tetano
Editor, Senior Moderator
Curr Med Res Opin
. 2020 Nov 2;1.
doi: 10.1080/03007995.2020.1846173. Online ahead of print.
Dandelion and focal paving stone signs: the lung-CT based predictors for evaluation of the severity of Coronavirus disease
Xi Zhan[SUP] 1 [/SUP], Zhihai Chen[SUP] 2 [/SUP], Huijuan Hu[SUP] 3 [/SUP], Yibin Yang[SUP] 4 [/SUP], Kaisong Wu[SUP] 4 [/SUP], Zhenshun Cheng[SUP] 4 5 [/SUP], Bing Liu[SUP] 4 5 [/SUP]
Affiliations
Abstract
Purpose: To describe the radiological features of coronavirus disease 19 (COVID-19) and to explore the significant signs that indicate severity of disease. Materials and Methods: We collected data retrospectively of 180 cases of COVID-19, from January 15, 2020 to March 31, 2020, from both the Wuhan Zhongnan and Beijing Ditan Hospitals, including 103 cases of mild and 77 cases of severe pneumonia. All patients had their first chest computed tomography scan within five days of symptom onset. The dandelion sign was defined by a focal ground glass opacity (GGO) with a central thickening of the airway wall, and the focal paving stone sign was defined by a focal GGO with thickening of the interlobular septa. Results: Consolidation presented in only 4.9% (5/103) of the mild pneumonia cases, which was significantly lower than that in severe pneumonia cases (70.1% 54/77), P < 0.001). Multifocal distribution and pure GGOs were observed more frequently in severe cases of pneumonia (P < 0.05). The dandelion sign was present in 86.4% (89/103) of the mild pneumonia cases, significantly more frequent than those with severe pneumonia (13.0% [10/77], P < 0.001). The focal paving stone sign presented in 65.0% (67/103) of the mild pneumonia cases and was significantly more frequent than in severe cases (23.4% [18/77], P < 0.001). The hospital stay duration of the mild pneumonia group (13.6 ? 7.2 days) was significantly shorter than the severe pneumonia group (26.6 ? 11.7 days, P < 0.001) Conclusions: Consolidation, pure GGO, and multifocal distribution on a CT scan were associated with severe COVID-19. The dandelion and focal paving stone signs indicate mild COVID-19.
Keywords: COVID-19; SARS-CoV2; dandelion sign; focal paving stone sign.
. 2020 Nov 2;1.
doi: 10.1080/03007995.2020.1846173. Online ahead of print.
Dandelion and focal paving stone signs: the lung-CT based predictors for evaluation of the severity of Coronavirus disease
Xi Zhan[SUP] 1 [/SUP], Zhihai Chen[SUP] 2 [/SUP], Huijuan Hu[SUP] 3 [/SUP], Yibin Yang[SUP] 4 [/SUP], Kaisong Wu[SUP] 4 [/SUP], Zhenshun Cheng[SUP] 4 5 [/SUP], Bing Liu[SUP] 4 5 [/SUP]
Affiliations
- PMID: 33136449
- DOI: 10.1080/03007995.2020.1846173
Abstract
Purpose: To describe the radiological features of coronavirus disease 19 (COVID-19) and to explore the significant signs that indicate severity of disease. Materials and Methods: We collected data retrospectively of 180 cases of COVID-19, from January 15, 2020 to March 31, 2020, from both the Wuhan Zhongnan and Beijing Ditan Hospitals, including 103 cases of mild and 77 cases of severe pneumonia. All patients had their first chest computed tomography scan within five days of symptom onset. The dandelion sign was defined by a focal ground glass opacity (GGO) with a central thickening of the airway wall, and the focal paving stone sign was defined by a focal GGO with thickening of the interlobular septa. Results: Consolidation presented in only 4.9% (5/103) of the mild pneumonia cases, which was significantly lower than that in severe pneumonia cases (70.1% 54/77), P < 0.001). Multifocal distribution and pure GGOs were observed more frequently in severe cases of pneumonia (P < 0.05). The dandelion sign was present in 86.4% (89/103) of the mild pneumonia cases, significantly more frequent than those with severe pneumonia (13.0% [10/77], P < 0.001). The focal paving stone sign presented in 65.0% (67/103) of the mild pneumonia cases and was significantly more frequent than in severe cases (23.4% [18/77], P < 0.001). The hospital stay duration of the mild pneumonia group (13.6 ? 7.2 days) was significantly shorter than the severe pneumonia group (26.6 ? 11.7 days, P < 0.001) Conclusions: Consolidation, pure GGO, and multifocal distribution on a CT scan were associated with severe COVID-19. The dandelion and focal paving stone signs indicate mild COVID-19.
Keywords: COVID-19; SARS-CoV2; dandelion sign; focal paving stone sign.