Cited by 2,070COVID-19 Clinical Research StudiesCOVID-19 diagnosis using AISARS-CoV-2 and COVID-19 Research

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Coronavirus Disease 2019 (COVID-19): A Perspective from China

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Zu, Zi Yue, Jiang, Meng Di, Xu, Peng Peng, Chen, Wen, Ni, Qian Qian, Lu, Guang Ming, Zhang, Long Jiang·2020·Radiology

DOI 10.1148/radiol.2020200490PMC PMC7233368

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Abstract

In December 2019, an outbreak of severe acute respiratory syndrome coronavirus 2 infection occurred in Wuhan, Hubei Province, China, and spread across China and beyond. On February 12, 2020, the World Health Organization officially named the disease caused by the novel coronavirus as coronavirus disease 2019 (COVID-19). Because most patients infected with COVID-19 had pneumonia and characteristic CT imaging patterns, radiologic examinations have become vital in early diagnosis and the assessment of disease course. To date, CT findings have been recommended as major evidence for clinical diagnosis of COVID-19 in Hubei, China. This review focuses on the etiology, epidemiology, and clinical symptoms of COVID-19 while highlighting the role of chest CT in prevention and disease control.

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Epidemiological and clinical features of the 2019 novel coronavirus outbreak in ChinaPreprint
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“5% (n=3498) patients were diagnosed as pneumonia (25).”
Influential
Retracted
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“An ongoing outbreak of pneumonia associated with a novel coronavirus, called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was reported in Wuhan, Hubei province, China (1-3) in December 2019.”
InfluentialSelf-citation
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“clusters of infected family members and medical workers confirmed the presence of humanto-human transmission (12) by droplets, contact and fomite (26-27).”
BackgroundSelf-citation
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BackgroundInfluential
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“An ongoing outbreak of pneumonia associated with a novel coronavirus, called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was reported in Wuhan, Hubei province, China (1-3) in December 2019.”
Background
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BackgroundSelf-citation
A new coronavirus associated with human respiratory disease in China
Wu, F., Zhao, S., Yu, B., Chen, Y.-M., Wang, W., Song, Z.-G., Hu, Y., Tao, Z.-W., Tian, J.-H., Pei, Y.-Y., et al. (2020) · Nature · doi:10.1038/s41586-020-2008-3 · Cited by 11,688

