{"id":4557,"date":"2023-03-27T22:36:19","date_gmt":"2023-03-27T20:36:19","guid":{"rendered":"https:\/\/www.jphres.org\/?p=4557"},"modified":"2023-04-02T14:12:41","modified_gmt":"2023-04-02T12:12:41","slug":"18-months-computed-tomography-follow-up-after-covid-19-interstitial-pneumonia","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/2782\/","title":{"rendered":"18 months computed tomography follow-up after Covid-19 interstitial pneumonia"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2022.2782\">https:\/\/doi.org\/10.4081\/jphr.2022.2782<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\"><strong>Michela Barini<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Diagnosis and Treatment Services, Radiodiagnostics, Azienda Ospedaliero Universitaria Maggiore della Carit\u00e0, Novara, Italy.<\/span><\/li>\n<li><span class=\"name\"><strong>Ilaria Percivale<\/strong><br \/>\n<span class=\"affiliation\">Department of Diagnosis and Treatment Services, Radiodiagnostics, Azienda Ospedaliero Universitaria Maggiore della Carit\u00e0, Novara, Italy.<\/span><span class=\"orcid\"><a href=\"https:\/\/orcid.org\/0000-0001-9388-8667\" target=\"_blank\" rel=\"noopener\">\u00a0https:\/\/orcid.org\/0000-0001-9388-8667<\/a><\/span><\/span><\/li>\n<li><span class=\"name\"><strong>Pietro S.C. Danna<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Diagnosis and Treatment Services, Radiodiagnostics, Azienda Ospedaliero Universitaria Maggiore della Carit\u00e0, Novara, Italy.<\/span><span class=\"orcid\"><a href=\"https:\/\/orcid.org\/0000-0001-8928-7666\" target=\"_blank\" rel=\"noopener\">\u00a0https:\/\/orcid.org\/0000-0001-8928-7666<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Vittorio Longo<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Diagnosis and Treatment Services, Radiodiagnostics, Azienda Ospedaliero Universitaria Maggiore della Carit\u00e0, Novara, Italy.<\/span><span class=\"orcid\"><a href=\"https:\/\/orcid.org\/0000-0003-4332-9757\" target=\"_blank\" rel=\"noopener\">\u00a0https:\/\/orcid.org\/0000-0003-4332-9757<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Pietro Costantini<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Diagnosis and Treatment Services, Radiodiagnostics, Azienda Ospedaliero Universitaria Maggiore della Carit\u00e0, Novara, Italy.<\/span><span class=\"orcid\"><a href=\"https:\/\/orcid.org\/0000-0002-5365-7028\" target=\"_blank\" rel=\"noopener\">\u00a0https:\/\/orcid.org\/0000-0002-5365-7028<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Andrea Paladini<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Diagnosis and Treatment Services, Radiodiagnostics, Azienda Ospedaliero Universitaria Maggiore della Carit\u00e0, Novara, Italy.<\/span><span class=\"orcid\"><a href=\"https:\/\/orcid.org\/0000-0003-1968-1590\" target=\"_blank\" rel=\"noopener\">\u00a0https:\/\/orcid.org\/0000-0003-1968-1590<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Chiara Airoldi<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Translational Medicine, University of Piemonte Orientale, Novara, Italy.<\/span><\/li>\n<li><span class=\"name\"><strong>Mattia Bellan<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Translational Medicine, University of Piemonte Orientale, Novara, Italy.<\/span><\/li>\n<li><span class=\"name\"><strong>Luca Saba<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Medical Science, University of Cagliari, Italy.<\/span><\/li>\n<li><span class=\"name\"><strong>Alessandro Carriero<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Diagnosis and Treatment Services, Radiodiagnostics, Azienda Ospedaliero Universitaria Maggiore della Carit\u00e0, Novara, Italy.<\/span><\/li>\n<\/ul>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p><em>Background:<\/em>\u00a0Our aim is to evaluate the possible persistence of lung parenchyma alterations, in patients who have recovered from Covid-19.