The role of chest imaging in the diagnosis, management, and monitoring of coronavirus disease 2019 (COVID-19)

Abstract Coronavirus disease 2019 (COVID-19) pandemic has posed a major public health crisis all over the world. The role of chest imaging, especially computed tomography (CT), has evolved during the pandemic paralleling the accumulation of scientific evidence. In the early stage of the pandemic, th...

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Autores principales: Shohei Inui, Wataru Gonoi, Ryo Kurokawa, Yudai Nakai, Yusuke Watanabe, Keita Sakurai, Masanori Ishida, Akira Fujikawa, Osamu Abe
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spelling oai:doaj.org-article:31287105c61b4b7298cdc7d8428e5c0d2021-11-07T12:14:32ZThe role of chest imaging in the diagnosis, management, and monitoring of coronavirus disease 2019 (COVID-19)10.1186/s13244-021-01096-11869-4101https://doaj.org/article/31287105c61b4b7298cdc7d8428e5c0d2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13244-021-01096-1https://doaj.org/toc/1869-4101Abstract Coronavirus disease 2019 (COVID-19) pandemic has posed a major public health crisis all over the world. The role of chest imaging, especially computed tomography (CT), has evolved during the pandemic paralleling the accumulation of scientific evidence. In the early stage of the pandemic, the performance of chest imaging for COVID-19 has widely been debated especially in the context of comparison to real-time reverse transcription polymerase chain reaction. Current evidence is against the use of chest imaging for routine screening of COVID-19 contrary to the initial expectations. It still has an integral role to play, however, in its work up and staging, especially when assessing complications or disease progression. Chest CT is gold standard imaging modality for COVID-19 pneumonia; in some situations, chest X-ray or ultrasound may be an effective alternative. The most important role of radiologists in this context is to be able to identify those patients at greatest risk of imminent clinical decompensation by learning to stratify cases of COVID-19 on the basis of radiologic imaging in the most efficient and timely fashion possible. The present availability of multiple and more refined CT grading systems and classification is now making this task easier and thereby contributing to the recent improvements achieved in COVID-19 treatment and outcomes. In this article, evidence of chest imaging regarding diagnosis, management and monitoring of COVID-19 will be chronologically reviewed.Shohei InuiWataru GonoiRyo KurokawaYudai NakaiYusuke WatanabeKeita SakuraiMasanori IshidaAkira FujikawaOsamu AbeSpringerOpenarticleSARS-CoV-22019 novel coronavirusCOVID-19CO-RADSThe RSNA expert consensus statementMedical physics. Medical radiology. Nuclear medicineR895-920ENInsights into Imaging, Vol 12, Iss 1, Pp 1-14 (2021)
institution DOAJ
collection DOAJ
language EN
topic SARS-CoV-2
2019 novel coronavirus
COVID-19
CO-RADS
The RSNA expert consensus statement
Medical physics. Medical radiology. Nuclear medicine
R895-920
spellingShingle SARS-CoV-2
2019 novel coronavirus
COVID-19
CO-RADS
The RSNA expert consensus statement
Medical physics. Medical radiology. Nuclear medicine
R895-920
Shohei Inui
Wataru Gonoi
Ryo Kurokawa
Yudai Nakai
Yusuke Watanabe
Keita Sakurai
Masanori Ishida
Akira Fujikawa
Osamu Abe
The role of chest imaging in the diagnosis, management, and monitoring of coronavirus disease 2019 (COVID-19)
description Abstract Coronavirus disease 2019 (COVID-19) pandemic has posed a major public health crisis all over the world. The role of chest imaging, especially computed tomography (CT), has evolved during the pandemic paralleling the accumulation of scientific evidence. In the early stage of the pandemic, the performance of chest imaging for COVID-19 has widely been debated especially in the context of comparison to real-time reverse transcription polymerase chain reaction. Current evidence is against the use of chest imaging for routine screening of COVID-19 contrary to the initial expectations. It still has an integral role to play, however, in its work up and staging, especially when assessing complications or disease progression. Chest CT is gold standard imaging modality for COVID-19 pneumonia; in some situations, chest X-ray or ultrasound may be an effective alternative. The most important role of radiologists in this context is to be able to identify those patients at greatest risk of imminent clinical decompensation by learning to stratify cases of COVID-19 on the basis of radiologic imaging in the most efficient and timely fashion possible. The present availability of multiple and more refined CT grading systems and classification is now making this task easier and thereby contributing to the recent improvements achieved in COVID-19 treatment and outcomes. In this article, evidence of chest imaging regarding diagnosis, management and monitoring of COVID-19 will be chronologically reviewed.
format article
author Shohei Inui
Wataru Gonoi
Ryo Kurokawa
Yudai Nakai
Yusuke Watanabe
Keita Sakurai
Masanori Ishida
Akira Fujikawa
Osamu Abe
author_facet Shohei Inui
Wataru Gonoi
Ryo Kurokawa
Yudai Nakai
Yusuke Watanabe
Keita Sakurai
Masanori Ishida
Akira Fujikawa
Osamu Abe
author_sort Shohei Inui
title The role of chest imaging in the diagnosis, management, and monitoring of coronavirus disease 2019 (COVID-19)
title_short The role of chest imaging in the diagnosis, management, and monitoring of coronavirus disease 2019 (COVID-19)
title_full The role of chest imaging in the diagnosis, management, and monitoring of coronavirus disease 2019 (COVID-19)
title_fullStr The role of chest imaging in the diagnosis, management, and monitoring of coronavirus disease 2019 (COVID-19)
title_full_unstemmed The role of chest imaging in the diagnosis, management, and monitoring of coronavirus disease 2019 (COVID-19)
title_sort role of chest imaging in the diagnosis, management, and monitoring of coronavirus disease 2019 (covid-19)
publisher SpringerOpen
publishDate 2021
url https://doaj.org/article/31287105c61b4b7298cdc7d8428e5c0d
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