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Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Research Article

A Comparison of CT Manifestations Between Coronavirus Disease 2019 (COVID-19) and Other Types of Viral Pneumonia

Author(s): Haixia Mao, Xiaoshan Li, Xiaoming Lin, Lijuan Zhou, Xiuping Zhang, Yang Cao, Yilun Jiang, Hongwei Chen, Xiangming Fang* and Lan Gu*

Volume 17 , Issue 11 , 2021

Published on: 17 February, 2021

Page: [1316 - 1323] Pages: 8

DOI: 10.2174/1573405617666210218092751

Abstract

Background: Though imaging manifestations of COVID-19 and other types of viral pneumonia are similar, their clinical treatment methods differ. Accurate, non-invasive diagnostic methods using CT imaging can help develop an optimal therapeutic regimen for both conditions.

Objective: To compare the initial CT imaging features in COVID-19 with those in other types of viral pneumonia.

Methods: Clinical and imaging data of 51 patients with COVID-19 and 69 with other types of viral pneumonia were retrospectively studied. All significant imaging features (Youden index >0.3) were included for constituting the combined criteria for COVID-19 diagnosis, composed of two or more imaging features with a parallel model. McNemar's chi-square test or Fisher's exact test was used to compare the validity indices (sensitivity and specificity) among various criteria.

Results: Ground glass opacities (GGO) dominated density, peripheral distribution, unilateral lung, clear margin of lesion, rounded morphology, long axis parallel to the pleura, vascular thickening, and crazy-paving pattern were more common in COVID-19 (p <0.05). Consolidation-dominated density, both central and peripheral distributions, bilateral lung, indistinct margin of lesion, tree-inbud pattern, mediastinal or hilar lymphadenectasis, pleural effusion, and pleural thickening were more common in other types of viral pneumonia (p < 0.05). GGO-dominated density or long axis parallel to the pleura (with the highest sensitivity), and GGO-dominated density or long axis parallel to the pleura or vascular thickening (with the highest specificity) are well combined criteria of COVID-19.

Conclusion: The initial CT imaging features are helpful for the differential diagnosis of COVID-19 and other types of viral pneumonia.

Keywords: Coronavirus disease 2019, tomography, X-ray computed, other types of viral pneumonia, ground glass opacities, differential diagnosis, manifestation.

Graphical Abstract

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