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SPECT/CT扫描图像用于评估COVID-19肺部并发症:系统性审查
Ana Carolina Coelho-Oliveira1,2, Redha Taiar3, Luelia Teles Jaques-Albuquerque2,4
1Programa de Pós-Graduação em Fisiopatologia Clínica e Experimental, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20551-030, RJ, Brazil.
单光子发射计算机断层扫描 (SPECT) 扫描,特别是带有 perfusion 方法的 SPECT/CT 扫描,在诊断 COVID-19 患者的肺病变和肺栓塞等肺部并发症方面表现有前途. 需要进一步的高质量试验来证实这些发现并指导治疗策略.
科学领域:
- 放射学 放射学是一门学科.
- 核医学就是核医学.
- 肺部病理学 肺部病理学
背景情况:
- 随着COVID-19的流行,人们对肺部并发症的诊断工具产生了兴趣.
- 单光子发射计算机断层扫描 (SPECT) 已成为评估COVID-19患者肺部病变的潜在成像方式.
研究的目的:
- 审查用于COVID-19肺部评估的SPECT成像类型.
- 为了确定在COVID-19患者的SPECT图像中观察到的常见的肺膜病变和 perfusion 异常.
主要方法:
- 对主要数据库 (MEDLINE/PubMed,Embase,Scopus,Web of Science,CINAHL) 的电子搜索进行了系统审查.
- 包括使用SPECT/CT评估COVID-19肺部参与的研究,没有语言限制.
- 两个独立的审稿人对标题,摘要和全文进行了选,以确保资格.
主要成果:
- 八项具有良好的方法质量的研究被纳入了审查.
- 主要使用的SPECT检查是SPECT/CT,Q SPECT/CT和V/Q SPECT.
- 肺栓塞被确定为观察到的最常见的肺部并发症.
结论:
- SPECT/CT,特别是输液技术,为COVID-19患者的肺成像提供了显著的好处.
- 这些成像方法在差异诊断中表现出效率,可以帮助开发个性化治疗策略.
- 建议进行高质量的随机临床试验,以验证这些发现,并进一步阐明SPECT在COVID-19管理中的作用.
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