Related Experiment Video
Updated: Oct 5, 2025

Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
Published on: December 19, 2020
HRCT Features Of COVID-19 In Relation To Duration Of Disease
Sajida Shah1, Zainab Malik1, Inamullah Shah2
1Department of Diagnostic Radiology Shifa International Hospital Islamabad, Pakistan.
Insights
High-resolution computed tomography (HRCT) scans show distinct findings based on COVID-19 disease duration. Ground glass opacities are common early, while thickening and reticulation appear later.
Area of Science:
- Radiology
- Infectious Diseases
- Pulmonology
Background:
- Limited detailed descriptions of COVID-19 High-Resolution Computed Tomography (HRCT) findings correlating with disease duration exist.
- Understanding HRCT patterns over time is crucial for accurate COVID-19 diagnosis and management.
- This study addresses the gap by analyzing HRCT findings in relation to the time elapsed since symptom onset.
Purpose of the Study:
- To investigate and compare High-Resolution Computed Tomography (HRCT) scan findings at different time points after the onset of COVID-19 symptoms.
- To identify specific HRCT features associated with early and later stages of the disease.
Main Methods:
- A total of 224 patients with COVID-19 were categorized into four groups based on the number of days since symptom onset.
- All HRCT scans were performed on a single machine over a two-month period.
- Statistical analysis (SPSS 23) was used to compare findings across groups and identify significant differences.
Main Results:
- Ground glass opacities in posterior lung segments were the most frequent finding, significantly associated with the first 5 days of illness (p=.027).
- Interlobular thickening and subpleural reticulation were observed between 3-5 days or later in the disease course (p=.000).
Conclusions:
- Posterior segment ground glass opacities are predominant in HRCT scans within 5 days of COVID-19 symptom onset, also seen in asymptomatic cases.
- Interlobular septal thickening and subpleural reticulation emerge around 3 days into the disease process.
- HRCT findings evolve with disease duration, providing valuable insights into COVID-19 progression.
Background:
Despite the fact that much has been written on various aspects of COVID-19, literature lacks a detailed and accurate description of HRCT findings in relation to the duration of the disease. The aim of this study was to investigate the difference in HRCT scan findings depending on the time after onset of the disease. The objective of the study is to identify and compare findings of HRCT scan at different time points after onset of the disease.
Methods:
A total of 224 patients, scanned over a period of 2 months, were placed in one of the four groups at the time of their scan depending on the days lapsed after their symptoms appeared. All scans were carried out on the same machine. Findings in each group were recorded and compared. A finding showing significant difference between groups indicates its importance in describing the course of the disease. Analysis was done on SPSS 23.
Results:
Ground glass opacities in posterior segments of one or more lobes was the most common feature and had a significant association with first 5 days of the disease (p=.027). Interlobular thickening and subpleural reticulation, are found between 3-5 days or later in the course of the disease (p=.000).
Conclusion:
Ground glass opacities located in posterior segments are the predominant feature in patients who are scanned up to 5 days after their symptoms appear. This feature is the most common in scans done in asymptomatic cases too. Interlobular septal thickening and subpleural reticulation start appearing at 3 days of disease process.
Related Concept Videos
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
COPD: Pathogenesis and Clinical Features
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
Myocarditis II: Clinical Features and Diagnostic Tests
Stages of Infection
Acute Coronary Syndrome III: Diagnostic Studies
Pericarditis II: Clinical Features and Diagnostic Tests

