ภาพวินิจฉัยทางรังสีวิทยาในโควิด-19
คำสำคัญ:
โควิด-19, ภาพรังสีทรวงอก, ภาพเอกซเรย์คอมพิวเตอร์, ภาพคลื่นเสียงความถี่สูง, ปอดอัดเสบบทคัดย่อ
โรคติดเชื้อไวรัสโคโรน่าชนิดใหม่ (COVID-19) เป็นโรคอุบัติใหม่ที่มีการระบาดเป็นวงกว้างทั่วโลก ผู้ติดเชื้อไวรัส
โคโรน่านี้ส่วนใหญ่มีอาการทางระบบทางเดินหายใจ ภาพวินิจฉัยทางรังสีวิทยาทั้ง ภาพรังสีทรวงอก (Chest
Radiograph) และภาพเอกซเรย์คอมพิวเตอร์ (Computed Tomography) จึงมีบทบาทสำคัญ บทความนี้ได้
ทบทวนข้อบ่งชี้หรือการเลือกใช้เครื่องมือทางรังสีวิทยาและความผิดปกติที่พบได้ในภาพวินิจฉัยต่างๆ ที่เกี่ยวข้อง
References
1. Choi H, Qi X, Yoon SH, Park SJ, Lee KH,
Kim JY, et al. Extension of corona virus
disease 2019 (CoVID-19) on chest CT
and implications for chest radiograph
interpretation [Internet]. 2020 (accessed
April 13, 2020). Available from: https://pubs.
rsna.org/doi/10.1148/ryct.2020200107
2. Zu ZY, Jiang MD, Xu PP, Chen W, Ni QQ,
Lu GM, et al. Coronavirus disease 2019
(COVID-19): a perspective from China
[Internet]. 2020 (accessed April 13, 2020).
Available from: https://doi.org/10.1148/
radiol.2020200490
3. Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv
W, et al. Correlation of chest CT and RTPCR testing in coronavirus disease 2019
(COVID-19) in China: a report of 1014 cases
[Internet]. 2020 (accessed April 16, 2020).
Available from: https://doi.org/10.1148/
radiol.2020200642
4. Boas G. Radiology rounds: a newsletter
for referring physician. Massachusettes
General Hospital Imaging [Internet]. 2020
(accessed April 16, 2020). Available from:
https://www.massgeneralimaging.org/
newsletter/radrounds/april-2020/imagingguidelines-for-covid-19-infection/
5. Rubin GD, Ryerson CJ, Haramati LB,
Sverzellati N, Kanne JP, Raoof S, et al.
The role of chest imaging in patient
management during the COVUD-19
pandemic: a multinational consensus
statement from the Fleischner Society
[Internet]. 2020 (accessed April 14, 2020).
Available from: https://pubs.rsna.org/
doi/10.1148/radiol.2020201365
6. Nair A, Rodriques JC, Edey HA, Devaraj
A, Jacob J, Johnstone A, et al. A British
Society of Thoracic Imaging statement:
considerations in designing local imaging
diagnostic algorithms for the COVID-19
pandemic. Clin Radiol. 20; 75: 329–334.
7. Raptis CA, Hammer MM, Short RG, Shah
A, Sanjeev Bhalla S, Andrew J. Bierhals
AJ, et al. Chest CT and coronavirus
disease (COVID-19): a critical review of
the literature to date. AJR Am Roentgenol
Radiol. 2020; 215: 1–4.
8. Goh Y, Chua W, Lee JKT, Ang BWL, Liang
CR, Tan CA, et al. Operational strategies
to prevent coronavirus disease 2019
(COVID-19) spread in radiology: Experience
from a Singapore Radiology Department
after severe acute respiratory syndrome. J
Am CollRadiol. 2020; 17(6): 717-723.
9. Rodrigues JC, Hare SS, Edey A, Devaraj A,
Jacob J, Johnstone A, McStay R, et al. An
update on COVID-19 for the radiologist
– A British society of Thoracic Imaging
statement. Clin Radiol 2020; 75: 323-5.
