Clinical and radiological characteristics of pediatric patients with COVID-19: focus on imaging findings

Mohammadi, A. and Mohebbi, I. and khademvatani, K. and Pirnejad, H. and Mirza-Aghazadeh, J. and Gharebaghi, N. and Abbasian Ardakani, A. and Mirza-Aghazadeh-Attari, M. (2020) Clinical and radiological characteristics of pediatric patients with COVID-19: focus on imaging findings. Japanese Journal of Radiology, 38 (10). pp. 987-992.


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Purpose: CT imaging has been a detrimental tool in the diagnosis of COVID-19, but it has not been studied thoroughly in pediatric patients and its role in diagnosing COVID-19. Methods: 27 pediatric patients with COVID-19 pneumonia were included. CT examination and molecular assay tests were performed from all participants. A standard checklist was utilized to extract information, and two radiologists separately reviewed the CT images. Results: The mean age of patients was 4.7 ± 4.16 (mean ± SD) years. Seventeen patients were female, and ten were male. The most common imaging finding was ground-glass opacities followed by consolidations. Seven patients had a single area of involvement, five patients had multiple areas of involvement, and four patients had diffuse involvement. The sensitivity of CT imaging in diagnosing infections was 66.67. Also, some uncommon imaging findings were seen, such as a tree-in-bud and lung collapse. Conclusion: CT imaging shows less involvement in pediatric compared to adult patients, due to pediatric patients having a milder form of the disease. CT imaging also has a lower sensitivity in detecting abnormal lungs compared to adult patients. The most common imaging findings are ground-glass opacities and consolidations, but other non-common imaging findings also exist. © 2020, Japan Radiological Society.

Item Type: Article
Additional Information: cited By 2
Uncontrolled Keywords: Article; artificial ventilation; atelectasis; child; clinical article; clinical feature; computer assisted tomography; coronavirus disease 2019; coughing; diarrhea; dyspnea; feature extraction; female; fever; ground glass opacity; headache; high flow nasal cannula therapy; human; irritability; lung consolidation; lung disease; male; nausea; oxygen therapy; pediatric patient; preschool child; priority journal; school child; sore throat; thorax pain; virus pneumonia; Betacoronavirus; Coronavirus infection; diagnostic imaging; lung; pandemic; pathophysiology; pediatrics; procedures; x-ray computed tomography, Betacoronavirus; Child; Child, Preschool; Coronavirus Infections; Female; Humans; Lung; Male; Pandemics; Pediatrics; Pneumonia, Viral; Tomography, X-Ray Computed
Subjects: WC Communicable Diseases
WN Radiology. Diagnostic Imaging
WS Pediatrics
Depositing User: eprints admin
Date Deposited: 19 Jun 2021 05:07
Last Modified: 19 Jun 2021 05:07

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