最佳实践:国际多社会共识声明,针对COVID-19后CT扫描胸部残留异常
Soon Ho Yoon1, Jeffrey P Kanne2, Kazuto Ashizawa3
1Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea.
Radiology
|July 22, 2025
概括
在COVID-19感染后的CT扫描中,残留的肺部异常是常见的,并且随着时间的推移趋于稳定. 一项新的共识建议使用"COVID-19后残留肺异常"一词进行标准化报告,以避免误诊.
科学领域:
- 放射学 放射学是一门学科.
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 在COVID-19感染后,CT扫描中的残留肺部异常经常被观察到.
- 这些异常可能与持续的呼吸道症状和异常的肺功能测试相关.
- 这些发现的当前术语在出版物中不一致.
研究的目的:
- 建立一种标准化的方法,用于在COVID-19感染后的CT扫描中检测到的残留肺部异常的指示,获取和报告.
- 为放射科医生和临床医生提供明确的指导方针,管理COVID-19后肺部变化的患者.
主要方法:
- 这是一份由来自三个国际协会 (欧洲胸部影像学会,胸部放射学会,亚洲胸部放射学会) 的21名胸部放射学家共同撰写的多社会共识声明.
- 采用两轮调查过程,就关键建议达成共识.
- 建议涵盖患者选择,成像协议和报告标准化术语.
主要成果:
- 胸部CT建议在感染后至少3个月内患有持续或进展性呼吸道症状的患者使用.
- 建议使用低剂量CT协议 (1-3mSv) 进行后续检查.
- 应使用弗莱什纳学会词典作为放射学描述符,并建议使用"COVID-19后残留肺异常"术语,而不是"间歇性肺异常",以避免误诊间歇性肺病.
结论:
- 标准化术语和报告实践对于准确解释和管理COVID-19后残留肺部异常至关重要.
- 这种共识旨在协调放射学实践,并为大量受这些肺部变化影响的患者提供研究便利.
- 遵守这些准则将改善与COVID-19后肺部后果相关的临床护理和研究结果的一致性.
相关概念视频
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
45
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
45
Imaging Studies for Cardiovascular System V: CT
66
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
66
Flail Chest-II
237
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
237
Radiological Investigation I: X-ray and CT
418
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
418
Acute Coronary Syndrome III: Diagnostic Studies
23
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
23
Pneumothorax-II
375
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
375


