Cited by 1,101COVID-19 Clinical Research StudiesCOVID-19 diagnosis using AIUltrasound in Clinical Applications

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The Role of Chest Imaging in Patient Management during the COVID-19 Pandemic: A Multinational Consensus Statement from the Fleischner Society

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Rubin, Geoffrey D., Ryerson, Christopher J., Haramati, Linda B., Sverzellati, Nicola, Kanne, Jeffrey P., Raoof, Suhail, Schluger, Neil W., Volpi, Annalisa, Yim, Jae-Joon, Martin, Ian B. K., Anderson, Deverick J., Kong, Christina, Altes, Talissa, Bush, Andrew, Desai, Sujal R., Goldin, onathan, Goo, Jin Mo, Humbert, Marc, Inoue, Yoshikazu, Kauczor, Hans-Ulrich, Luo, Fengming, Mazzone, Peter J., Prokop, Mathias, Remy-Jardin, Martine, Richeldi, Luca, Schaefer-Prokop, Cornelia M., Tomiyama, Noriyuki, Wells, Athol U., Leung, Ann N.·2020·Radiology

DOI 10.1148/radiol.2020201365PMC PMC7233395

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Abstract

With more than 900 000 confirmed cases worldwide and nearly 50 000 deaths during the first 3 months of 2020, the coronavirus disease 2019 (COVID-19) pandemic has emerged as an unprecedented health care crisis. The spread of COVID-19 has been heterogeneous, resulting in some regions having sporadic transmission and relatively few hospitalized patients with COVID-19 and others having community transmission that has led to overwhelming numbers of severe cases. For these regions, health care delivery has been disrupted and compromised by critical resource constraints in diagnostic testing, hospital beds, ventilators, and health care workers who have fallen ill to the virus exacerbated by shortages of personal protective equipment. Although mild cases mimic common upper respiratory viral infections, respiratory dysfunction becomes the principal source of morbidity and mortality as the disease advances. Thoracic imaging with chest radiography and CT are key tools for pulmonary disease diagnosis and management, but their role in the management of COVID-19 has not been considered within the multivariable context of the severity of respiratory disease, pretest probability, risk factors for disease progression, and critical resource constraints. To address this deficit, a multidisciplinary panel comprised principally of radiologists and pulmonologists from 10 countries with experience managing patients with COVID-19 across a spectrum of health care environments evaluated the utility of imaging within three scenarios representing varying risk factors, community conditions, and resource constraints. Fourteen key questions, corresponding to 11 decision points within the three scenarios and three additional clinical situations, were rated by the panel based on the anticipated value of the information that thoracic imaging would be expected to provide. The results were aggregated, resulting in five main and three additional recommendations intended to guide medical practitioners in the use of chest radiography and CT in the management of COVID-19.

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Authors: Rubin, G. D., Ryerson, C. J., Haramati, L. B., Sverzellati, N., Kanne, J. P., Raoof, S., Schluger, N. W., Volpi, A., Yim, J.-J., Martin, I. B. K., Anderson, D. J., Kong, C., Altes, T., Bush, A., Desai, S. R., Goldin, O., Goo, J. M., Humbert, M., Inoue, Y., Kauczor, H.-U., Luo, F., Mazzone, P. J., Prokop, M., Remy-Jardin, M., Richeldi, L., Schaefer-Prokop, C. M., Tomiyama, N., Wells, A. U., & Leung, A. N.
Affiliations: University of Parma (IT)
Università Cattolica del Sacro Cuore (IT)
Corresponding author: Rubin, Geoffrey D.
ORCID: Rubin, Geoffrey D.
Ryerson, Christopher J.
Haramati, Linda B.
Sverzellati, Nicola
Kanne, Jeffrey P.
Schluger, Neil W.
Volpi, Annalisa
Yim, Jae-Joon
Anderson, Deverick J.
Kong, Christina
Altes, Talissa
Bush, Andrew
Desai, Sujal R.
Goo, Jin Mo
Humbert, Marc
Inoue, Yoshikazu
Kauczor, Hans-Ulrich
Luo, Fengming
Mazzone, Peter J.
Prokop, Mathias
Richeldi, Luca
Tomiyama, Noriyuki
Wells, Athol U.
Leung, Ann N.
Venue: Radiology
Publisher: Radiological Society of North America (RSNA)
Published: 2020-07
Volume: 296
Issue: 1
Pages: 172-180
ISSN: 0033-8419 (ISSN-L)
1527-1315
DOI: 10.1148/radiol.2020201365
PMC: PMC7233395
OpenAlex: W4230649743
Cited by: 1,101
References: 25
Citations by year: 2026: 17 · 2025: 35 · 2024: 76 · 2023: 123 · 2022: 189 · 2021: 330 · 2020: 328
FWCI: 31.82
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Radiology (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
HAL (submittedVersion, cc-by)
Radboud Repository (Radboud University) (submittedVersion)
Seoul National University Open Repository (Seoul National University) (submittedVersion)
Spiral (Imperial College London) (submittedVersion)
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 › Critical Care and Intensive Care Medicine › Ultrasound in Clinical Applications
Keywords: COVID-19 pandemic, chest imaging, chest radiography, computed tomography, clinical management, diagnostic decision-making, clinical guidelines, community transmission, disease severity, risk factors for progression
MeSH terms: Personal Protective Equipment, Betacoronavirus, COVID-19, SARS-CoV-2, Humans, Pneumonia, Viral, Severity of Illness Index, Societies, Medical, Radiography, Thoracic, Triage, Video Recording, Global Health, Coronavirus Infections, Disease Progression, Guideline Adherence, Consensus, Pandemics

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The Role of Chest Imaging in Patient Management during the COVID-19 Pandemic: A Multinational Consensus Statement from the Fleischner Society

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