CT findings of COVID-19 infection in children 'often negative'

Researchers have found in one of largest series to date that describes the imaging findings of pediatric patients with COVID-19, that CT findings were often negative.;

Written By : Hina Zahid

Medically Reviewed By : Dr. Kamal Kant Kohli

Published On 2020-05-29 13:14 GMT | Update On 2020-05-29 13:14 GMT

An investigation published open-access in the American Journal of Roentgenology (AJR) revealed a high frequency of negative chest CT findings among pediatric patients with laboratory-confirmed coronavirus disease (COVID-19), while also suggesting that bilateral, lower lobe-predominant ground-glass opacities (GGOs) are common in the subset of patients with positive CT findings.

"To our knowledge," wrote first author Sharon Steinberger from the Icahn School of Medicine at Mount Sinai, "this case series is the largest series to date that describes the imaging findings of pediatric patients with COVID-19."

Reviewing the CT findings and clinical symptoms of 30 pediatric patients (aged 10 months to 18 years) who tested positive for COVID-19 via quantitative real-time reverse transcription-polymerase chain reaction (rRT-PCR) at six centers in China from January 23 to February 8, 2020, Steinberger and colleagues noted that two cardiothoracic radiologists and a cardiothoracic imaging fellow characterized and scored the extent of lung involvement.

"CT findings were often negative (77%)," Steinberger et al. concluded, adding that positive CT findings seen in children included GGOs with peripheral lung distribution, crazy paving pattern, as well as the halo and reverse halo signs.

Consistent with reported symptomatology in children, the authors of this AJR article also observed a correlation between increasing age and increasing severity of findings.

Further questioning the utility of CT in the diagnosis and management of COVID-19 in children, 11 of 30 patients (37%) underwent follow-up chest CT--with 10 of 11 examinations (91%) showing no change.

For more details click on the link: http://dx.doi.org/10.2214/AJR.20.23145

Article Source : American Journal of Roentgenology

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Hina Zahid

Hina Zahid Joined Medical Dialogue in 2017 with a passion to work as a Reporter. She coordinates with various national and international journals and association and covers all the stories related to Medical guidelines, Medical Journals, rare medical surgeries as well as all the updates in the medical field. Email: editorial@medicaldialogues.in. Contact no. 011-43720751

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CT findings of COVID-19 infection in children 'often negative'

Researchers have found in one of largest series to date that describes the imaging findings of pediatric patients with COVID-19, that CT findings were often negative.;

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