在患有COVID 19肺炎住院患者的初始CT胸部表现可以在短期内预测结果吗?
Eman F Dola1, Osama Lamie Nakhla2, Mona Gamalludin Alkaphoury1
1Radiology Department, Faculty of Medicine, Ain Shams University.
Medicine
|June 23, 2023
概括
胸部计算机断层扫描 (CT) 的发现可以预测COVID-19患者的结果. 奥利戈细分的情感表明解决方案,而扩散的结节影暗示回归. 特定的CT特征与纤维化,进展和死亡相关,有助于早期预后.
科学领域:
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- 胸部计算机断层扫描 (CT) 对于监测疾病进展和治疗反应至关重要.
- 识别早期CT指标可以预测COVID-19患者的结果.
研究的目的:
- 为了确定特定的胸部CT表现,预测COVID-19患者的短期结果.
- 为了将最初的CT发现与疾病的解决,回归,纤维化,进展和死亡率相关联.
主要方法:
- 从112名COVID-19阳性患者的胸部CT扫描的回顾性审查.
- 随访CT扫描在入院4至42天后进行分析.
- 结果被分为解决方案,回归,残留纤维化,进展或死亡.
主要成果:
- 奥利戈细分情感是完全CT分辨率的唯一预测因素 (P = .0001).
- 分散的结节影与CT回归有显著的相关性 (P = .039).
- 间歇性加厚预测了残留纤维化 (P = .017),单段性过程预测了进展 (P = .044),扩散性疯狂铺路,多流液和胸外并发症预测了死亡率 (P = .033, .029, .007分别).
结论:
- 最初的胸部CT检测结果对COVID-19患者具有显著的预后价值.
- 早期识别CT模式可以帮助预测疾病结果并优化资源配置.
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