Show all 60 references

Research works printed but not linked: 2

Chinese Society of Radiology, 2020, Chin J Radiol, 54, E001
Chen HJ, Lancet

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AI-enhanced solutions during COVID-19: Current trends and future innovations
Nawaz, F. A., Khan, A. R., & Boillat, T. (2022) · Annals of Medicine and Surgery · doi:10.1016/j.amsu.2022.104158 · Cited by 6
“Secondly, one of the most important disadvantages of chest radiography analyses is an inability to detect the early stages of COVID-19, as they do not have sufficient sensitivity in ground-glass opacification detection [22].”
AI Personal Trainer for Lateral Raises and Shoulder Presses Exercises
Mahmoud, S. E. H., & Taha, Z. A. E. H. (2023) · Intelligent Methods, Systems, and Applications (IMSA) · doi:10.1109/imsa58542.2023.10217601 · Cited by 6
Birth of Catastrophe and Strange Attractors through Generalized Hopf Bifurcations in Covid-19 Transmission Mathematical Model
Wiraya, A., Adi, Y. A., Fitriana, L., Triyanto, T., Kusumadewi, Y. A., Safitri, A. N., & Nurmalitasari, A. (2024) · Chaos Theory and Applications · doi:10.51537/chaos.1448912 · Cited by 6
Chinese Society of Interventional Radiology Expert Consensus on the prevention and control of COVID-19 in interventional radiology procedures (first edition)
Chinese Society of Interventional Radiology, Zhu, Y., He, Y., Wang, Z., Jin, Z., Zheng, C., Sun, G., Shi, H., Li, H., Xiao, L., et al. (2020) · Quantitative Imaging in Medicine and Surgery · doi:10.21037/qims.2020.04.11 · Cited by 6
Cambios en fuerza explosiva y agilidad tras un entrenamiento online en jóvenes jugadores de baloncesto confinados por COVID-19 (Changes in explosive strength and agility after an online training in young basketball players confined by COVID-19)
Ricart-Luna, B., Monteagudo, P., Puchades, V. P., Cordellat, A., Roldán, A., & Blasco-Lafarga, C. (2020) · Retos · doi:10.47197/retos.v0i41.83011 · Cited by 6
Research Progress on the Cardiac Injury from ACE2 Targeting in SARS-CoV-2 Infection
Sun, H., Su, X., Huang, L., Mu, D., & Qu, Y. (2021) · Biomolecules · doi:10.3390/biom11020196 · Cited by 6
Clinical Characteristics and CT Findings in 148 Non-COVID-19 Influenza-Like Illness Cases: A Retrospective Control Study
Shuai, W., Chen, X., Shan, Y., Li, W., Ma, W., Lu, Q., & Li, D. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.616963 · Cited by 6
Design and Development of IoT based Smart Security System in Covid19 Situation
DAS, S. K., Dhar, A., Pal, B., Biswas, P., Gayen, P. K., & Majumder, S. (2021) · Journal of Physics Conference Series · doi:10.1088/1742-6596/1797/1/012048 · Cited by 6
“Spreads happen due to infected person’s cough, sneezes, droplets in surrounding areas unprotected persons [3] and fever is the common symptom of infected person [4-6].”
Background
Standardization of critical care management of non-critically ill patients with COVID-19
Wang, C., Gao, Y., Kang, K., Fei, D., Meng, X., Liu, H., Luo, Y., Yang, W., Dai, Q., Gao, Y., et al. (2021) · World Journal of Clinical Cases · doi:10.12998/wjcc.v9.i12.2696 · Cited by 6
THE EPIDEMICS OF COVID-19
Siddique, A., Fateh, A., Idrees, N., Ali, Q., Hafeez, M., & Malik, A. (2020) · Biological and Clinical Sciences Research Journal · doi:10.54112/bcsrj.v2020i1.30 · Cited by 6
Knowledge, attitude, and practice towards COVID-19 among chronic disease patients at Aksum Hospital, Northern Ethiopia, 2020: a cross-sectional study
Iyasu, A. N., Kidanu, B. H., & Zereabruk, K. (2021) · Asthma Research and Practice · doi:10.1186/s40733-021-00074-0 · Cited by 6
“On January 30, 2020, the World Health Organization (WHO) declared the outbreak a Public Health Emergency of International Concern and on February 12, 2020, the WHO named the disease caused by the novel coronavirus “coronavirus disease 2019” (COVID-19) [2].”
Background
Hepatic steatosis: a risk factor for increased COVID-19 prevalence and severity—a computed tomography study
Ali, A. N., Hasan, M., Hamed, S., & Elhamy, A. (2021) · Egyptian Liver Journal · doi:10.1186/s43066-021-00131-6 · Cited by 5
“COVID-19 chest CT results are typically multifocal bilateral, mostly peripheral subpleural round, ground-glass opacities with or without patchy consolidations affecting mostly the posterior lower lobes [17].”
Background
Radiological profile of patients undergoing Chest X-ray and computed tomography scans during COVID-19 outbreak
Khan, S. A., Manohar, M., Khan, M., Asad, S., & Adil, S. O. (2021) · Pakistan Journal of Medical Sciences · doi:10.12669/pjms.37.5.4290 · Cited by 6
The radiological findings of COVID-19
Karacan, A., AKSOY, Y. E., & Öztürk, H. (2021) · TURKISH JOURNAL OF MEDICAL SCIENCES · doi:10.3906/sag-2106-203 · Cited by 7
“Therefore, radiography has not been recommended as a first-line method for the investigation of chest abnormalities in patients with suspected COVID-19 [11].”
Method
Formulating a Health Sustainable Development Policy: How the Actors Handling the COVID-19 in Indonesia
