ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA

Gücer Sahin, Gülcan; Ozcaglayan, Omer; Sasani, Hadi; Kurtoğlu Özçağlayan, Tuğba İlkem; ŞAHİN, Ayhan

ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA

Gülcan GÜCER ŞAHİN, (Tekirdağ Namık Kemal Üniversitesi Tıp Fakültesi Radyoloji Anabilim Dalı, Tekirdağ, Türkiye)

Tuğba İlkem KURTOĞLU ÖZÇAĞALAYAN, (Tekirdağ Namık Kemal Üniversitesi Tıp Fakültesi Radyoloji Anabilim Dalı, Tekirdağ, Türkiye)

Ömer ÖZÇAĞALAYAN, (Tekirdağ Namık Kemal Üniversitesi Tıp Fakültesi Radyoloji Anabilim Dalı, Tekirdağ, Türkiye)

Hadi SASANI, (Tekirdağ Namık Kemal Üniversitesi Tıp Fakültesi Radyoloji Anabilim Dalı, Tekirdağ, Türkiye)

Ayhan ŞAHİN (Tekirdağ Namık Kemal Üniversitesi Tıp Fakültesi Anesteziyoloji ve Reanimasyon Anabilim Dalı, Tekirdağ, Türkiye)

Namık Kemal Tıp Dergisi

3 0

Yıl: 2020 Cilt: 8 Sayı: 3 Sayfa Aralığı: 489 - 498 Metin Dili: İngilizce İndeks Tarihi: 20-05-2021

ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA

Öz:

Aim: Our study aimed to evaluate the atypical CT findings and concomitant pathologies of COVID-19 pneumonia and clinical and laboratory findings and compare them with typical CT findings.Materials and Methods: A total of 69 patients were diagnosed with COVID-19, 14 of which were atypical (20.2%), and 55 of which were typical (79%) chest computed tomography (CT) findings. CT images and clinical and laboratory data of patients with atypical findings were retrospectively analyzed. Lesions of the typical and atypical group and CT severity scores were compared.Results: Atypical CT findings were centrilobular nodule, tree in bud, pleural effusion, lobar/segmental consolidation, bronchiectasis, pulmonary embolism, and mosaic attenuation by typical lesions with ground-glass opacity with/without consolidation. CT severity score was significantly higher in the atypical group (p <0.001). CRP, procalcitonin, the neutrophil rate increased, and the lymphocyte count decreased in patients with a high CT severity score. Comorbidity was common in the atypical group (50%).Conclusion: High CT severity score and widespread lung involvement of the patient group with atypical CT findings may be due to disease progression or other concomitant diseases. Atypical lesions accompanying typical lesions may cause false negativity in reporting. As radiologists' experience with COVID-19 pneumonia increases, it may improve that they categorize these images as typical or atypical.

Anahtar Kelime:

Covid -19 Pnömonisinin Atipik BT Bulguları ve Klinik Korelasyonu

Öz:

