Abstract

FERREIRA-MORENO, Víctor Guillermo; MARTI-CORUNA, María Cristina  and  CAMACHO-SOSA, Kirenia. Tomographic diagnosis in patients with COVID-19, observation guide and report. Rev.Med.Electrón. [online]. 2023, vol.45, n.3, pp. 467-485.  Epub June 30, 2023. ISSN 1684-1824.

The spread of COVID-19 pandemics increased interest in the usefulness and pertinence of imaging diagnosis in the management of suspected or confirmed patients. This work aims to communicate elements to facilitate the interpretation of the information offered by computed tomography and provide a basic guide, based on the findings observed in 1622 patients, for the analysis of tomographic images. A review, critical analysis and systematization of the information―found from a search in Medline, Epistemonikos, LibreOffice Base, Microsoft Academic, ClinicalKey, Science Research y MedNar databases and engines―was carried out, with the criterion: image in SARS-CoV-2 (COVID-19), in English and Spanish. In COVID-19 not everything is opacity in ground glass. Although they are the most observed lesions, their distribution predominantly peripheral, multifocal, bilateral; posterior and with a tendency to asymmetry is highlighted as characteristic; later, in the evolution, they will follow the crazy paving pattern. This and other less frequent patterns may be found at some stage in the course of the disease. An observation guide for the correct interpretation of the tomographic imaging of patients with COVID-19 is proposed in the work.

Keywords : SARS-CoV-2; COVID-19; imaging diagnosis; lung; x-ray computed tomography.

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