Azmi, N. A., Weriframayeni, A., Ahsani, R. D. P., Sadayi, D. P., & Fathani, A. T. (2021) · Jurnal Public Policy · doi:10.35308/jpp.v7i2.4077 · Cited by 6
A Convolutional Neural Network Model for Screening COVID-19 Patients Based on CT Scan Images
Rabbi, M. F., Hasan, S. M. M., Champa, A. I., Hossain, M. R., & Zaman, M. A. (2021) · Lecture notes on data engineering and communications technologies · doi:10.1007/978-981-16-6636-0_12 · Cited by 6
Co-Expression and Localization of Angiotensin-Converting Enzyme-2 (ACE2) and the Transmembrane Serine Protease 2 (TMPRSS2) in Paranasal Ciliated Epithelium of Patients with Chronic Rhinosinusitis
Kawasumi, T., Takeno, S., Ishino, T., Ueda, T., Hamamoto, T., Takemoto, K., Horibe, Y., & Takashi, O. (2022) · American Journal of Rhinology and Allergy · doi:10.1177/19458924211059639 · Cited by 7
“The disease onset may show rapid progression to organ dysfunction such as shock, acute respiratory distress syndrome (ARDS), and acute cardiac injury.(2) It has been demonstrated (1)Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan”
Background
Natural Products Against COVID-19 Inflammation: A Mini-Review
Scotti, L., Lopes, S. M., de Medeiros, H. I. R., & Scotti, L. (2022) · Combinatorial Chemistry & High Throughput Screening · doi:10.2174/1386207325666220128114547 · Cited by 6
Evaluation of potentiality of traditional hygienic practices for the mitigation of the 2019–2020 Corona Pandemic
Ripanda, A., Miraji, H., Sule, K. S., Nguruwe, S., Ngumba, J., Mtabazi, G. S., & Vuai, S. H. (2022) · Public Health Nursing · doi:10.1111/phn.13054 · Cited by 6
Current Potential Options for COVID-19 Treatment in Iraq- Kurdistan Region and the Rest of the World: A Mini-review
Faraj, A. M., Qadir, S. A., Mohammed, O. A., Aziz, P. Y., Alkhafaji, M., Rahman, H. S., Aziz, J. M. A., Othman, H. H., & AL-Zubaidy, A. M. A. (2022) · Iraqi Journal of Science · doi:10.24996/ijs.2022.63.3.4 · Cited by 6
“According to a WHO report on 25 March 2020, the pandemic disease spreads rapidly across more than 190 countries [37].”
Method
Obstructive Sleep Apnea (OSA) and COVID-19: Mortality Prediction of COVID-19-Infected Patients with OSA Using Machine Learning Approaches
Tasmi, S. T., Raihan, M. M. S., & Shams, A. B. (2022) · COVID · doi:10.3390/covid2070064 · Cited by 6
A MobileNet-V2 COVID-19: Multi-class Classification of the COVID-19 by Using CT/CXR Images
Mahendran, N., & Kavitha, S. (2022) · Lecture notes in electrical engineering · doi:10.1007/978-981-19-1111-8_55 · Cited by 6
Assessment of Psychosocial Factors in Brazilian Dentists Facing Risk of SARS-CoV-2 Infection in the Public and Private Sectors
Bertevello, R., Capela, I. R. T. C. D. S., Castro, M. S., Castilho, A. V. S. S., Pinto, A. J., Meira, G. D. F., & Peres, S. H. D. C. S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191710576 · Cited by 6
Impact of COVID-19 Prevention and Control on the Influenza Epidemic in China: A Time Series Study
Guo, Z., Zhang, L., Liu, J., & Liu, M. (2022) · Health Data Science · doi:10.34133/2022/9830159 · Cited by 6
“In December 2019, an outbreak of Coronavirus Disease 2019 (COVID-19) occurred in Wuhan, Hubei Province, China [3].”
BackgroundSelf-citation
Evaluation of Deep Transfer Learning Methodologies on the COVID-19 Radiographic Chest Images
Al-azzawi, A., Al‐jumaili, S., Duru, A. D., Duru, D. G., & Uçan, O. N. (2023) · Traitement du signal · doi:10.18280/ts.400201 · Cited by 6
Clinical characteristics and factors for serious outcomes among outpatients infected with the Omicron subvariant BF.7
Yang, H., Wang, Z., Zhang, Y., Xu, M., Wang, Y., Zhang, Y., Liu, X., An, Z., & Tong, Z. (2023) · Journal of Medical Virology · doi:10.1002/jmv.28977 · Cited by 6
Physical activity and depressive symptoms during the fifth wave of COVID-19 pandemic: Implication for public policy and administrators
Ofili, P. C., Ede, M. O., Anyaegbunam, N. J., Oforka, O. K., Okereke, I. E., Umeifekwem, J. E., Bosah, C. N., Ngwoke, O. R., Okoroafor, U., Oyibo, M. A., et al. (2024) · Medicine · doi:10.1097/md.0000000000037155 · Cited by 6
“[9] The disease which presents symptoms such as fever, respiratory symptoms (cough, sore throat, and nasal discharge), headache, and malaise was highly contagious and declared a public health emergency of international concern on 30th January, 2020 and a pandemic on March 11, 2020.”
Background
Revisión de nuevas evidencias acerca de la posible transmisión vertical de la COVID-19
Sampieri, C. L., & Montero, H. (2020) · Gaceta Sanitaria · doi:10.1016/j.gaceta.2020.06.005 · Cited by 6
COVID-19 and net foreign exchange reserve relationship in Turkey: evidence from ARDL bounds testing approach
Çiğdem, G. (2020) · Pressacademia · doi:10.17261/pressacademia.2020.1216 · Cited by 7
Rationale for American Society of Retina Specialists Best Practice Recommendations for Conducting Vitreoretinal Surgery During the Coronavirus Disease-19 Era
Chao, D. L., Sridhar, J. S., Kuriyan, A. E., Leng, T., Barnett, B. P., Carlin, A. F., Wykoff, C. C., Gayer, S., Mruthyunjaya, P., Yonekawa, Y., et al. (2020) · Journal of VitreoRetinal Diseases · doi:10.1177/2474126420941707 · Cited by 6
