Snimanje nalaza infekcije SARS-CoV-2 u pedijatriji: Sistematski pregled bolesti korona virusom 2019 (COVID-19) kod 850 pacijenata.
Academic radiology
Sažetak istraživanja
Obrazloženje i ciljevi Čini se da djeca sa COVID-19 imaju relativno blažu bolest i bolju prognozu; međutim, teška bolest ili smrt još uvijek mogu nastupiti u ovoj starosnoj grupi. Iako se znanje o kliničkoj i epidemiologiji COVID-19 kod pedijatrijskih pacijenata brzo akumulira, još uvijek nedostaje relevantan sveobuhvatan pregled njegovih radioloških manifestacija. Ovaj članak daje pregled radioloških karakteristika COVID-19 u pedijatriji, na osnovu prethodnih studija. Materijali i metode Proveli smo sistematsku pretragu literature za objavljene članke koristeći internetske baze podataka Medline, Scopus, Google Scholar i Embase. Sve studije koje opisuju CT nalaze COVID-19 u pedijatriji (Rezultati Pregledano je ukupno 39 studija sa 850 pedijatrijskih pacijenata. 225 (26,5%) pacijenata je imalo normalne CT nalaze. Zamućenja i konsolidacije su najčešće CT abnormalnosti (384/625%), op. Zadebljanje stijenke bronha i luđački znak. Približno 55% pacijenata imalo je unilateralni nalaz u plućima kao istaknuti nalaz na slici. je regresirano tokom perioda oporavka. Mora se uspostaviti ravnoteža između rizika od zračenja i potrebe za CT-om u prsima.
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Imaging Findings of SARS-CoV-2 Infection in Pediatrics: A Systematic Review of Coronavirus Disease 2019 (COVID-19) in 850 Patients.
Rationale and objectives Children with COVID-19 seem to have a relatively milder disease and better prognosis; however, severe disease or death could still occur in this age group. Although the knowledge on the clinical and epidemiology of COVID-19 in pediatric patients is being accumulated rapidly, relevant comprehensive review on its radiological manifestations is still lacking. The present article reviews the radiological characteristics of COVID-19 in pediatrics, based on the previous studies. Materials and methods We conducted a systematic literature search for published articles by using Medline, Scopus, Google Scholar and Embase online databases. All studies describing CT findings of COVID-19 in pediatrics (
Results A total of 39 studies with 850 pediatric patients were reviewed. 225 (26.5%) of patients had normal CT findings. Ground-glass opacities and consolidations were the most common CT abnormalities (384/625, 61.5%). Other findings were halo sign, interstitial opacities, bronchial wall thickening, and crazy-paving sign. Approximately 55% of patients had unilateral pulmonary findings. Most studies found peripheral and lower-lobe distribution to be a prominent imaging finding.
Conclusion Our study showed that imaging findings in children were often milder and more focal than adults, typically as ground-glass opacities and consolidations with unilateral lower-lobe predominance, which have been regressed during the recovery time. A balance must be struck between the risk of radiation and the need for chest CT. If still necessary, low-dose CT is more appropriate in this age group. Albeit, due to the limited number of reported pediatrics with COVID-19, and the lack of consistency in CT descriptors, further work is still needed in this regard.
Izvorni podaci
- DOI
- 10.1016/j.acra.2020.07.031
- PMID
- 32773328
- PMCID
- PMC7392075
- Provjereno
- 2026-07-26
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