Related Experiment Video
Updated: May 13, 2025
Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
Published on: December 19, 2020
Radiologic analysis of CT imaging patterns and clinical correlations in hospitalized pediatric COVID-19 patients
Mehrnoosh Aghabeygiha1, Seyed Alireza Fahimzad1, Shima Behzad2
1School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Insights
Pediatric COVID-19 patients often show lung complications like consolidation on CT scans. Abnormal imaging findings correlate with severe disease, aiding early detection in children.
Area of Science:
- Pediatric Pulmonology
- Infectious Diseases
- Radiology
Background:
- COVID-19 poses risks to children, including severe pulmonary complications.
- Limited research exists on pediatric COVID-19 pulmonary imaging patterns.
- This study addresses the knowledge gap regarding CT scan findings in children with COVID-19.
Purpose of the Study:
- To investigate the imaging patterns of COVID-19 in pediatric patients in Iran.
- To correlate CT scan findings with clinical severity and prognosis.
- To enhance understanding of pulmonary manifestations in children with COVID-19.
Main Methods:
- Retrospective analysis of hospitalized pediatric COVID-19 patients (March-September 2020).
- Data collection included demographics, clinical history, symptoms, and imaging (CT, X-ray).
- Analysis of CT scan patterns, including lung involvement and CT scores.
Main Results:
- 252 children analyzed; mean age 71 months, 58.3% male.
- Fever (67.4%) was common; 85% had oncological disorders.
- CT scans showed mixed patterns and consolidation as frequent findings, often bilateral.
- Abnormal CT findings were linked to poorer prognosis.
Conclusions:
- Chest CT imaging is crucial for assessing pediatric COVID-19, particularly in severe or comorbid cases.
- Radiological scoring systems integrated with clinical assessment aid in early severity identification.
- Understanding CT patterns improves management and prognosis prediction in pediatric COVID-19.
Background And Objective:
COVID-19 has emerged as a global pandemic affecting individuals of all ages. The disease can lead to severe complications and even death, particularly due to pulmonary involvement. Contrary to popular belief, children can also experience significant complications from COVID-19. To date, there have been limited studies focusing on pulmonary manifestations in pediatric patients with COVID-19. This study aims to investigate the imaging patterns (CT scans) in children diagnosed with COVID-19 in Iran.
Materials And Methods:
This retrospective study analyzed data from hospitalized children with COVID-19 in Tehran from March 2020 to September 2020. Information collected included demographic details (sex and age), previous medical history, clinical manifestations, vital signs at admission, laboratory findings, and imaging results, including CT scan and chest x-ray.
Results:
252 patients were included, with a mean age of 71.2 ± 59.42 months; 58.3% were male. Fever was the most prevalent symptom, occurring in 67.4% of cases. The most common underlying condition was oncological disorders, present in 85% of patients. Notably, 52% required admission to the ICU, and 1.8% needed intubation. CT scans revealed that the most frequent lung involvement patterns were mixed patterns and consolidation, with bilateral involvement being the most common. The mean CT score was calculated at 3 ± 4. Abnormal CT findings were associated with a poorer prognosis, and correlations were observed between specific CT findings and clinical manifestations.
Conclusion:
Chest CT manifestations offer valuable insights for assessing pediatric patients with COVID-19, especially in severe cases and those with pre-existing health conditions. Integrating clinical evaluations with radiological scoring systems facilitates early identification of disease severity.
More Related Videos
Related Concept Videos
01:30Radiological Investigation I: X-ray and CT
01:20Imaging Studies for Cardiovascular System III: X-Ray
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
01:10Computed Tomography
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
01:30Radiological Investigation II: MRI and Ventilation Perfusion Scan
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
01:30Pneumonia III: Complications and Assessment
01:13Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...