Amaç: Çalışmamızın amacı COVİD-19 pnömonisinin atipik BT bulgularını, eşlik eden ek patolojileri klinik ve laboratuar bulgularıyla birlikte değerlendirmek ve tipik BT bulguları ile karşılaştırmaktır.Materyal ve Metot: Çalışmamıza 14’ü atipik (%20,2), 55’i tipik (%79) toraks bilgisayarlı tomografi (BT) bulguları olan COVID-19 tanısı almış toplam 69 hasta dahil edildi. Toraks BT görüntüleri, atipik bulguları olan hastaların klinik ve laboratuar verileri retrospektif incelendi. Tipik ve atipik grubun lezyonları ve BT şiddet skoru karşılaştırıldı.Bulgular: Atipik BT bulguları sentrilobüler nodül, tomurcuklanmış ağaç, plevral effüzyon, lober/segmenter konsolidasyon, bronşiektazi, pulmoner emboli ve mozaik atenüasyon olup, periferik dağılım gösteren buzlu cam opasitesi ve/veya konsolidasyon gibi tipik lezyonlara eşlik etmekteydi. BT şiddet skoru atipik grupta belirgin yüksekti (p<0,001). BT şiddet skoru yüksek olguların CRP, prokalsitonin, nötrofil oranı artmış, lenfosit sayısı azalmıştı. Atipik grupta komorbidite daha sık görüldü (%50).Sonuç: Atipik BT bulguları olan hasta grubunun yüksek BT şiddet skoru ve yaygın akciğer tutulumu hastalığın progresyonu ya da eşlik eden diğer hastalıklara bağlı olabilir. Tipik lezyonlara atipik lezyonların eşlik etmesi raporlamada yanlış negatifliğe neden olabilir. Radyologların COVID-19 pnömonisi ile deneyimi arttıkça bu görüntüleri tipik veya atipik olarak kategorize etmeleri gelişebilir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Gücer Sahin G, Kurtoğlu Özçağlayan T, Ozcaglayan O, Sasani H, ŞAHİN A (2020). ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA. , 489 - 498.
Chicago	Gücer Sahin Gülcan,Kurtoğlu Özçağlayan Tuğba İlkem,Ozcaglayan Omer,Sasani Hadi,ŞAHİN Ayhan ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA. (2020): 489 - 498.
MLA	Gücer Sahin Gülcan,Kurtoğlu Özçağlayan Tuğba İlkem,Ozcaglayan Omer,Sasani Hadi,ŞAHİN Ayhan ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA. , 2020, ss.489 - 498.
AMA	Gücer Sahin G,Kurtoğlu Özçağlayan T,Ozcaglayan O,Sasani H,ŞAHİN A ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA. . 2020; 489 - 498.
Vancouver	Gücer Sahin G,Kurtoğlu Özçağlayan T,Ozcaglayan O,Sasani H,ŞAHİN A ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA. . 2020; 489 - 498.
IEEE	Gücer Sahin G,Kurtoğlu Özçağlayan T,Ozcaglayan O,Sasani H,ŞAHİN A "ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA." , ss.489 - 498, 2020.
ISNAD	Gücer Sahin, Gülcan vd. "ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA". (2020), 489-498.

APA	Gücer Sahin G, Kurtoğlu Özçağlayan T, Ozcaglayan O, Sasani H, ŞAHİN A (2020). ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA. Namık Kemal Tıp Dergisi, 8(3), 489 - 498.
Chicago	Gücer Sahin Gülcan,Kurtoğlu Özçağlayan Tuğba İlkem,Ozcaglayan Omer,Sasani Hadi,ŞAHİN Ayhan ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA. Namık Kemal Tıp Dergisi 8, no.3 (2020): 489 - 498.
MLA	Gücer Sahin Gülcan,Kurtoğlu Özçağlayan Tuğba İlkem,Ozcaglayan Omer,Sasani Hadi,ŞAHİN Ayhan ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA. Namık Kemal Tıp Dergisi, vol.8, no.3, 2020, ss.489 - 498.
AMA	Gücer Sahin G,Kurtoğlu Özçağlayan T,Ozcaglayan O,Sasani H,ŞAHİN A ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA. Namık Kemal Tıp Dergisi. 2020; 8(3): 489 - 498.
Vancouver	Gücer Sahin G,Kurtoğlu Özçağlayan T,Ozcaglayan O,Sasani H,ŞAHİN A ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA. Namık Kemal Tıp Dergisi. 2020; 8(3): 489 - 498.
IEEE	Gücer Sahin G,Kurtoğlu Özçağlayan T,Ozcaglayan O,Sasani H,ŞAHİN A "ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA." Namık Kemal Tıp Dergisi, 8, ss.489 - 498, 2020.
ISNAD	Gücer Sahin, Gülcan vd. "ATYPICAL CT FINDINGS AND CLINICAL CORRELATION OF COVID-19 PNEUMONIA". Namık Kemal Tıp Dergisi 8/3 (2020), 489-498.