10. Wong HY, Lam HY, Fong AH, Leung
ST, Chin TW, Lo CS, et al. Frequency
and distribution of chest radiographic
findings in COVID-19 positive patients
[Internet]. 2020 (accessed April 19, 2020).
Available from: https://doi.org/10.1148/
radiol.2020201160
11. Weinstock MB, Echenique A, Russell JW,
Leib A, Miller J, Cohen DJ, et al. Chest
X-Ray findings in 636 ambulatory patients
with COVID-19 presenting to an urgent
care center: A normal chest X-Ray is no
guarantee. J Urgent Care Med. 2020; 14:
13-8.
12. Wen Z, Chi Y, Zhang L, Liu H, Du K, Li Z,
et al. Coronavirus disease 2019: initial
detection on chest CT in a retrospective
multicenter study of 103 Chinese subjects
[Internet]. 2020. (accessed April 15, 2020).
Available from: https://pubs.rsna.org/
doi/10.1148/ryct.2020200092
13. Wang Y, Dong C, Hu Y, Li C, Ren Q, Zhang
X, et al. Temporal changes of CT findings
in 90 patients with COVID-19 pneumonia:
a longitudinal study [Internet]. 2020
(accessed April 16, 2020). Available from:
https://doi.org/10.1148/radiol.2020200843
14. Zhaoa X, Liua B, Yua Y, Wanga X , Dub
Y , Gub J, et al. The characteristics and
clinical value of chest CT images of novel
coronavirus pneumonia X. Clin Radiol.
2020; 75: 335-40.
15. Caruso D, Zerunian M, Polici M, Pucciarelli
F, Polidori T, Rucci C, et al. Chest CT
features of COVID-19 in Rome, Italy
[Internet]. 2020 (accessed April 16, 2020).
Available from: https://doi.org/10.1148/
radiol.2020201237
16. Chen Z, Fan H, Cai J, Li Y, Wu B, Hou Y, et
al. High-resolution computed tomography
manifestations of COVID-19 in patients of
difference ages. Eur J Radiol. 2020; 126:
108972.
17. Pan F, Ye T, Sun P, Gui S, Liang B, Li L, et al.
Time course of lung changes on chest CT
during recovery from 2019 novel coronavirus
(COVID-19) pneumonia [Internet]. 2020
(accessed April 19, 2020). Available from:
https://doi.org/10.1148/radiol.2020200370
18. Yang R, Li X, Liu H, Zhen Y, Zhang X,
Xiong Q, et al. Chest CT severity score: an
imaging too for assessing severe COVID-19
[Internet]. 2020 (accessed April 19, 2020).
Available from: https://doi.org/10.1148/
ryct.2020200047
19. Zhang R, Ouyang H, Fu L, Wang S, Han
J, Huang K, et al. CT features of SARSCoV-2 pneumonia according to clinical
presentation: a retrospective analysis of
120 consecutive patients from Wuhan city
[Internet]. 2020 (accessed April 17, 2020).
Available from: https://doi.org/10.1007/
s00330-020-06854-1
20. Franquet T, Imaging of pulmonary viral
pneumonia [Internet]. 2020 (accessed
April 17, 2020). Available from: https://doi.
org/10.1148/radiol.11092149
21. Chen X, Tang Y, Mo Y, et al. A diagnostic
model for coronavirus disease 2019
(COVID-19) based on radiological semantic
and clinical features: a multi-center study
[Internet]. 2020 (accessed April 17, 2020).
Available from: https://doi.org/10.1007/
s00330-020-06829-2
22. Chen A, Huang J, Liao Y, Liu Z, Chen D,
Yang C, et al. Differences in clinical and
imaging presentation of pediatric patients
with COVID-19 in comparison with adults
[Internet]. 2020 (accessed April 17, 2020).