“All patients should be asked whether they have a cough, shortness of breath, fever, myalgia, fatigue, anosmia, or ageusia; have traveled to areas with high rates of COVID-19 infection; and have any COVID-19–positive contacts, to identify individuals with a likelihood of COVID-19 infection.(36,37) Given the inability o…”
Background
Differential diagnosis of COVID-19 in symptomatic patients at the University Hospital Center Mohammed VI, Marrakesh
Krati, K., Rizkou, J., Errami, A. A., & Essaadouni, L. (2020) · Pan African Medical Journal · doi:10.11604/pamj.2020.36.269.24558 · Cited by 6
Tomographic findings in patients with COVID-19 according to evolution of the disease
Quispe-Cholan, A., Anticona-De-La-Cruz, Y., Cornejo, M., Quispe-Chirinos, O., Moreno-Lazaro, V., & Chávez-Cruzado, E. (2020) · The Egyptian Journal of Radiology and Nuclear Medicine · doi:10.1186/s43055-020-00329-5 · Cited by 6
Clinical characteristics associated with long-term viral shedding in patients with coronavirus disease 2019.
Zhou, M., Yu, F., Tan, L., Zhu, Y., Ma, N., Song, L., Li, Q., Liu, Y., Zou, Z., Xu, T., et al. (2020) · PubMed Central · Cited by 6
Overcoming the Pandemic: Analysing the Ongoing Challenges in the Prevention of COVID-19 in India
Ajmera, P., Majeed, J., Goyal, R. K., Yadav, S., & Mukhopadhyay, D. (2020) · Journal of Health Management · doi:10.1177/0972063420983076 · Cited by 6
Classification of COVID19 X-ray Images Based on Transfer Learning InceptionV3 Deep Learning Model
Amin, H., Darwish, A., & Hassanien, A. E. (2021) · Studies in systems, decision and control · doi:10.1007/978-3-030-63307-3_7 · Cited by 6
The evolution of chest CT findings from admission to follow-up in 30 moderate to severe adult patients with COVID-19 pneumonia
Zhou, Y., Ren, H., Wang, S., You, F., Feng, L., Wang, M., & Wang, J. (2021) · Chinese Journal of Academic Radiology · doi:10.1007/s42058-021-00058-2 · Cited by 6
“(2) According to the clinical classification of novel coronavirus pneumonia diagnosis and treatment protocols (Seventh Edition) issued by the National Health Commission of the People’s Republic of China, moderate to severe types were included [11].”
Use of radiological tests in COVID‐19 positive child cases: Is chest computed tomography necessary?
Erat, T., & Güler, Ş. (2021) · International Journal of Clinical Practice · doi:10.1111/ijcp.14259 · Cited by 6
Application of deep learning to identify COVID-19 infection in posteroanterior chest X-rays
Maharjan, J., Calvert, J. S., Pellegrini, E., Green‐Saxena, A., Hoffman, J. L., McCoy, A., Mao, Q., & Das, R. (2021) · Clinical Imaging · doi:10.1016/j.clinimag.2021.07.004 · Cited by 6
“10 Although reverse-transcription polymerase chain reaction (RT-PCR) remains the standard to diagnose COVID-19 infection, 11,13,14 issues with limited supply 16 of RT-PCR assays have hindered prompt diagnosis.”
Clinical Features of Guillain-Barre Syndrome in COVID-19 Patients: Aria and Naft Private Hospitals in Ahvaz, Iran
Bahramy, M. A., Roozdar-Chaleshtary, M., Abbasi, V., Amiri‐Nikpour, M. R., & Moradi-Joo, E. (2021) · Entomology and Applied Science Letters · doi:10.51847/2eqi2jrnt2 · Cited by 6
Unbending the Winding Path of a Low-Income Country’s Energy Sector amid the COVID-19 Pandemic: Perspectives from Malawi
Zalengera, C., Chitawo, M. L., Chitedze, I., To, L. S., Mwale, V. D., Gondwe, K., & Maroyi, T. (2021) · Energies · doi:10.3390/en14217184 · Cited by 6
An Unsupervised Approach for COVID-19 Detection using Chest CT Images
Prashanth, S. J., Devika, K. N., & Murthy, O. V. R. (2021) · IEEE Region Humanitarian Technology Conference · doi:10.1109/r10-htc53172.2021.9641513 · Cited by 6
Fine-Grained Assessment of COVID-19 Severity Based on Clinico-Radiological Data Using Machine Learning
Liu, H., Wang, J., Geng, Y., Li, K., Wu, H., Chen, J., Chai, X., Li, S., & Zheng, D. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191710665 · Cited by 6
Prevalence of COVID-19 Vaccine Hesitancy and Its Associated Factors among Chronic Disease Patients in a Resource Limited Setting in Ethiopia: A Cross-Sectional Study
Mehari, E. A., Mekonen, T. G., Adugnaw, M. T., & Abdela, O. A. (2023) · Advances in Public Health · doi:10.1155/2023/1776205 · Cited by 6
“COVID-19 is a respiratory morbidity caused by a severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) [1].”
Background
Coronavirus Disease 2019 (COVID-19) Pneumonia Presentations in Chest Computed Tomography: A Pictorial Review
a, B. H., Mandelli, N. S., Stüker, G., Meirelles, G. D. S. P., Zanon, M., Mohammed, T.-L. H., Verma, N., Sverzellati, N., & Marchiori, E. D. S. (2020) · Current Problems in Diagnostic Radiology · doi:10.1067/j.cpradiol.2020.06.010 · Cited by 6
Una aproximación estadística al comportamiento de brote de COVID-19 en la China continental
Molina-Ruíz, H. D., Munguía, M. G., Vargas, M. D. L. E. G., Guillén, J. C., & Lirios, C. G. (2020) · TEPEXI Boletín Científico de la Escuela Superior Tepeji del Río · doi:10.29057/estr.v7i14.5506 · Cited by 6

