Abdominal CT in COVID-19 patients: incidence, indications, and findings
العنوان: | Abdominal CT in COVID-19 patients: incidence, indications, and findings |
---|---|
المؤلفون: | Erica B. Stein, Aamer Chughtai, Bamidele Otemuyiwa, James H. Ellis, Dharshan Vummidi, Katherine M. Bojicic, Daniel Barkmeier |
المصدر: | Abdominal Radiology Abdominal Radiology (New York) |
سنة النشر: | 2020 |
مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), Adolescent, Gastrointestinal Diseases, Urology, Abdominal ct, X-ray computed, Comorbidity, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Internal medicine, Abdomen, medicine, Severe acute respiratory syndrome coronavirus 2, Humans, Radiology, Nuclear Medicine and imaging, Positive test, Tomography, Lung diseases, Aged, Retrospective Studies, Aged, 80 and over, Practice, Lung, Radiological and Ultrasound Technology, business.industry, SARS-CoV-2, Incidence (epidemiology), Incidence, Gastroenterology, COVID-19, Reproducibility of Results, Hepatology, Middle Aged, Coronavirus, medicine.anatomical_structure, Radiology Nuclear Medicine and imaging, 030220 oncology & carcinogenesis, Female, Radiology, Abnormality, business, Tomography, X-Ray Computed |
الوصف: | Purpose The purpose of this study was to evaluate the frequency, indications, and findings of abdominal CTs ordered in the initial evaluation of patients who had a positive COVID-19 test performed in our institution. Methods Retrospective chart review was performed on all patients who had a positive test for COVID-19 performed at a single quaternary care center from 1/20/2020 through 5/8/2020. In a subset of patients undergoing abdominal CT as part of the initial evaluation, the demographics, suspected COVID-19 status at the time of scan, presenting complaints, and abdominal CT findings were recorded. Cardiothoracic radiologists reviewed and scored the visualized lung bases for the likelihood of COVID-19. Results Only 43 (4.1%) of 1057 COVID-19 patients presented with abdominal complaints sufficient to warrant an abdominal CT. Of these 43 patients, the vast majority (39, 91%) were known or suspected to have COVID-19 at the time of the scan. Most (27/43, 63%) scans showed no acute abdominal abnormality, and those that were positive did not share a discernable pattern of abnormalities. Lung base abnormalities were common, and there was moderate inter-reviewer reliability. Conclusion A minority of COVID-19 patients present with abdominal complaints sufficient to warrant a dedicated CT of the abdomen, and most of these studies will be negative or have abdominal findings not associated with COVID-19. Appropriate lung base findings are a more consistent indication of COVID-19 infection than abdominal findings. |
تدمد: | 2366-0058 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ddb9e8d33155d7bbb46eb7922451e26d https://pubmed.ncbi.nlm.nih.gov/32949274 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....ddb9e8d33155d7bbb46eb7922451e26d |
قاعدة البيانات: | OpenAIRE |
تدمد: | 23660058 |
---|