Available from: https://doi.org/10.1148/
ryct.2020200117
23. Thoracic imaging in COVID-19 infection:
guidance for the reporting radiologist
British Society of Thoracic Imaging version
2 [Internet]. 2020 (accessed April 16, 2020).
Available from: https://www.bsti.org.uk/
covid-19-resources/covid-19-guidance-forthe-reporting-radiologist/
24. Simpsom S, Kay FU, Abbara S, Rhalla S,
Chung JH, Henry TS, et al. Radiological
Society of North America Expert Consensus
Statement on Reporting Chest CT Findings
Related to COVID-19. Endorsed by the
Society of Thoracic Radiology, the
American College of Radiology, and RSNA
[Internet]. 2020 (accessed April 14, 2020).
Available from: https://doi.org/10.1148/
ryct.2020200152
25. Huang L, Han R, Ai T, Yu P, Kang H, Tao
Q, et al. Serial quantitative chest CT
assessment of COVID-19: deep learning
approach [Internet]. 2020 (accessed April
15, 2020). Available from: https://doi.
org/10.1148/ryct.2020200075
26. Lomoro P, Verde F, Zerboni F, Simonetti
I, Borghi C, Fachinetti, et al. COVID-19
pneumonia manifestations at the admission
on chest ultrasound, radiographs, and CT:
single-center study and comprehensive
radiologic literature review [Internet]. 2020
(accessed April 19, 2020). Available from:
https://doi.org/10.1016/j.ejro.2020.100231
27. Peng Q, Wang X, Zhang L. Findings of
lung ultrasonography of novel corona
virus pneumonia during the 2019–2020
epidemic [Internet]. 2020 (accessed April
16, 2020). Available from: https://doi.
org/10.1007/s00134-020-05996-6
28. Mayo PH, Copetti R, Feller-Kopman D,
Mathis G, Maury E, Mongodi S, et al.
Thoracic ultrasonography: a narrative
review. Intensive Care Med. 2019; 45:
1200–11.
29. Soldati G, Smargiassi A, Inchingolo R,
Buonsenso D, Perrone T, Briganti DF, et al.
Proposal for international standardization
of the use of lung ultrasound for patients
with COVID-19 [Internet]. 2020 (accessed
April 16, 2020). Available from: https://doi.
org/10.1002/jum.15285
30. Poyiadji N, Shahin G, Noujaim D, Stone
M, Patel S, Griffith B, et al. COVID-19–
associated acute hemorrhagic necrotizing
encephalopathy: CT and MRI features
[Internet]. 2020 (accessed April 18, 2020)
Available from: https://doi.org/10.1148/
radiol.2020201187
Kim JY, et al. Extension of corona virus
disease 2019 (CoVID-19) on chest CT
and implications for chest radiograph
interpretation [Internet]. 2020 (accessed
April 13, 2020). Available from: https://pubs.
rsna.org/doi/10.1148/ryct.2020200107
2. Zu ZY, Jiang MD, Xu PP, Chen W, Ni QQ,
Lu GM, et al. Coronavirus disease 2019
(COVID-19): a perspective from China
[Internet]. 2020 (accessed April 13, 2020).
Available from: https://doi.org/10.1148/
radiol.2020200490
3. Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv
W, et al. Correlation of chest CT and RTPCR testing in coronavirus disease 2019
(COVID-19) in China: a report of 1014 cases
[Internet]. 2020 (accessed April 16, 2020).
Available from: https://doi.org/10.1148/
radiol.2020200642
4. Boas G. Radiology rounds: a newsletter
for referring physician. Massachusettes
General Hospital Imaging [Internet]. 2020
(accessed April 16, 2020). Available from:
https://www.massgeneralimaging.org/
newsletter/radrounds/april-2020/imagingguidelines-for-covid-19-infection/
5. Rubin GD, Ryerson CJ, Haramati LB,
Sverzellati N, Kanne JP, Raoof S, et al.
