tetano
Editor, Senior Moderator
Jpn J Radiol
. 2020 Jun 13;1-6.
doi: 10.1007/s11604-020-01003-6. Online ahead of print.
Clinical and Radiological Characteristics of Pediatric Patients With COVID-19: Focus on Imaging Findings
Afshin Mohammadi[SUP] 1 [/SUP], Iraj Mohebbi[SUP] 2 [/SUP], Kamal Khademvatani[SUP] 3 [/SUP], Habibollah Pirnejad[SUP] 4 [/SUP], Javad Mirza-Aghazadeh[SUP] 2 [/SUP], Naser Gharebaghi[SUP] 5 [/SUP], Ali Abbasian Ardakani[SUP] 6 [/SUP], Mohammad Mirza-Aghazadeh-Attari[SUP] 7 8 [/SUP]
Affiliations
Abstract
Purpose: CT imaging has been a detrimental tool in the diagnosis of COVID-19, but it has not been studied thoroughly in pediatric patients and its role in diagnosing COVID-19.
Methods: 27 pediatric patients with COVID-19 pneumonia were included. CT examination and molecular assay tests were performed from all participants. A standard checklist was utilized to extract information, and two radiologists separately reviewed the CT images.
Results: The mean age of patients was 4.7 ? 4.16 (mean ? SD) years. Seventeen patients were female, and ten were male. The most common imaging finding was ground-glass opacities followed by consolidations. Seven patients had a single area of involvement, five patients had multiple areas of involvement, and four patients had diffuse involvement. The sensitivity of CT imaging in diagnosing infections was 66.67%. Also, some uncommon imaging findings were seen, such as a tree-in-bud and lung collapse.
Conclusion: CT imaging shows less involvement in pediatric compared to adult patients, due to pediatric patients having a milder form of the disease. CT imaging also has a lower sensitivity in detecting abnormal lungs compared to adult patients. The most common imaging findings are ground-glass opacities and consolidations, but other non-common imaging findings also exist.
Keywords: COVID-19; Coronavirus infections; Pediatrics; SARS-CoV-2; Tomography; X-ray computed.
. 2020 Jun 13;1-6.
doi: 10.1007/s11604-020-01003-6. Online ahead of print.
Clinical and Radiological Characteristics of Pediatric Patients With COVID-19: Focus on Imaging Findings
Afshin Mohammadi[SUP] 1 [/SUP], Iraj Mohebbi[SUP] 2 [/SUP], Kamal Khademvatani[SUP] 3 [/SUP], Habibollah Pirnejad[SUP] 4 [/SUP], Javad Mirza-Aghazadeh[SUP] 2 [/SUP], Naser Gharebaghi[SUP] 5 [/SUP], Ali Abbasian Ardakani[SUP] 6 [/SUP], Mohammad Mirza-Aghazadeh-Attari[SUP] 7 8 [/SUP]
Affiliations
- PMID: 32535725
- PMCID: PMC7293432
- DOI: 10.1007/s11604-020-01003-6
Abstract
Purpose: CT imaging has been a detrimental tool in the diagnosis of COVID-19, but it has not been studied thoroughly in pediatric patients and its role in diagnosing COVID-19.
Methods: 27 pediatric patients with COVID-19 pneumonia were included. CT examination and molecular assay tests were performed from all participants. A standard checklist was utilized to extract information, and two radiologists separately reviewed the CT images.
Results: The mean age of patients was 4.7 ? 4.16 (mean ? SD) years. Seventeen patients were female, and ten were male. The most common imaging finding was ground-glass opacities followed by consolidations. Seven patients had a single area of involvement, five patients had multiple areas of involvement, and four patients had diffuse involvement. The sensitivity of CT imaging in diagnosing infections was 66.67%. Also, some uncommon imaging findings were seen, such as a tree-in-bud and lung collapse.
Conclusion: CT imaging shows less involvement in pediatric compared to adult patients, due to pediatric patients having a milder form of the disease. CT imaging also has a lower sensitivity in detecting abnormal lungs compared to adult patients. The most common imaging findings are ground-glass opacities and consolidations, but other non-common imaging findings also exist.
Keywords: COVID-19; Coronavirus infections; Pediatrics; SARS-CoV-2; Tomography; X-ray computed.