tetano
Editor, Senior Moderator
Curr Med Imaging
. 2024:20:1-7.
doi: 10.2174/0115734056248266230921072432. Comparison of Computed Tomography Findings between Adult and Pediatric COVID-19 Patients
Yeliz Dadalı[SUP] 1 [/SUP], Sercan Özkaçmaz[SUP] 2 [/SUP], Erdal Ünlü[SUP] 3 [/SUP], Ayşe Özkaçmaz[SUP] 4 [/SUP], Muhammed Alparslan[SUP] 1 [/SUP], İlyas Dündar[SUP] 2 [/SUP], Ensar Turko[SUP] 2 [/SUP], Mesut Özgökçe[SUP] 2 [/SUP], Fatma Durmaz[SUP] 2 [/SUP], Cemil Göya[SUP] 2 [/SUP]
Affiliations
Purpose: This study aims to compare chest computed tomography (CT) findings between adult and pediatric patients with coronavirus disease-19 (COVID-19) pneumonia.
Materials and methods: This study included 30 pediatric patients aged 1 to 17 years and 30 adult patients over 18 years of age with COVID-19 pneumonia confirmed by reverse transcriptase-polymerase chain reaction (RT-PCR) who have findings related to COVID-19 on Chest Computed Tomography. The CT findings of adult and pediatric patients were compared with a z-test.
Results: Bilateral involvement (p:0.00056), involvement in all five lobes (p<0.00001), and central and peripheral involvement (p:0.01928) were significantly higher in the adult group compared to the pediatric group. In the pediatric group, the frequency of unilateral involvement (p:0.00056), involvement of solitary lobe (p:0.00132), and peripheral involvement (p: 0.01928) were significantly higher than in the adult group. The most common parenchymal finding in adults and pediatric patients was ground-glass opacities (100% and 83%, respectively). Among the parenchymal findings in adults, ground-glass opacities with consolidation (63%) were the second most common finding, followed by air bronchogram (60%) in adults, while in pediatric patients, halo sign (27%) and nodule (27%) were the second most common, followed by the ground-glass opacities with consolidation (23%).
Conclusion: The CT findings of pediatric COVID-19 patients must be well-known as the course of the disease is usually less severe, and the radiological findings are uncertain when compared with adults.
Keywords: Adult; Bronchiectasis.; COVID-19; Crazy paving pattern; Multidetector computed tomography; Pediatrics; Pneumonia; Reverse halo sign.
. 2024:20:1-7.
doi: 10.2174/0115734056248266230921072432. Comparison of Computed Tomography Findings between Adult and Pediatric COVID-19 Patients
Yeliz Dadalı[SUP] 1 [/SUP], Sercan Özkaçmaz[SUP] 2 [/SUP], Erdal Ünlü[SUP] 3 [/SUP], Ayşe Özkaçmaz[SUP] 4 [/SUP], Muhammed Alparslan[SUP] 1 [/SUP], İlyas Dündar[SUP] 2 [/SUP], Ensar Turko[SUP] 2 [/SUP], Mesut Özgökçe[SUP] 2 [/SUP], Fatma Durmaz[SUP] 2 [/SUP], Cemil Göya[SUP] 2 [/SUP]
Affiliations
- PMID: 38389344
- DOI: 10.2174/0115734056248266230921072432
Purpose: This study aims to compare chest computed tomography (CT) findings between adult and pediatric patients with coronavirus disease-19 (COVID-19) pneumonia.
Materials and methods: This study included 30 pediatric patients aged 1 to 17 years and 30 adult patients over 18 years of age with COVID-19 pneumonia confirmed by reverse transcriptase-polymerase chain reaction (RT-PCR) who have findings related to COVID-19 on Chest Computed Tomography. The CT findings of adult and pediatric patients were compared with a z-test.
Results: Bilateral involvement (p:0.00056), involvement in all five lobes (p<0.00001), and central and peripheral involvement (p:0.01928) were significantly higher in the adult group compared to the pediatric group. In the pediatric group, the frequency of unilateral involvement (p:0.00056), involvement of solitary lobe (p:0.00132), and peripheral involvement (p: 0.01928) were significantly higher than in the adult group. The most common parenchymal finding in adults and pediatric patients was ground-glass opacities (100% and 83%, respectively). Among the parenchymal findings in adults, ground-glass opacities with consolidation (63%) were the second most common finding, followed by air bronchogram (60%) in adults, while in pediatric patients, halo sign (27%) and nodule (27%) were the second most common, followed by the ground-glass opacities with consolidation (23%).
Conclusion: The CT findings of pediatric COVID-19 patients must be well-known as the course of the disease is usually less severe, and the radiological findings are uncertain when compared with adults.
Keywords: Adult; Bronchiectasis.; COVID-19; Crazy paving pattern; Multidetector computed tomography; Pediatrics; Pneumonia; Reverse halo sign.