放射学发现作为COVID-19肺部后果的预测:系统性审查和元分析
Sanam Alilou1, Moein Zangiabadian2, Alireza Pouramini3
1School of Medicine, Iran University of Medical Sciences, Tehran, Iran (S.A.); Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran (S.A.).
Academic radiology
|July 25, 2023
概括
放射学发现,如CT严重性得分,可以预测冠状病毒病19 (COVID-19) 后的长期肺部问题. 在CT扫描中早期整合显著增加了发展肺部残留物的风险.
科学领域:
- 放射学和肺部医学 肺部医学
- 传染性疾病 传染性疾病
- 医学成像分析 医学成像分析
背景情况:
- 冠状病毒后疾病19 (COVID-19) 可能导致肺纤维化和不完全的病变吸收.
- 确定这些长期肺部连续病症的可靠预测因素对于患者管理至关重要.
- 放射学发现越来越多地被认为是它们在COVID-19恢复中的预测潜力.
研究的目的:
- 系统地审查和分析COVID-19后肺纤维化和不完全的病变吸收的放射学预测因素.
- 为了确定与COVID-19感染后长期肺部残留物相关的成像发现.
主要方法:
- 在PubMed,EMBASE和Web of Science的系统文献搜索到2022年11月11日.
- 包括11项涉及1777名COVID-19患者的研究.
- 使用随机效应模型进行元分析,以对放射学预测因子的概率比率进行聚合.
主要成果:
- 胸部计算机断层扫描 (CT) 是主要的成像方式.
- CT严重性评分 (CTSS),肺瘤放射评估 (RALE) 评分和肺超声波评分 (LUS) 是显著的预测因素.
- 在CT上初始整合与肺残留的概率大约高出四倍 (OR:3.830).
结论:
- 放射学发现是COVID-19幸存者的长期肺部后果的重要预测因素.
- CTSS是肺纤维化和死亡风险的关键指标.
- 卢斯和拉尔分数显示出诊断和跟踪肺纤维化和预测死亡率的潜力.
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