Hallazgos por imágenes en COVID-19 Actualización y guía práctica
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El cuadro clínico de la enfermedad conocida como COVID-19, causada por el nuevo coronavirus SARS-CoV-2 puede variar desde síntomas respiratorios leves hasta una insuficiencia respiratoria severa. Sus efectos en el organismo, especialmente la afección pulmonar, pueden ser visualizados a través de los estudios por imágenes. Si bien el diagnóstico de certeza se confirma mediante la reacción en cadena de la polimerasa con transcriptasa reversa (RT-PCR), los estudios por imágenes, especialmente la radiografía y la tomografía computarizada (TC) de tórax, desempeñan un papel fundamental en el manejo clínico de estos pacientes. Conocer su utilidad, casos de uso y hallazgos esperables brinda herramientas para el equipo de salud, temas que serán abordados en esta actualización y guía práctica
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Gorbalenya AE, Baker SC, Baric RS, et al. Severe acute respiratory syndrome-related coronavirus: The species and its viruses – a statement of the Coronavirus Study Group. Nat Microbiol. 2020; 5:536-44. DOI: https://doi.org/10.1038/s41564-020-0695-z
World Health Organization. Situation report-107 [Internet]. [citado 7 de mayo de 2020]. Disponible en: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200506covid-19-sitrep-107.pdf?sfvrsn=159c3dc_2
Wu Z, McGoogan JM. Characteristics of and Important Lessons from the Coronavirus Disease 2019 (COVID-19) Outbreak in China. JAMA. 2020; 323:1239-42. DOI: https://doi.org/10.1001/jama.2020.2648
Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020; 395:1054-62. DOI: https://doi.org/10.1016/S0140-6736(20)30566-3
Mehra MR, Desai SS, Kuy S, et al. Cardiovascular Disease, Drug Therapy, and Mortality in Covid-19. N Engl J Med. 2020; 382:e102 DOI: https://doi.org/10.1056/NEJMoa2007621
Wang D, Hu B, Hu C, et al. Clinical Characteristics of 138 Hospitalized Patients with 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-9 DOI: https://doi.org/10.1001/jama.2020.1585
Rubin GD, Ryerson CJ, Haramati LB, et al. The Role of Chest Imaging in Patient Management during the COVID-19 Pandemic: A Multinational Consensus Statement from the Fleischner Society. Radiology 2020; 296:172-80. DOI: https://doi.org/10.1148/radiol.2020201365
Vigilancia, diagnóstico y manejo institucional de casos en pediatría [Internet]. Buenos aires, Argentina.gob.ar: 2020 [cited 7 de mayo de 2020]. Disponible en: https://www.argentina.gob.ar/salud/coronavirus-COVID-19/casos-pediatria
Wen Z, Chi Y, Zhang L, et al. Coronavirus Disease 2019: Initial Detection on Chest CT in a Retrospective Multicenter Study of 103 Chinese Subjects [Internet]. Radiology: Cardiothoracic Imaging. 2020. p. e200092. Disponible en: http://dx.doi.org/10.1148/ryct.2020200092 DOI: https://doi.org/10.1148/ryct.2020200092
Simpson S, Kay FU, Abbara S, et al. Radiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings Related to COVID-19. Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA [Internet]. Radiology: Cardiothoracic Imaging. 2020; 2: e200152. Disponible en: http://dx.doi.org/10.1148/ryct.2020200152 DOI: https://doi.org/10.1148/ryct.2020200152
Choi H, Qi X, Yoon SH, et al. Extension of Coronavirus Disease 2019 (COVID-19) on Chest CT and Implications for Chest Radiograph Interpretation [Internet]. Radiology: Cardiothoracic Imaging. 2020; 2: e200107. Disponible en: http://dx.doi.org/10.1148/ryct.2020200107 DOI: https://doi.org/10.1148/ryct.2020204001
Choi H, Qi X, Yoon SH, et al. Erratum: Extension of Coronavirus Disease 2019 (COVID-19) on Chest CT and Implications for Chest Radiograph Interpretation [Internet]. Radiology: Cardiothoracic Imaging. 2020; 2: e204001. Disponible en: http://dx.doi.org/10.1148/ryct.2020204001 DOI: https://doi.org/10.1148/ryct.2020204001
StuWilli. Chest X-Ray Findings in 636 Ambulatory Patients with COVID-19 Presenting to an Urgent Care Center: A Normal Chest X-Ray Is no Guarantee [Internet]. Journal of Urgent Care Medicine. 2020 [citado 14 de junio de 2020]. Disponible en: https://www.jucm.com/chest-x-ray-findings-in-636-ambulatory-patients-with-covid-19-presenting-to-an-urgent-care-center-a-normal-chest-x-ray-is-no-guarantee/