The role of chest imaging in patient
management during the COVUD-19
pandemic: a multinational consensus
statement from the Fleischner Society
[Internet]. 2020 (accessed April 14, 2020).
Available from: https://pubs.rsna.org/
doi/10.1148/radiol.2020201365
6. Nair A, Rodriques JC, Edey HA, Devaraj
A, Jacob J, Johnstone A, et al. A British
Society of Thoracic Imaging statement:
considerations in designing local imaging
diagnostic algorithms for the COVID-19
pandemic. Clin Radiol. 20; 75: 329–334.
7. Raptis CA, Hammer MM, Short RG, Shah
A, Sanjeev Bhalla S, Andrew J. Bierhals
AJ, et al. Chest CT and coronavirus
disease (COVID-19): a critical review of
the literature to date. AJR Am Roentgenol
Radiol. 2020; 215: 1–4.
8. Goh Y, Chua W, Lee JKT, Ang BWL, Liang
CR, Tan CA, et al. Operational strategies
to prevent coronavirus disease 2019
(COVID-19) spread in radiology: Experience
from a Singapore Radiology Department
after severe acute respiratory syndrome. J
Am CollRadiol. 2020; 17(6): 717-723.
9. Rodrigues JC, Hare SS, Edey A, Devaraj A,
Jacob J, Johnstone A, McStay R, et al. An
update on COVID-19 for the radiologist
– A British society of Thoracic Imaging
statement. Clin Radiol 2020; 75: 323-5.
10. Wong HY, Lam HY, Fong AH, Leung
ST, Chin TW, Lo CS, et al. Frequency
and distribution of chest radiographic
findings in COVID-19 positive patients
[Internet]. 2020 (accessed April 19, 2020).
Available from: https://doi.org/10.1148/
radiol.2020201160
11. Weinstock MB, Echenique A, Russell JW,
Leib A, Miller J, Cohen DJ, et al. Chest
X-Ray findings in 636 ambulatory patients
with COVID-19 presenting to an urgent
care center: A normal chest X-Ray is no
guarantee. J Urgent Care Med. 2020; 14:
13-8.
12. Wen Z, Chi Y, Zhang L, Liu H, Du K, Li Z,
et al. Coronavirus disease 2019: initial
detection on chest CT in a retrospective
multicenter study of 103 Chinese subjects
[Internet]. 2020. (accessed April 15, 2020).
Available from: https://pubs.rsna.org/
doi/10.1148/ryct.2020200092
13. Wang Y, Dong C, Hu Y, Li C, Ren Q, Zhang
X, et al. Temporal changes of CT findings
in 90 patients with COVID-19 pneumonia:
a longitudinal study [Internet]. 2020
(accessed April 16, 2020). Available from:
https://doi.org/10.1148/radiol.2020200843
14. Zhaoa X, Liua B, Yua Y, Wanga X , Dub
Y , Gub J, et al. The characteristics and
clinical value of chest CT images of novel
coronavirus pneumonia X. Clin Radiol.
2020; 75: 335-40.
15. Caruso D, Zerunian M, Polici M, Pucciarelli
F, Polidori T, Rucci C, et al. Chest CT
features of COVID-19 in Rome, Italy
[Internet]. 2020 (accessed April 16, 2020).
Available from: https://doi.org/10.1148/
radiol.2020201237
16. Chen Z, Fan H, Cai J, Li Y, Wu B, Hou Y, et
al. High-resolution computed tomography
manifestations of COVID-19 in patients of
difference ages. Eur J Radiol. 2020; 126:
108972.
17. Pan F, Ye T, Sun P, Gui S, Liang B, Li L, et al.
Time course of lung changes on chest CT
during recovery from 2019 novel coronavirus
(COVID-19) pneumonia [Internet]. 2020
(accessed April 19, 2020). Available from:
https://doi.org/10.1148/radiol.2020200370
18. Yang R, Li X, Liu H, Zhen Y, Zhang X,
Xiong Q, et al. Chest CT severity score: an
imaging too for assessing severe COVID-19
[Internet]. 2020 (accessed April 19, 2020).
