal white blood cell and lymphocyte counts in most patients.
Conclusions:
- This study provides the first comprehensive summary of chest CT radiologic characteristics in 3768 COVID-19 patients from case series.
- CT findings such as vascular enlargement and GGO are key indicators in COVID-19 diagnosis.
- A comprehensive diagnostic approach incorporating CT is recommended for all suspected and exposed individuals.
Abstract:
Computed tomography (CT) of the chest is one of the main diagnositic tools for coronavirus disease 2019 (COVID-19) infection. To document the chest CT findings in patients with confirmed COVID-19 and their association with the clinical severity, we searched related literatures through PubMed, MEDLINE, Embase, Web of Science (inception to May 4, 2020) and reviewed reference lists of previous systematic reviews. A total of 31 case reports (3768 patients) on CT findings of COVID-19 were included. The most common comorbid conditions were hypertension (18.4%) and diabetes mellitus (8.3%). The most common symptom was fever (78.7%), followed by cough (60.2%). It took an average of 5.6 days from symptom onset to admission. The most common chest CT finding was vascular enlargement (84.8%), followed by ground-glass opacity (GGO) (60.1%), air-bronchogram (47.8%), and consolidation (41.4%). Most lung lesions were located in the lung periphery (72.2%) and involved bilateral lung (76%). Most patients showed normal range of laboratory findings such as white blood cell count (96.4%) and lymphocyte (87.2%). Compared to previous published meta-analyses, our study is the first to summarize the different radiologic characteristics of chest CT in a total of 3768 COVID-19 patients by compiling case series studies. A comprehensive diagnostic approach should be adopted for patients with known COVID-19, suspected cases, and for exposed individuals.
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