Authors: Zu, Z. Y., Jiang, M. D., Xu, P. P., Chen, W., Ni, Q. Q., Lu, G. M., & Zhang, L. J.
Affiliations: From the Department of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, China (Z.Y.Z., M.D.J., P.P.X., Q.Q.N., G.M.L., L.J.Z.); and Department of Medical Imaging, Taihe Hospital, Shiyan, Hubei, China (W.C.).
Nanjing General Hospital of Nanjing Military Command (CN)
Corresponding author: Zhang, Long Jiang
ORCID: Jiang, Meng Di
Xu, Peng Peng
Chen, Wen
Ni, Qian Qian
Lu, Guang Ming
Zhang, Long Jiang
Venue: Radiology
Publisher: Radiological Society of North America (RSNA)
Published: 2020-08
Volume: 296
Issue: 2
Pages: E15-E25
ISSN: 0033-8419 (ISSN-L)
1527-1315
DOI: 10.1148/radiol.2020200490
PMC: PMC7233368
OpenAlex: W3008627141
Cited by: 2,070
References: 60
Citations by year: 2026: 18 · 2025: 27 · 2024: 97 · 2023: 213 · 2022: 359 · 2021: 612 · 2020: 744
FWCI: 63.25
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Radiology (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
National University of Singapore (submittedVersion)
Funders: National Key Research and Development Program of China (2017YFC0113400)
Topics: Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › COVID-19 diagnosis using AI
Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
Keywords: COVID-19 pandemic, SARS-CoV-2, chest CT findings, pneumonia, early diagnosis, clinical symptoms, disease control, Wuhan outbreak, China
MeSH terms: Betacoronavirus, COVID-19, SARS-CoV-2, COVID-19 Testing, China, Diagnosis, Differential, Humans, Pneumonia, Viral, Severity of Illness Index, Tomography, X-Ray Computed, Coronavirus Infections, Clinical Laboratory Techniques, Early Diagnosis, Pandemics

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Coronavirus Disease 2019 (COVID-19): A Perspective from China

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