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Curr Opin Crit Care . Chest imaging in patients with acute respiratory failure because of coronavirus disease 2019

tetano

Editor, Senior Moderator
Curr Opin Crit Care


. 2021 Dec 3.
doi: 10.1097/MCC.0000000000000906. Online ahead of print.
Chest imaging in patients with acute respiratory failure because of coronavirus disease 2019


Letizia Di Meglio[SUP] 1 [/SUP], Serena Carriero, Pierpaolo Biondetti, Bradford J Wood, Gianpaolo Carrafiello



Affiliations

Abstract

Purpose of review: This review aims to explore the different imaging modalities, such as chest radiography (CXR), computed tomography (CT), ultrasound, PET/CT scan, and MRI to describe the main features for the evaluation of the chest in COVID-19 patients with ARDS.
Recent findings: This article includes a systematic literature search, evidencing the different chest imaging modalities used in patients with ARDS from COVID-19. Literature evidences different possible approaches going from the conventional CXR and CT to the LUS, MRI, and PET/CT.
Summary: CT is the technique with higher sensitivity and definition for studying chest in COVID-19 patients. LUS or bedside CXR are critical in patients requiring close and repeated monitoring. Moreover, LUS and CXR reduce the radiation burden and the risk of infection compared with CT. PET/CT and MRI, especially in ARDS patients, are not usually used for diagnostic or follow-up purposes.
 
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