Postmortem CT lung findings in decedents with Covid-19: A review of 14 decedents and potential triage implications
| Autor: | Natalie L. Adolphi, Emily Helmrich, Yohsuke Makino, Lauren Decker |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
PMCT
medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Autopsy Article Postmortem Changes Pathology and Forensic Medicine medicine Radiology Nuclear Medicine and imaging Halo sign Lung business.industry fungi Postmortem CT Postmortem ct food and beverages COVID-19 Triage Coronavirus medicine.anatomical_structure Radiology Nuclear Medicine and imaging Histopathology Pulmonary pathology Radiology medicine.symptom business |
| Zdroj: | Forensic Imaging |
| ISSN: | 2666-2256 |
| DOI: | 10.1016/j.fri.2020.200419 |
| Popis: | Highlights • Postmortem computed tomography shows characteristic findings in COVID-19 decedents. • Triage with this imaging can alert the forensic pathologist to COVID-19 infection. • This can improve the workflow and safety of those involved with the examination. Objective Computed tomography has significant utility as a diagnostic tool for coronavirus disease 2019 (COVID-19) in the clinical setting. COVID-19 deaths are sometimes examined by forensic pathologists, often in the setting of an unknown diagnosis. We assessed the utility of postmortem computed tomography (PMCT) for use as a triage tool for these autopsy examinations. Materials and methods We reviewed PMCT findings in 14 and histopathology in 11 decedents who were positive for COVID-19. Results The predominant imaging findings were bilateral mixed densities, in either a diffuse or peripheral distribution, with traction bronchiectasis, and/or crazy paving. In particular, traction bronchiectasis, ill-defined rounded consolidations, and reverse halo sign are useful when distinguishing from other postmortem changes. Conclusion We conclude that triage with a PMCT may aid the forensic pathologist in diagnosing possible COVID-19 infection prior to autopsy examination. |
| Databáze: | OpenAIRE |
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