Article (Scientific journals)
The Role of Imaging in the Detection of Non-COVID-19 Pathologies during the Massive Screening of the First Pandemic Wave
CANIVET, Perrine; DESIR, Colin; THYS, Marie et al.
2022In Diagnostics, 12 (7), p. 1567
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Keywords :
Clinical Biochemistry
Abstract :
[en] During the COVID-19 pandemic induced by the SARS-CoV-2, numerous chest scans were carried out in order to establish the diagnosis, quantify the extension of lesions but also identify the occurrence of potential pulmonary embolisms. In this perspective, the performed chest scans provided a varied database for a retrospective analysis of non-COVID-19 chest pathologies discovered de novo. The fortuitous discovery of de novo non-COVID-19 lesions was generally not detected by the automated systems for COVID-19 pneumonia developed in parallel during the pandemic and was thus identified on chest CT by the radiologist. The objective is to use the study of the occurrence of non-COVID-19-related chest abnormalities (known and unknown) in a large cohort of patients having suffered from confirmed COVID-19 infection and statistically correlate the clinical data and the occurrence of these abnormalities in order to assess the potential of increased early detection of lesions/alterations. This study was performed on a group of 362 COVID-19-positive patients who were prescribed a CT scan in order to diagnose and predict COVID-19-associated lung disease. Statistical analysis using mean, standard deviation (SD) or median and interquartile range (IQR), logistic regression models and linear regression models were used for data analysis. Results were considered significant at the 5% critical level (p < 0.05). These de novo non-COVID-19 thoracic lesions detected on chest CT showed a significant prevalence in cardiovascular pathologies, with calcifying atheromatous anomalies approaching nearly 35.4% in patients over 65 years of age. The detection of non-COVID-19 pathologies was mostly already known, except for suspicious nodule, thyroid goiter and the ascending thoracic aortic aneurysm. The presence of vertebral compression or signs of pulmonary fibrosis has shown a significant impact on inpatient length of stay. The characteristics of the patients in this sample, both from a demographic and a tomodensitometric point of view on non-COVID-19 pathologies, influenced the length of hospital stay as well as the risk of intra-hospital death. This retrospective study showed that the potential importance of the detection of these non-COVID-19 lesions by the radiologist was essential in the management and the intra-hospital course of the patients.
Disciplines :
Cardiovascular & respiratory systems
Radiology, nuclear medicine & imaging
Author, co-author :
CANIVET, Perrine ;  Centre Hospitalier Universitaire de Liège - CHU > > Service médical de radiodiagnostic
DESIR, Colin ;  Centre Hospitalier Universitaire de Liège - CHU > > Service médical de radiodiagnostic
THYS, Marie ;  Centre Hospitalier Universitaire de Liège - CHU > > Service des informations médico économiques (SIME)
Henket, Monique ;  Université de Liège - ULiège > GIGA > GIGA I3 - Pneumology
Frix, Anne-Noëlle ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de pneumologie - allergologie
Ernst, Benoit  ;  Université de Liège - ULiège > Département des sciences cliniques > Pneumologie - Allergologie
Walsh, Sean
Occhipinti, Mariaelena
Vos, Wim 
Maes, Nathalie  ;  Université de Liège - ULiège > Département des sciences de la santé publique
Canivet, Jean Luc
LOUIS, Renaud ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de pneumologie - allergologie
MEUNIER, Paul ;  Centre Hospitalier Universitaire de Liège - CHU > > Service médical de radiodiagnostic
Guiot, Julien  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de pneumologie - allergologie
More authors (4 more) Less
Language :
English
Title :
The Role of Imaging in the Detection of Non-COVID-19 Pathologies during the Massive Screening of the First Pandemic Wave
Publication date :
28 June 2022
Journal title :
Diagnostics
eISSN :
2075-4418
Publisher :
MDPI AG
Volume :
12
Issue :
7
Pages :
1567
Peer reviewed :
Peer Reviewed verified by ORBi
Funders :
Fond d’Investissement en Recherche Scientifique.
Available on ORBi :
since 04 July 2022

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