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The Role of Chest Imaging in Patient Management During the COVID-19 Pandemic: A Multinational Consensus Statement From the Fleischner Society.

Publication ,  Journal Article
Rubin, GD; Ryerson, CJ; Haramati, LB; Sverzellati, N; Kanne, JP; Raoof, S; Schluger, NW; Volpi, A; Yim, J-J; Martin, IBK; Anderson, DJ; Luo, F ...
Published in: Chest
July 2020

With more than 900,000 confirmed cases worldwide and nearly 50,000 deaths during the first 3 months of 2020, the coronavirus disease 2019 (COVID-19) pandemic has emerged as an unprecedented health care crisis. The spread of COVID-19 has been heterogeneous, resulting in some regions having sporadic transmission and relatively few hospitalized patients with COVID-19 and others having community transmission that has led to overwhelming numbers of severe cases. For these regions, health care delivery has been disrupted and compromised by critical resource constraints in diagnostic testing, hospital beds, ventilators, and health care workers who have fallen ill to the virus exacerbated by shortages of personal protective equipment. Although mild cases mimic common upper respiratory viral infections, respiratory dysfunction becomes the principal source of morbidity and mortality as the disease advances. Thoracic imaging with chest radiography and CT are key tools for pulmonary disease diagnosis and management, but their role in the management of COVID-19 has not been considered within the multivariable context of the severity of respiratory disease, pretest probability, risk factors for disease progression, and critical resource constraints. To address this deficit, a multidisciplinary panel comprised principally of radiologists and pulmonologists from 10 countries with experience managing patients with COVID-19 across a spectrum of health care environments evaluated the utility of imaging within three scenarios representing varying risk factors, community conditions, and resource constraints. Fourteen key questions, corresponding to 11 decision points within the three scenarios and three additional clinical situations, were rated by the panel based on the anticipated value of the information that thoracic imaging would be expected to provide. The results were aggregated, resulting in five main and three additional recommendations intended to guide medical practitioners in the use of chest radiography and CT in the management of COVID-19.

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Published In

Chest

DOI

EISSN

1931-3543

Publication Date

July 2020

Volume

158

Issue

1

Start / End Page

106 / 116

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • SARS-CoV-2
  • Respiratory Tract Diseases
  • Respiratory System
  • Radiography, Thoracic
  • Pneumonia, Viral
  • Patient Care Management
  • Pandemics
  • Lung
  • International Cooperation
 

Citation

APA
Chicago
ICMJE
MLA
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Rubin, G. D., Ryerson, C. J., Haramati, L. B., Sverzellati, N., Kanne, J. P., Raoof, S., … Leung, A. N. (2020). The Role of Chest Imaging in Patient Management During the COVID-19 Pandemic: A Multinational Consensus Statement From the Fleischner Society. Chest, 158(1), 106–116. https://doi.org/10.1016/j.chest.2020.04.003
Rubin, Geoffrey D., Christopher J. Ryerson, Linda B. Haramati, Nicola Sverzellati, Jeffrey P. Kanne, Suhail Raoof, Neil W. Schluger, et al. “The Role of Chest Imaging in Patient Management During the COVID-19 Pandemic: A Multinational Consensus Statement From the Fleischner Society.Chest 158, no. 1 (July 2020): 106–16. https://doi.org/10.1016/j.chest.2020.04.003.
Rubin GD, Ryerson CJ, Haramati LB, Sverzellati N, Kanne JP, Raoof S, et al. The Role of Chest Imaging in Patient Management During the COVID-19 Pandemic: A Multinational Consensus Statement From the Fleischner Society. Chest. 2020 Jul;158(1):106–16.
Rubin, Geoffrey D., et al. “The Role of Chest Imaging in Patient Management During the COVID-19 Pandemic: A Multinational Consensus Statement From the Fleischner Society.Chest, vol. 158, no. 1, July 2020, pp. 106–16. Pubmed, doi:10.1016/j.chest.2020.04.003.
Rubin GD, Ryerson CJ, Haramati LB, Sverzellati N, Kanne JP, Raoof S, Schluger NW, Volpi A, Yim J-J, Martin IBK, Anderson DJ, Kong C, Altes T, Bush A, Desai SR, Goldin J, Goo JM, Humbert M, Inoue Y, Kauczor H-U, Luo F, Mazzone PJ, Prokop M, Remy-Jardin M, Richeldi L, Schaefer-Prokop CM, Tomiyama N, Wells AU, Leung AN. The Role of Chest Imaging in Patient Management During the COVID-19 Pandemic: A Multinational Consensus Statement From the Fleischner Society. Chest. 2020 Jul;158(1):106–116.

Published In

Chest

DOI

EISSN

1931-3543

Publication Date

July 2020

Volume

158

Issue

1

Start / End Page

106 / 116

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • SARS-CoV-2
  • Respiratory Tract Diseases
  • Respiratory System
  • Radiography, Thoracic
  • Pneumonia, Viral
  • Patient Care Management
  • Pandemics
  • Lung
  • International Cooperation