患有COVID-19的儿童的胸部CT扫描结果:系统性审查
Denisa B Oraya1, Stacey Kaye N Militante1, Leonila F Dans2
1Department of Pediatrics, Philippine General Hospital, University of the Philippines Manila.
Acta medica Philippina
|June 17, 2024
概括
胸部CT扫描显示在儿童中诊断COVID-19的准确性中等. 常见的发现包括地面玻璃的不透明度和巩固,但这些可以模仿其他病毒性疾病.
科学领域:
- 儿科放射学 儿科放射学
- 传染病成像学 传染病成像学
- 在COVID-19诊断中使用的诊断方法.
背景情况:
- 准确诊断儿童的COVID-19对于有效管理至关重要.
- 胸部计算机断层扫描 (CT) 扫描越来越多地用于诊断儿科COVID-19.
- 关于COVID-19儿童胸部CT诊断准确性和特征性发现的证据需要综合.
研究的目的:
- 系统地审查和评估有关胸部CT扫描诊断COVID-19在儿科患者群体的准确性证据.
- 为了识别和总结与儿童COVID-19肺炎相关的典型胸部CT扫描结果.
主要方法:
- 在多个数据库 (MEDLINE,COCHRANE) 和注册表中进行全面的文献搜索.
- 包括观察性研究和使用既有工具评估研究质量.
- 诊断准确度指标和特征性成像发现的系统总结.
主要成果:
- 一项单一的质量差的研究报告了乳房CT的86.0%灵敏度和75.9%的特异性,用于诊断儿科COVID-19.
- 三十九项观察性研究发现,在1028名COVID-19儿童中,有717名儿童的胸部CT检测结果异常.
- 常见的CT发现包括磨砂玻璃不透明度,巩固,下叶和单边肺部参与.
结论:
- 目前关于儿科COVID-19胸部CT精度的证据受到小样本大小和人口异质性的限制.
- 虽然某些CT发现在儿科COVID-19中很常见,但它们不是特定的,并且可以与其他病毒性呼吸道感染重叠.
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