Available from: https://doi.org/10.1148/
ryct.2020200047
19. Zhang R, Ouyang H, Fu L, Wang S, Han
J, Huang K, et al. CT features of SARSCoV-2 pneumonia according to clinical
presentation: a retrospective analysis of
120 consecutive patients from Wuhan city
[Internet]. 2020 (accessed April 17, 2020).
Available from: https://doi.org/10.1007/
s00330-020-06854-1
20. Franquet T, Imaging of pulmonary viral
pneumonia [Internet]. 2020 (accessed
April 17, 2020). Available from: https://doi.
org/10.1148/radiol.11092149
21. Chen X, Tang Y, Mo Y, et al. A diagnostic
model for coronavirus disease 2019
(COVID-19) based on radiological semantic
and clinical features: a multi-center study
[Internet]. 2020 (accessed April 17, 2020).
Available from: https://doi.org/10.1007/
s00330-020-06829-2
22. Chen A, Huang J, Liao Y, Liu Z, Chen D,
Yang C, et al. Differences in clinical and
imaging presentation of pediatric patients
with COVID-19 in comparison with adults
[Internet]. 2020 (accessed April 17, 2020).
Available from: https://doi.org/10.1148/
ryct.2020200117
23. Thoracic imaging in COVID-19 infection:
guidance for the reporting radiologist
British Society of Thoracic Imaging version
2 [Internet]. 2020 (accessed April 16, 2020).
Available from: https://www.bsti.org.uk/
covid-19-resources/covid-19-guidance-forthe-reporting-radiologist/
24. Simpsom S, Kay FU, Abbara S, Rhalla S,
Chung JH, Henry TS, et al. Radiological
Society of North America Expert Consensus
Statement on Reporting Chest CT Findings
Related to COVID-19. Endorsed by the
Society of Thoracic Radiology, the
American College of Radiology, and RSNA
[Internet]. 2020 (accessed April 14, 2020).
Available from: https://doi.org/10.1148/
ryct.2020200152
25. Huang L, Han R, Ai T, Yu P, Kang H, Tao
Q, et al. Serial quantitative chest CT
assessment of COVID-19: deep learning
approach [Internet]. 2020 (accessed April
15, 2020). Available from: https://doi.
org/10.1148/ryct.2020200075
26. Lomoro P, Verde F, Zerboni F, Simonetti
I, Borghi C, Fachinetti, et al. COVID-19
pneumonia manifestations at the admission
on chest ultrasound, radiographs, and CT:
single-center study and comprehensive
radiologic literature review [Internet]. 2020
(accessed April 19, 2020). Available from:
https://doi.org/10.1016/j.ejro.2020.100231
27. Peng Q, Wang X, Zhang L. Findings of
lung ultrasonography of novel corona
virus pneumonia during the 2019–2020
epidemic [Internet]. 2020 (accessed April
16, 2020). Available from: https://doi.
org/10.1007/s00134-020-05996-6
28. Mayo PH, Copetti R, Feller-Kopman D,
Mathis G, Maury E, Mongodi S, et al.
Thoracic ultrasonography: a narrative
review. Intensive Care Med. 2019; 45:
1200–11.
29. Soldati G, Smargiassi A, Inchingolo R,
Buonsenso D, Perrone T, Briganti DF, et al.
Proposal for international standardization
of the use of lung ultrasound for patients
with COVID-19 [Internet]. 2020 (accessed
April 16, 2020). Available from: https://doi.
org/10.1002/jum.15285
30. Poyiadji N, Shahin G, Noujaim D, Stone
M, Patel S, Griffith B, et al. COVID-19–
associated acute hemorrhagic necrotizing
encephalopathy: CT and MRI features
[Internet]. 2020 (accessed April 18, 2020)
Available from: https://doi.org/10.1148/
radiol.2020201187
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2020-06-27
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