Comparison of chest CT changes in patients with COVID-19 and patients on maintenance hemodialysis

Objective To compare the features of chest CT scans in patients with COVID-19 infection and in patient on maintenance hemodialysis (MHD), so as to provide a reference for clinical diagnosis and differential diagnosis. Methods The complete clinical data and chest CT findings of 35 patients with COV...

Full description

Bibliographic Details
Main Author: ZHAO Bin, LIU Jing, LIU Yin, YANG Tao, WANG Yu-zhu
Format: Article
Language:zho
Published: Institute of Basic Medical Sciences and Peking Union Medical College Hospital, Chinese Academy of Medical Sciences / Peking Union Medical College. 2020-12-01
Series:Jichu yixue yu linchuang
Subjects:
Online Access:http://journal11.magtechjournal.com/Jwk_jcyxylc/fileup/1001-6325/PDF/a200797.pdf
_version_ 1827390489261768704
author ZHAO Bin, LIU Jing, LIU Yin, YANG Tao, WANG Yu-zhu
author_facet ZHAO Bin, LIU Jing, LIU Yin, YANG Tao, WANG Yu-zhu
author_sort ZHAO Bin, LIU Jing, LIU Yin, YANG Tao, WANG Yu-zhu
collection DOAJ
description Objective To compare the features of chest CT scans in patients with COVID-19 infection and in patient on maintenance hemodialysis (MHD), so as to provide a reference for clinical diagnosis and differential diagnosis. Methods The complete clinical data and chest CT findings of 35 patients with COVID-19 and 60 patients on MHD who had been admitted to Beijing Haidian Hospital from February to March 2020 were collected, their imaging features and clinical characteristics were analyzed and compared. Results A total of 95 patients were included, aged from 18 to 80 years old. Among the 35 patients with COVID-19, 32 cases (91%) had lesions mainly distributed in the lung field, 25 cases (71%) had ground glass opacities as the major manifestation, 22 cases (63%) were associated with interlobular septal thickening, 28 cases (80%) were complicated with intravascular thickening, and 11 cases (31%) had bronchial inflation. Among the 60 patients on MHD, 31 cases (41%) had lesions mainly distributed in the centers of the bilateral lung fields, 42 cases (70%) had ground glass opacities, 37 cases (62%) interlobular septal thickening, including 4 complicated with peribronchial cuff- ing(7%), 41 cases (68%) had enlarged cardiac shadow, including 14 (23%) complicated with pleural effusion, and 27 cases (45%) had widened pulmonary artery. Conclusions Both patients with COVID-19 and those on MHD were found with ground glass opacities complicated with interlobular septal thickening on chest CT, but patients on MHD showed obvious changes such as enlarged cardiac shadow complicated with widened pulmonary artery. Therefore, the chest imaging features from the two types of patients can be used to provide a solid basis for clinical and differential diagnosis.
first_indexed 2024-03-08T16:52:28Z
format Article
id doaj.art-e7a63030f50f4698ac0a83c6ca257668
institution Directory Open Access Journal
issn 1001-6325
language zho
last_indexed 2024-03-08T16:52:28Z
publishDate 2020-12-01
publisher Institute of Basic Medical Sciences and Peking Union Medical College Hospital, Chinese Academy of Medical Sciences / Peking Union Medical College.
record_format Article
series Jichu yixue yu linchuang
spelling doaj.art-e7a63030f50f4698ac0a83c6ca2576682024-01-05T03:17:50ZzhoInstitute of Basic Medical Sciences and Peking Union Medical College Hospital, Chinese Academy of Medical Sciences / Peking Union Medical College.Jichu yixue yu linchuang1001-63252020-12-01401216861690Comparison of chest CT changes in patients with COVID-19 and patients on maintenance hemodialysisZHAO Bin, LIU Jing, LIU Yin, YANG Tao, WANG Yu-zhu01. Department of Nephrology; ;2. Department of Radiology, Haidian Hospital,the Third Hospital of Peking University,Beijing 100080,ChinaObjective To compare the features of chest CT scans in patients with COVID-19 infection and in patient on maintenance hemodialysis (MHD), so as to provide a reference for clinical diagnosis and differential diagnosis. Methods The complete clinical data and chest CT findings of 35 patients with COVID-19 and 60 patients on MHD who had been admitted to Beijing Haidian Hospital from February to March 2020 were collected, their imaging features and clinical characteristics were analyzed and compared. Results A total of 95 patients were included, aged from 18 to 80 years old. Among the 35 patients with COVID-19, 32 cases (91%) had lesions mainly distributed in the lung field, 25 cases (71%) had ground glass opacities as the major manifestation, 22 cases (63%) were associated with interlobular septal thickening, 28 cases (80%) were complicated with intravascular thickening, and 11 cases (31%) had bronchial inflation. Among the 60 patients on MHD, 31 cases (41%) had lesions mainly distributed in the centers of the bilateral lung fields, 42 cases (70%) had ground glass opacities, 37 cases (62%) interlobular septal thickening, including 4 complicated with peribronchial cuff- ing(7%), 41 cases (68%) had enlarged cardiac shadow, including 14 (23%) complicated with pleural effusion, and 27 cases (45%) had widened pulmonary artery. Conclusions Both patients with COVID-19 and those on MHD were found with ground glass opacities complicated with interlobular septal thickening on chest CT, but patients on MHD showed obvious changes such as enlarged cardiac shadow complicated with widened pulmonary artery. Therefore, the chest imaging features from the two types of patients can be used to provide a solid basis for clinical and differential diagnosis.http://journal11.magtechjournal.com/Jwk_jcyxylc/fileup/1001-6325/PDF/a200797.pdfcoronavirus disease 2019|maintenance hemodialysis|chest ct
spellingShingle ZHAO Bin, LIU Jing, LIU Yin, YANG Tao, WANG Yu-zhu
Comparison of chest CT changes in patients with COVID-19 and patients on maintenance hemodialysis
Jichu yixue yu linchuang
coronavirus disease 2019|maintenance hemodialysis|chest ct
title Comparison of chest CT changes in patients with COVID-19 and patients on maintenance hemodialysis
title_full Comparison of chest CT changes in patients with COVID-19 and patients on maintenance hemodialysis
title_fullStr Comparison of chest CT changes in patients with COVID-19 and patients on maintenance hemodialysis
title_full_unstemmed Comparison of chest CT changes in patients with COVID-19 and patients on maintenance hemodialysis
title_short Comparison of chest CT changes in patients with COVID-19 and patients on maintenance hemodialysis
title_sort comparison of chest ct changes in patients with covid 19 and patients on maintenance hemodialysis
topic coronavirus disease 2019|maintenance hemodialysis|chest ct
url http://journal11.magtechjournal.com/Jwk_jcyxylc/fileup/1001-6325/PDF/a200797.pdf
work_keys_str_mv AT zhaobinliujingliuyinyangtaowangyuzhu comparisonofchestctchangesinpatientswithcovid19andpatientsonmaintenancehemodialysis