Doc.

Aleksandra Đurić-Stefanović

COVID-19 PNEUMONIJA
CT i rendgenografska slika
 SIMPTOMI
• TRIJAS:
1) POVIŠENA TEMPERATURA (GROZNICA)
2) SUV KAŠALJ
3) MALAKSALOST

a ne samo jedno od nabrojanog!

Još mogu biti prisutni i

MALAKSALOST, BOLOVI U MIŠIĆIMA, CURENJE IZ
NOSA, PROLIV...
 SIMPTOMI
1) POVIŠENA TEMPERATURA (GROZNICA)
2) MALAKSALOST i
3) SUV KAŠALJ

5-7. dan od početka simptoma:

OTEŽANO DISANJE!!!
↓
pneumonija
 CT slika
1) BILATERALNE (B)
2) MULTIFOKALNE (M)
3) PERIFERNE I POSTERIORNE (P)
4) BAZALNE dominanntno (B)

zone“ground glass” opacifikacije

i
konsolidacije
 1) BILATERALNE (B)
2) MULTIFOKALNE (M)
3) PERIFERNE i POSTERIORNE (P)
4) BAZALNE dominanntno (B)

zone“ground glass” opacifikacije

i
konsolidacije
(prisutne i jedne i druge kod istog pacijenta)

Iz: AJR Am J Roentgenol. 2020 Mar 3:1-

6. doi: 10.2214/AJR.20.22976. [Epub
ahead of print]
Relation Between Chest CT Findings
and Clinical Conditions
of Coronavirus Disease (COVID-
19) Pneumonia: A Multicenter Study.
Zhao W1, Zhong Z2,3, Xie X1, Yu Q2,3, Liu
J1,4.
 Iz: Radiology. 2020 Feb 26:200642. doi:

CT slika - evolucija
10.1148/radiol.2020200642. [Epub ahead of print]
Correlation of Chest CT and RT-PCR Testing
in Coronavirus Disease 2019 (COVID-19) in
China: A Report of 1014 Cases.
Ai T1, Yang Z1, Hou H1, Zhan C1, Chen C1, Lv
W 1, Tao Q1, Sun Z1, Xia L1.

Axial chest CT images of a 62-year-old man with COVID-19 showing disease progression over time, from bilateral ground-
glass opacities on January 27 (A) to multifocal organizing consolidation on February 13 (D). He had multiple negative
results from RT-PCR tests, including those obtained on February 3 and 11. Image courtesy of the RSNA.
Rtg slika

Chest radiographs obtained at admission (A) and on day 3 (B) of man who had traveled to Wuhan. Image C was acquired
on day 5 and image D on day 6. Images courtesy of New England Journal of Medicine.
 ZAPAMTITI:
COVID-19 PNEUMONIJA
CT i rendgenografska slika
B-M-P-B
Bilateralne
Multiple
Periferne i posteriorne
Bazalno najobimnije
zone“ground glass” opacifikacije
i
konsolidacije
• AJR Am J Roentgenol. 2020 Mar 14:1-7. doi: 10.2214/AJR.20.23034. [Epub ahead of print]
Coronavirus Disease 2019 (COVID-19): A Systematic Review of Imaging Findings in 919 Patients.
Salehi S1, Abedi A1, Balakrishnan S1, Gholamrezanezhad A1.
• Jpn J Radiol. 2020 Mar 17. doi: 10.1007/s11604-020-00948-y. [Epub ahead of print]
COVID-19 pneumonia: infection control protocol inside computed tomography suites.
Nakajima K1, Kato H2, Yamashiro T3,4, Izumi T5, Takeuchi I1, Nakajima H6, Utsunomiya D7,8.
• Radiology. 2020 Mar 19:200843. doi: 10.1148/radiol.2020200843. [Epub ahead of print]
Temporal Changes of CT Findings in 90 Patients with COVID-19 Pneumonia: A Longitudinal Study.
Wang Y1, Dong C1, Hu Y1, Li C1, Ren Q1, Zhang X1, Shi H1, Zhou M1.
• PLoS One. 2020 Mar 19;15(3):e0230548. doi: 10.1371/journal.pone.0230548. eCollection 2020.
Association of radiologic findings with mortality of patients infected with 2019 novel coronavirus in Wuhan, China.
Yuan M1, Yin W1, Tao Z1, Tan W1, Hu Y1.
• JAMA. 2020 Feb 7. doi: 10.1001/jama.2020.1585. [Epub ahead of print]
Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China.
Wang D1, Hu B1, Hu C1, Zhu F1, Liu X1, Zhang J1, Wang B1, Xiang H1, Cheng Z2, Xiong Y3, Zhao Y4, Li Y5, Wang X6, Peng Z1.
• Radiology. 2020 Feb 26:200642. doi: 10.1148/radiol.2020200642. [Epub ahead of print]
Correlation of Chest CT and RT-PCR Testing in Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases.
Ai T1, Yang Z1, Hou H1, Zhan C1, Chen C1, Lv W1, Tao Q1, Sun Z1, Xia L1.
• Radiology. 2020 Feb 12:200343. doi: 10.1148/radiol.2020200343. [Epub ahead of print]
Chest CT for Typical 2019-nCoV Pneumonia: Relationship to Negative RT-PCR Testing.
Xie X1, Zhong Z1, Zhao W1, Zheng C1, Wang F1, Liu J1.
• Radiology. 2020 Feb 12:200343. doi: 10.1148/radiol.2020200343. [Epub ahead of print]
Chest CT for Typical 2019-nCoV Pneumonia: Relationship to Negative RT-PCR Testing.
Xie X1, Zhong Z1, Zhao W1, Zheng C1, Wang F1, Liu J1.

SVI NABROJANI RADOVI in extenso

SE MOGU POVUĆI sa PubMed-a
• Originalni primeri CT pregleda pacijenata sa
COVID 19 pneumonijom različite težine
kliničke i radiološke slike koje je prikazao
profesor Filippo Cademartiri iz Italije mogu se
videti na LinkedIn-u (Proff. Dr. Fillipo
Cademartiri)
• Ova prezentacija je namenjena sadašnjim i bivšim
specijalizantima radiologije (danas radiolozima),
sa željom da se kratko, jasno i jezgrovito prikažu i
što je najvažnije ZAPAMTE osnovni,
karakteristični elementi tipične radiološke slike
COVID-19 pneumonije, u prvom redu da bismo
uspeli da tačno prepoznamo svaki slučaj sa kojim
se eventualno sretnemo u svakodnevnom radu i
prijavimo pozitivan radiološki nalaz
epidemiolozima, ukoliko pacijent prethodno nije
testiran na COVID-19.

aleksandra.djuricstefanovic@gmail.com