Thin-section CT of severe acute respiratory syndrome: evaluation of 73 patients exposed to or with the disease
- PMID: 12738877
- DOI: 10.1148/radiol.2283030541
Thin-section CT of severe acute respiratory syndrome: evaluation of 73 patients exposed to or with the disease
Abstract
Purpose: To retrospectively analyze the thin-section computed tomographic (CT) features in patients with severe acute respiratory syndrome (SARS) at the authors' institution.
Materials and methods: From March 11, 2003, to April 2, 2003, 74 patients with symptoms and signs suggestive of SARS underwent CT of the thorax; all underwent thin-section CT except for one patient who underwent conventional CT. Group 1 (n = 23) patients had symptoms of SARS in keeping with criteria from the Centers for Disease Control and Prevention and a positive chest radiograph. Group 2 (n = 17) patients had a high clinical suspicion of SARS but a normal radiograph. Group 3 (n = 34) patients had minor symptoms and a normal chest radiograph. The thin-section CT images were analyzed for ground-glass opacification or consolidation, lesion size in each lung segment, peripheral or central location, interstitial thickening, and other abnormalities.
Results: Thin-section CT scans were abnormal only for patients in groups 1 and 2. The patient with only conventional CT scans was in group 3; scans for group 3 patients were normal. Affected segments were predominantly in the lower lobes (91 of 149 affected segments). Common findings included ground-glass opacification, sometimes with consolidation, and interlobular septal and intralobular interstitial thickening. The size of each lesion and the total number of segments involved were smaller in group 2 patients. A majority of patients in group 1 (14 of 23) had mixed central and peripheral lesions. In group 2, however, peripheral lesions were more common (10 of 17). In both groups, a purely central lesion was uncommon (one of 23 in group 1 and two of 17 in group 2).
Conclusion: Common thin-section CT features of SARS are ground-glass opacification and lower lobe and peripheral distribution.
Copyright RSNA, 2003.
Similar articles
-
Imaging features of the initial chest thin-section CT scans from 110 patients after admission with suspected or confirmed diagnosis of COVID-19.BMC Med Imaging. 2020 Jun 15;20(1):64. doi: 10.1186/s12880-020-00464-5. BMC Med Imaging. 2020. PMID: 32539692 Free PMC article.
-
SARS: radiological features.Respirology. 2003 Nov;8 Suppl(Suppl 1):S15-9. doi: 10.1046/j.1440-1843.2003.00519.x. Respirology. 2003. PMID: 15018128 Free PMC article. Review.
-
Severe acute respiratory syndrome: temporal lung changes at thin-section CT in 30 patients.Radiology. 2004 Mar;230(3):836-44. doi: 10.1148/radiol.2303030853. Radiology. 2004. PMID: 14990845
-
[Plain radiograph and CT features of 112 patients with SARS in acute stage].Beijing Da Xue Xue Bao Yi Xue Ban. 2003 May 31;35 Suppl:29-33. Beijing Da Xue Xue Bao Yi Xue Ban. 2003. PMID: 12914212 Chinese.
-
HRCT of paediatric lung disease.Paediatr Respir Rev. 2000 Jun;1(2):141-7. Paediatr Respir Rev. 2000. PMID: 12531107 Review.
Cited by
-
How the Heart Was Involved in COVID-19 during the First Pandemic Phase: A Review.Epidemiologia (Basel). 2021 Mar 22;2(1):124-139. doi: 10.3390/epidemiologia2010011. Epidemiologia (Basel). 2021. PMID: 36417195 Free PMC article. Review.
-
Clinical and Radiological Findings of Coronavirus Disease 2019 Pneumonia: 51 Adult Patients from a Single Center in Daegu, South Korea.Taehan Yongsang Uihakhoe Chi. 2020 May;81(3):591-603. doi: 10.3348/jksr.2020.81.3.591. Epub 2020 May 29. Taehan Yongsang Uihakhoe Chi. 2020. PMID: 36238635 Free PMC article.
-
Association of severe COVID-19 outcomes with radiological scoring and cardiomegaly: findings from the COVID-19 inpatients database, Japan.Jpn J Radiol. 2022 Nov;40(11):1138-1147. doi: 10.1007/s11604-022-01300-2. Epub 2022 Jul 26. Jpn J Radiol. 2022. PMID: 35881259 Free PMC article.
-
Nebulized exosomes derived from allogenic adipose tissue mesenchymal stromal cells in patients with severe COVID-19: a pilot study.Stem Cell Res Ther. 2022 May 26;13(1):220. doi: 10.1186/s13287-022-02900-5. Stem Cell Res Ther. 2022. PMID: 35619189 Free PMC article. Clinical Trial.
-
Predefined and data driven CT densitometric features predict critical illness and hospital length of stay in COVID-19 patients.Sci Rep. 2022 May 17;12(1):8143. doi: 10.1038/s41598-022-12311-4. Sci Rep. 2022. PMID: 35581369 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous