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The Role of Chest X-Ray in Monitoring lung changes among COVID-19 Patients in Gaza Strip

Open Journal of Medical Imaging 2021年第2期11卷 29-47页

作者： Mahmoud Mousa Marwan Matar Yasser Al Ajerami Ahmad Naijm Khalid Abu Shab Sadi Jaber Fouad SJaber Hazem Dawoud Department of Radiology Gaza-European Hospital Gaza Strip Palestine Department of Medical Imaging Applied Medical Sciences Al-Azhar University Gaza Strip Palestine Department of Nursing Applied Medical Sciences Al-Azhar University Gaza Strip Palestine Department of Radiology Nasser Medical Complex Gaza Strip Palestine Valley Fever Institute UCLA Kern Medical Bakersfield USA Department of Chemistry and Biochemistry Ohio University Athens USA

Objective: To investigate the time course and findings severity of COVID-19 infection at chest radiography based on a 6-point radiological severity score, and correlates these with patients’ age and gender. Methods: This is a retrospective study of COVID-19 patients who were admitted at European Gaza Hospital and evaluated between October 6, 2020, and November 30, 2020. Baseline and serial chest radiographs, up to 4 images per patient, were reviewed and assessed for predominant pattern, side, and location of lung opacity. Utilized a 6-point scoring system, which divides the chest X-ray into 6 zones, to assess chest X-ray changes and correlate them with the severity of infection, age, and gender of patients. Results: The study included 136 COVID-19 patients: (51/136, 37%) were males and (85/136, 62.5%) were females, while age ranged from 7 months to 90 years with a mean age of 41.7 ± (19.5) years. Negative Chest x-rays were more observed than positive images. Ground-glass opacity was the most frequent pattern with a decreasing trend from 1st to 4th chest X-ray (from 33.8% to 3.7%), followed by consolidation (from 16.2% to 2.9%). Also, the commonest pattern of opacity was seen in peripheral areas (27/136, 19.9%), lower zone location (23/136, 16.9%), and bilateral opacity involvement (43/136;31.6%). No significant correlation was noticed between the patient’s gender, age, and severity score (P > 0.05). Conclusions: The 6-point chest X-ray severity score as a predictive tool in assessing the severity due to provide an assessment of the progression or regression pathway.

关键词： Chest X-Rays COVID 19 lung changes Scoring System Gaza Strip

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