<br \/>\n<em>Design and methods<\/em>: We enrolled a cohort of 115 patients affected by Covid-19, who performed a chest CT scan in the Emergency Department and a chest CT 18 months after hospital discharge. We performed a comparison between chest CT scan 18 months after discharge and spirometric data of patients enrolled. We obtained quantitative scores related to well-aerated parenchyma, interstitial lung disease and parenchymal consolidation. A radiologist recorded the characteristics indicated by the Fleischner Society and \u201cfibrotic like\u201d changes, expressed through a CT severity score ranging from 0 (no involvement) to 25 (maximum involvement).<br \/>\n<em><br \/>\nResults:<\/em>\u00a0115 patients (78 men, 37 women; mean age 60.15 years old \u00b112.52). On quantitative analysis, after 18 months, the volume of normal ventilated parenchyma was significantly increased (16.34 points on average \u00b114.54, p&lt;0.0001). Ground-glass opacities and consolidation values tend to decrease (-9.80 and -6.67 points, p&lt;0.0001). On semiquantitative analysis, pneumonia extension, reactive lymph nodes and crazy paving reached statistical significance (p&lt;0.0001). The severity score decreased by 2.77 points on average (SD 4.96; p&lt;0.0001). There were not statistically significant changes on \u201cfibrotic-like\u201d changes correlated with level of treatment and there was not a statistically significant correlation between CT lung score and spirometric results obtained 18 months after discharge.<br \/>\n<em><br \/>\nConclusions:<\/em>\u00a0Patients recovered from Covid-19 seem to have an improvement of ventilated parenchyma and \u201cfibrotic-like\u201d alterations. The level of treatment does not appear to influence fibrotic changes.<\/p>\n<h3 class=\"label\">REFERENCES<\/h3>\n<div class=\"value\">\n<p>World Health Organization. Coronavirus disease (COVID-19) pandemic. Available from: who.int\/emergencies\/diseases\/novel-coronavirus-2019<\/p>\n<p>Xu X, Chen P, Wang J, et al. Evolution of the novel coronavirus from the ongoing Wuhan outbreak and modeling of its spike protein for risk of human transmission. Sci China Life Sci 2020;63:457-60. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1007\/s11427-020-1637-5\">https:\/\/doi.org\/10.1007\/s11427-020-1637-5<\/a><\/p>\n<p>Myall KJ. Mukherjee B, Castanheira AM, et al. Persistent post-COVID-19 inflammatory interstitial lung disease: an observational study of corticosteroid treatment. Ann Am Thorac Soc 2021;18:799-806. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1513\/AnnalsATS.202008-1002OC\">https:\/\/doi.org\/10.1513\/AnnalsATS.202008-1002OC<\/a><\/p>\n<p>Hansell DM, Bankier AA, MacMahon H, et al. Fleischner Society: Glossary of terms for thoracic imaging. Radiology 2008;246:697-722. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1148\/radiol.2462070712\">https:\/\/doi.org\/10.1148\/radiol.2462070712<\/a><\/p>\n<p>Wells AU, Devaraj A, Desai SR. Interstitial lung disease after COVID-19 infection: A catalog of uncertainties. Radiology 2021;299:e216-8. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1148\/radiol.2021204482\">https:\/\/doi.org\/10.1148\/radiol.2021204482<\/a><\/p>\n<p>Han X, Cao Y, Jiang N, et al. Novel coronavirus pneumonia (COVID-19) progression course in 17 discharged patients: Comparison of clinical and thin-section CT features during recovery. Clin Infect Dis 2020;71:723-31.<\/p>\n<p>Han X, Fan Y, Alwalid O, et al. Six-months follow-up chest CT findings after severe COVID-19 pneumonia. Radiology 2021;299:e177-86. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1148\/radiol.2021203153\">https:\/\/doi.org\/10.1148\/radiol.2021203153<\/a><\/p>\n<p>Pan F, Yang L, Liang B, et al. Chest CT patterns from diagnosis to 1 year of follow-up in COVID-19. Radiology 2022;302:709-19. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1148\/radiol.2021211199\">https:\/\/doi.org\/10.1148\/radiol.2021211199<\/a><\/p>\n<p>Alarc\u00f3n-Rodr\u00edguez J, Fern\u00e1ndez-Velilla M, Ure\u00f1a-Vacas A, et al. [Manejo y seguimiento radiol\u00f3gico del paciente post-COVID-19].[Article in Spanish]. Radiologia 2021;63:258-69. