Residual Lung Abnormalities in Survivors of Severe or Critical COVID-19 at One-Year Follow-Up Computed Tomography: A Narrative Review Comparing the European and East Asian Experiences

IF 2.2 4区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Tomography Pub Date : 2023-12-30 DOI:10.3390/tomography10010003

A. Borghesi, Pietro Ciolli, Elisabetta Antonelli, Alessandro Monti, A. Scrimieri, M. Ravanelli, Roberto Maroldi, Davide Farina

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引用次数: 0

Abstract

The literature reports that there was a significant difference in the medical impact of the COVID-19 pandemic between European and East Asian countries; specifically, the mortality rate of COVID-19 in Europe was significantly higher than that in East Asia. Considering such a difference, our narrative review aimed to compare the prevalence and characteristics of residual lung abnormalities at one-year follow-up CT after severe or critical COVID-19 in survivors of European and East Asian countries. A literature search was performed to identify articles focusing on the prevalence and characteristics of CT lung abnormalities in survivors of severe or critical COVID-19. Database analysis identified 16 research articles, 9 from Europe and 7 from East Asia (all from China). Our analysis found a higher prevalence of CT lung abnormalities in European than in Chinese studies (82% vs. 52%). While the most prevalent lung abnormalities in Chinese studies were ground-glass opacities (35%), the most prevalent lung abnormalities in European studies were linear (59%) and reticular opacities (55%), followed by bronchiectasis (46%). Although our findings required confirmation, the higher prevalence and severity of lung abnormalities in European than in Chinese survivors of COVID-19 may reflect a greater architectural distortion due to a more severe lung damage.

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严重或危重 COVID-19 存活者一年随访计算机断层扫描中残留的肺部异常：欧洲与东亚经验比较的叙述性综述

文献报道，欧洲和东亚各国在 COVID-19 大流行的医疗影响方面存在显著差异；具体而言，欧洲的 COVID-19 死亡率明显高于东亚。考虑到这种差异，我们的叙事性综述旨在比较欧洲和东亚国家的幸存者在重度或危重 COVID-19 后进行一年 CT 随访时残留肺部异常的发生率和特征。我们进行了文献检索，以找到关于重症或危重 COVID-19 幸存者 CT 肺部异常的发生率和特征的文章。数据库分析确定了 16 篇研究文章，其中 9 篇来自欧洲，7 篇来自东亚（均来自中国）。我们的分析发现，欧洲研究的 CT 肺部异常发生率高于中国研究（82% 对 52%）。中国研究中最常见的肺部异常是磨玻璃不透明（35%），而欧洲研究中最常见的肺部异常是线性不透明（59%）和网状不透明（55%），其次是支气管扩张（46%）。尽管我们的研究结果需要确认，但欧洲 COVID-19 幸存者肺部异常的发生率和严重程度均高于中国幸存者，这可能反映出由于肺部损伤更严重，肺部结构发生了更大的扭曲。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tomography Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

2.70

自引率

10.50%

发文量

222

期刊介绍： TomographyTM publishes basic (technical and pre-clinical) and clinical scientific articles which involve the advancement of imaging technologies. Tomography encompasses studies that use single or multiple imaging modalities including for example CT, US, PET, SPECT, MR and hyperpolarization technologies, as well as optical modalities (i.e. bioluminescence, photoacoustic, endomicroscopy, fiber optic imaging and optical computed tomography) in basic sciences, engineering, preclinical and clinical medicine. Tomography also welcomes studies involving exploration and refinement of contrast mechanisms and image-derived metrics within and across modalities toward the development of novel imaging probes for image-based feedback and intervention. The use of imaging in biology and medicine provides unparalleled opportunities to noninvasively interrogate tissues to obtain real-time dynamic and quantitative information required for diagnosis and response to interventions and to follow evolving pathological conditions. As multi-modal studies and the complexities of imaging technologies themselves are ever increasing to provide advanced information to scientists and clinicians. Tomography provides a unique publication venue allowing investigators the opportunity to more precisely communicate integrated findings related to the diverse and heterogeneous features associated with underlying anatomical, physiological, functional, metabolic and molecular genetic activities of normal and diseased tissue. Thus Tomography publishes peer-reviewed articles which involve the broad use of imaging of any tissue and disease type including both preclinical and clinical investigations. In addition, hardware/software along with chemical and molecular probe advances are welcome as they are deemed to significantly contribute towards the long-term goal of improving the overall impact of imaging on scientific and clinical discovery.