Hansell DM, Bankier AA, MacMahon H, et al. Fleischner Society: glossary of terms for thoracic imaging. Radiology. 2008; 246(3):697-722. DOI: https://doi.org/10.1148/radiol.2462070712
Xu Z, Shi L, Wang Y, et al. Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med. 2020; 8(4):420-2. DOI: https://doi.org/10.1016/S2213-2600(20)30076-X
Ai T, Yang Z, Hou H, et al. Correlation of Chest CT and RT-PCR Testing in Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases [Internet]. Radiology. 2020. P. 200642. Disponible en: http://dx.doi.org/10.1148/radiol.2020200642 DOI: https://doi.org/10.1148/radiol.2020200642
Bai HX, Hsieh B, Xiong Z, et al. Performance of radiologists in differentiating COVID-19 from viral pneumonia on chest CT. Radiology 2020; 296:E46–E54 DOI: https://doi.org/10.1148/radiol.2020200823
Chen H, Ai L, Lu H, Li H. Clinical and imaging features of COVID-19. Radiol Infect Dis [Internet]. 2020 Apr 27; Disponible en: http://dx.doi.org/10.1016/j.jrid.2020.04.003 DOI: https://doi.org/10.1016/j.jrid.2020.04.003
Bernheim A, Mei X, Huang M, et al. Chest CT Findings in Coronavirus Disease-19 (COVID-19): Relationship to Duration of Infection. Radiology. 2020; 295(3):200463. DOI: https://doi.org/10.1148/radiol.2020200463
Prokop M, van Everdingen W, van Rees Vellinga T, et al. CO-RADS – A categorical CT assessment scheme for patients with suspected COVID-19: definition and evaluation [Internet]. Radiology. 2020. P. 201473. Disponible en: http://dx.doi.org/10.1148/radiol.2020201473 DOI: https://doi.org/10.1148/radiol.2020201473
Gozes O, Frid-Adar M, Greenspan H, et al. Rapid AI Development Cycle for the Coronavirus (COVID-19) Pandemic: Initial Results for Automated Detection & Patient Monitoring using Deep Learning CT Image Analysis [Internet]. 2020 [cited 2020 Jun 14]. Disponible en: http://arxiv.org/abs/2003.05037
Poyiadji N, Cormier P, Patel PY, et al. Acute Pulmonary Embolism and COVID-19. Radiology. 2020 May 14. P.201955. Disponible en: https://pubs.rsna.org/doi/pdf/10.1148/radiol.2020201955 DOI: https://doi.org/10.1148/radiol.2020201955
Li X, Fang X, Bian Y, Lu J. Comparison of chest CT findings between COVID-19 pneumonia and other types of viral pneumonia: a two-center retrospective study [Internet]. European Radiology. 2020. Disponible en: http://dx.doi.org/10.1007/s00330-020-06925-3 DOI: https://doi.org/10.1007/s00330-020-06925-3
Sperandeo M, Trovato GM, Catalano D. Quantifying B-lines on lung sonography: insufficient evidence as an objective, constructive, and educational tool. J Ultrasound Med. 2014; 33(2):362–5. DOI: https://doi.org/10.7863/ultra.33.2.362
Sofia S, Boccatonda A, Montanari M, et al. Thoracic ultrasound and SARS-COVID-19: a pictorial essay. J Ultrasound. 2020; 23(2):217. DOI: https://doi.org/10.1007/s40477-020-00458-7
Revel M-P, on behalf of the European Society of Radiology (ESR) and the European Society of Thoracic Imaging (ESTI), Parkar AP, Prosch H, Silva M, Sverzellati N, et al. COVID-19 patients and the radiology department – advice from the European Society of Radiology (ESR) and the European Society of Thoracic Imaging (ESTI) [Internet]. Eur Radiol. 2020. Disponible en: http://dx.doi.org/10.1007/s00330-020-06865-y DOI: https://doi.org/10.1007/s00330-020-06865-y
Mahammedi A, Saba L, Vagal A, et al. Imaging in Neurological Disease of Hospitalized COVID-19 Patients: An Italian Multicenter Retrospective Observational Study. Radiology. 2020 May 21. P.201933. DOI: https://doi.org/10.1148/radiol.2020201933
Poyiadji N, Shahin G, Noujaim D, et al. COVID-19–associated Acute Hemorrhagic Necrotizing Encephalopathy: CT and MRI Features [Internet]. Radiology. 2020. P. 201187. Disponible en: http://dx.doi.org/10.1148/radiol.2020201187 DOI: https://doi.org/10.1148/radiol.2020201187
Politi LS, Salsano E, Grimaldi M. Magnetic Resonance Imaging Alteration of the Brain in a Patient With Coronavirus Disease 2019 (COVID-19) and Anosmia [Internet]. JAMA Neurology. 2020. Disponible en: http://dx.doi.org/10.1001/jamaneurol.2020.2125 DOI: https://doi.org/10.1001/jamaneurol.2020.2125