Cited by 212Long-Term Effects of COVID-19COVID-19 Clinical Research StudiesInterstitial Lung Diseases and Idiopathic Pulmonary Fibrosis

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CT of Post-Acute Lung Complications of COVID-19

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Solomon, Joshua J., Heyman, Brooke, Ko, Jane P., Condos, Rany, Lynch, David A.·2021·Radiology

DOI 10.1148/radiol.2021211396PMC PMC8369881

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Abstract

The acute course of COVID-19 is variable and ranges from asymptomatic infection to fulminant respiratory failure. Patients recovering from COVID-19 can have persistent symptoms and CT abnormalities of variable severity. At 3 months after acute infection, a subset of patients will have CT abnormalities that include ground-glass opacity (GGO) and subpleural bands with concomitant pulmonary function abnormalities. At 6 months after acute infection, some patients have persistent CT changes to include the resolution of GGOs seen in the early recovery phase and the persistence or development of changes suggestive of fibrosis, such as reticulation with or without parenchymal distortion. The etiology of lung disease after COVID-19 may be a sequela of prolonged mechanical ventilation, COVID-19-induced acute respiratory distress syndrome (ARDS), or direct injury from the virus. Predictors of lung disease after COVID-19 include need for intensive care unit admission, mechanical ventilation, higher inflammatory markers, longer hospital stay, and a diagnosis of ARDS. Treatments of lung disease after COVID-19 are being investigated, including the potential of antifibrotic agents for prevention of lung fibrosis after COVID-19. Future research is needed to determine the long-term persistence of lung disease after COVID-19, its impact on patients, and methods to either prevent or treat it. © RSNA, 2021.

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Additional file 1 of Plasma proteomics-based biomarkers for predicting response to mesenchymal stem cell therapy in severe COVID-19
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Additional file 2 of Plasma proteomics-based biomarkers for predicting response to mesenchymal stem cell therapy in severe COVID-19
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Additional file 1 of Cluster analysis unveils a severe persistent respiratory impairment phenotype 3-months after severe COVID-19
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Additional file 1 of Bronchoscopy in the post-acute phase of COVID-19: an observational study
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Additional file 2 of Lung function and radiological findings 1 year after COVID-19: a prospective follow-up
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Authors: Solomon, J. J., Heyman, B., Ko, J. P., Condos, R., & Lynch, D. A.
Affiliations: National Jewish Health (US)
Corresponding author: Lynch, David A.
ORCID: Solomon, Joshua J.
Heyman, Brooke
Ko, Jane P.
Lynch, David A.
Venue: Radiology
Publisher: Radiological Society of North America (RSNA)
Published: 2021-11
Volume: 301
Issue: 2
Pages: E383-E395
ISSN: 0033-8419 (ISSN-L)
1527-1315
DOI: 10.1148/radiol.2021211396
PMC: PMC8369881
OpenAlex: W3187562125
Cited by: 212
References: 116
Citations by year: 2026: 13 · 2025: 21 · 2024: 42 · 2023: 69 · 2022: 59 · 2021: 7
FWCI: 5.67
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Radiology (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
Keywords: post-COVID-19 lung disease, COVID-19 pandemic, ground-glass opacities, pulmonary fibrosis, pulmonary function abnormalities, acute respiratory distress syndrome, prolonged mechanical ventilation, antifibrotic therapy, risk factors, chest CT findings
MeSH terms: COVID-19, SARS-CoV-2, Acute Disease, Humans, Lung, Lung Diseases, Tomography, X-Ray Computed

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