RT Journal Article
T1 Correlation between Chest Computed Tomography and Lung Ultrasonography in Patients with Coronavirus Disease 2019 (COVID-19).
A1 Tung-Chen, Yale
A1 Martí de Gracia, Milagros
A1 Díez-Tascón, Aurea
A1 Alonso-González, Rodrigo
A1 Agudo-Fernández, Sergio
A1 Parra-Gordo, Maria Luz
A1 Ossaba-Vélez, Silvia
A1 Rodríguez-Fuertes, Pablo
A1 Llamas-Fuentes, Rafael
K1 COVID-19
K1 Chest computed tomography
K1 Coronavirus disease 2019
K1 SARS-CoV-2 Lung ultrasonography
K1 Severe acute respiratory syndrome coronavirus 2
AB There is growing evidence regarding chest X-ray and computed tomography (CT) findings for coronavirus disease 2019 (COVID-19). At present, the role of lung ultrasonography (LUS) has yet to be explored. The main purpose of this study was to evaluate the correlation between LUS findings and chest CT in patients confirmed to have (positive reverse transcription polymerase chain reaction [RT-PCR]) or clinically highly suspected of having (dyspnea, fever, myasthenia, gastrointestinal symptoms, dry cough, ageusia or anosmia) COVID-19. This prospective study was carried out in the emergency department, where patients confirmed of having or clinically highly suspected of having COVID-19 were recruited and underwent chest CT and concurrent LUS exam. An experienced emergency department physician performed the LUS exam blind to the clinical history and results of the CT scan, which were reviewed by two radiologists in consensus for signs compatible with COVID-19 (bilateral ground-glass opacities in peripheral distribution). A compatible LUS exam was considered a bilateral pattern of B-lines, irregular pleural line and subpleural consolidations. Between March and April 2020, 51 patients were consecutively enrolled. The indication for CT was a negative or indeterminate RT-PCR test (49.0%) followed by suspicion of pulmonary embolism (41.2%). Radiologic signs compatible with COVID-19 were present in 37 patients (72.5%) on CT scan and 40 patients (78.4%) on LUS exam. The presence of LUS findings was correlated with a positive CT scan suggestive of COVID-19 (odds ratio: 13.3, 95% confidence interval: 4.5-39.6, p
YR 2020
FD 2020-07-13
LK https://hdl.handle.net/10668/25380
UL https://hdl.handle.net/10668/25380
LA en
DS RISalud
RD Apr 14, 2025