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.rx.2021.02.003\">https:\/\/doi.org\/10.1016\/j.rx.2021.02.003<\/a><\/p>\n<p>Fedorov A, Beichel R, Kalpathy-Cramer J, et al. 3D Slicer as an image computing platform for the Quantitative Imaging Network. Magn Reson Imaging 2012;30:1323-41. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.mri.2012.05.001\">https:\/\/doi.org\/10.1016\/j.mri.2012.05.001<\/a><\/p>\n<p>Simpson S, Kay FU, Abbara S, 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 &#8211; Secondary Publication. J Thorac Imaging 2020;35:219-27. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1097\/RTI.0000000000000524\">https:\/\/doi.org\/10.1097\/RTI.0000000000000524<\/a><\/p>\n<p>Pan F, Ye T, Sun P, et al. Time course of lung changes at chest CT during recovery from coronavirus disease 2019 (COVID-19). Radiology 2020;295:715-21. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1148\/radiol.2020200370\">https:\/\/doi.org\/10.1148\/radiol.2020200370<\/a><\/p>\n<p>Zhao YM, Shang YM, Song WB, et al. Follow-up study of the pulmonary function and related physiological characteristics of COVID-19 survivors three months after recovery. EClinicalMedicine 2020;25:100463. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.eclinm.2020.100463\">https:\/\/doi.org\/10.1016\/j.eclinm.2020.100463<\/a><\/p>\n<p>Han X, Cao Y, Jiang N, et al. Novel coronavirus disease 2019 (COVID-19) pneumonia progression course in 17 discharged patients: Comparison of clinical and thin-section computed tomography features during recovery. Clin Infect Dis 2020;71:723-31. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1093\/cid\/ciaa271\">https:\/\/doi.org\/10.1093\/cid\/ciaa271<\/a><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2022.2782 Michela Barini Department of Diagnosis and Treatment Services, Radiodiagnostics, Azienda Ospedaliero Universitaria Maggiore della Carit\u00e0, Novara, Italy. Ilaria Percivale Department of Diagnosis and Treatment Services, Radiodiagnostics, Azienda Ospedaliero Universitaria Maggiore della Carit\u00e0, Novara, Italy.\u00a0https:\/\/orcid.org\/0000-0001-9388-8667 Pietro S.C. Danna Department of Diagnosis and Treatment Services, Radiodiagnostics, Azienda Ospedaliero Universitaria Maggiore della Carit\u00e0, Novara, Italy.\u00a0https:\/\/orcid.org\/0000-0001-8928-7666 Vittorio Longo &#8230; <a title=\"18 months computed tomography follow-up after Covid-19 interstitial pneumonia\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/2782\/\" aria-label=\"More on 18 months computed tomography follow-up after Covid-19 interstitial pneumonia\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-4557","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>18 months computed tomography follow-up after Covid-19 interstitial pneumonia - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/2782\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"18 months computed tomography follow-up after Covid-19 interstitial pneumonia - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2022.2782 Michela Barini Department of Diagnosis and Treatment Services, Radiodiagnostics, Azienda Ospedaliero Universitaria Maggiore della Carit\u00e0, Novara, Italy. Ilaria Percivale Department of Diagnosis and Treatment Services, Radiodiagnostics, Azienda Ospedaliero Universitaria Maggiore della Carit\u00e0, Novara, Italy.\u00a0https:\/\/orcid.org\/0000-0001-9388-8667 Pietro S.C. Danna Department of Diagnosis and Treatment Services, Radiodiagnostics, Azienda Ospedaliero Universitaria Maggiore della Carit\u00e0, Novara, Italy.\u00a0https:\/\/orcid.org\/0000-0001-8928-7666 Vittorio Longo ... 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Ilaria Percivale Department of Diagnosis and Treatment Services, Radiodiagnostics, Azienda Ospedaliero Universitaria Maggiore della Carit\u00e0, Novara, Italy.\u00a0https:\/\/orcid.org\/0000-0001-9388-8667 Pietro S.C. Danna Department of Diagnosis and Treatment Services, Radiodiagnostics, Azienda Ospedaliero Universitaria Maggiore della Carit\u00e0, Novara, Italy.\u00a0https:\/\/orcid.org\/0000-0001-8928-7666 Vittorio Longo ... 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