A Review of Radiographic Findings in Sars-Cov-2 Patients

Main Article Content

Denise Freitas Santana
Kárita Amanda Ribeiro de Melo
Agrinazio Geraldo Nascimento Neto
Wellington Carlos da Silva
Fábio Alves dos Santos
Amanda Aguiar Barros
Maisa Adriele Nalves da Silva
Lívia Gomes de Oliveira
Leidimar da Silva Carvalho
Taynara Dantas Batista
Larissa Lima dos Santos
Bianca de Andrade Nery
Murilo de Sousa Reis
Yan de Lima Borges

Abstract

Introduction: At the end of 2019, more specifically in December, the outbreak of the new coronavirus - Sars-Cov-2, which caused pneumonia, emerged in Wuhan, and soon spread throughout China, where researchers began to suspect a possible pandemic. , being a disease that causes a deficiency of structures of the respiratory system, leading to alterations in breathing functions, with respiratory muscle deficiencies and exercise tolerance. During the pandemic peak still in Wuhan, the main radiographic findings in hospitalized patients revealed bilateral opacity on computed tomography (CT) examination, lobular and subsegmental consolidation areas, ground-glass opacities, consolidation with rounded morphology, and peripheral pulmonary distribution.

Aims: Analyze through the available literature review the main radiological alterations caused by Sars-Cov-2.

Methodology: This is an integrative literature review using PubMed, Scielo, Google Scholar, Microsoft Academic databases. Inclusion criteria were complete and original articles in English and Portuguese. Duplicates and other literature reviews were excluded.

Results: Radiographic findings are different in the early and advanced phases of the disease, but characteristic signs such as the matte glass pattern were found in both phases.

Conclusion: The radiographic findings of patients diagnosed with COVID-19 are not the main criteria for clinical diagnosis, but knowledge of characteristic symptoms is fundamental. Therefore, the multidisciplinary team must discuss the radiological findings most common to the virus, this will directly aid early diagnosis, in addition to reducing the high mortality rates globally.

Keywords:
Imaging, covid-19, radiography, lungs.

Article Details

How to Cite
Santana, D. F., Melo, K. A. R. de, Neto, A. G. N., Silva, W. C. da, Santos, F. A. dos, Barros, A. A., Silva, M. A. N. da, Oliveira, L. G. de, Carvalho, L. da S., Batista, T. D., Santos, L. L. dos, Nery, B. de A., Reis, M. de S., & Borges, Y. de L. (2020). A Review of Radiographic Findings in Sars-Cov-2 Patients. International Neuropsychiatric Disease Journal, 14(4), 48-54. https://doi.org/10.9734/indj/2020/v14i430136
Section
Review Article

References

Wang D. et al. Clinical features of 138 patients hospitalized with 2019 new coronavirus-infected pneumonia in Wuhan, China. JAMA. Available:https://doi.org/10.1001/jama.2020.1585 (2020). DE CASTRO, Andrea Pharmaceuticals; MAZZUCCA, Porto. COVID-19, 2020

De Castro, pharmaceutics Andrea; MAZZUCCA, Porto. COVID-19; 2020.

Ministry of Health. Brazil confirms the first case of COVID-19 disease. Available:https://www.saude.gov.br/noticias/agencia-saude/46435-brasil-confirma-primeiro-caso-de-novo-coronavirus Accessed: 25/05/2020

Oliveira, Morais and Nobre Covid-19: uma pandemia que alerta à população. Interamerican Journal of Medicine And Health. 2020;3:1-7.

DA SILVA, Cássio Magalhães et al. Scientific evidence on physiotherapy and functionality in patients with COVID-19 Adult and Pediatric. J Hum Growth Dev. 2020;30(1):148-155.

CHATE, Rodrigo Caruso et al. Tomographic presentation of pulmonary infection in COVID-19: the initial Brazilian experience. Jornal Brasileiro de Pulmonology. 2020;46(2).

Chung M, Bernheim A, Mei X, Zang N, Huang M, Zeng X, et al. CT imaging features of 2019 novel coronavirus (2019- nCoV). Radiology; 2020. DOI:10.1148/radiol.2020200230. Epub ahead of print

JIN, Ying-Hui, et al. A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version). Military Medical Research. 2020; 7(1):4.

Filho, Jose de Arimateia Batista et al. COVID-19 pneumonia: what is the role of imaging in diagnosis?. Brazilian Journal of Pulmonology. 2020;46(2).

Zhou, Peng et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020; 579(7798):270-273,.

FARIAS, Lucas de Pádua Gomes; BROTERO, Rua Conselheiro. The halo sign as pulmonary tomographic presentation in COVID-19. Journal Einstem; 2020.

ROSA, Marcela Emer Egypto et al. Achados da COVID-19 identified on computed tomography of the chest: pictorial assay. Einstein (São Paulo). 2020; 18.

Chang, Yeun-Chung et al. Pulmonary sequelae in convalescent patients after severe acute respiratory syndrome: Thin-section CT assessment. Radiology. 2005; 236(3):1067-1075.

Cellina, Michaela et al. Chest computed tomography findings of COVID-19 pneumonia: A pictorial essay with a literature review. Japanese Journal of Radiology. 2020;1-8.