CT诊断新型冠状病毒肺炎的进展与争议

Progress and controversy of CT diagnosis of Corona Virus Disease 2019

早发现、早隔离、早治疗对新型冠状病毒肺炎(COVID-19)患者的病情控制和转归具有重要临床意义,是阻止疫情传播扩散的有效途径。CT作为一种重要的影像学检测手段,在COVID-19的筛查、诊断及病情治疗效果和预后评估等方面发挥了重要作用,掌握COVID-19临床影像学特点对其诊疗具有重要意义。本研究通过结合现有临床报道及前沿报道,从COVID-19影像学分期、病变征象演化等方面展开综述,总结CT诊断COVID-19的最新进展和争议问题,从影像学角度为COVID-19的诊疗提供重要临床参考。

Early detection,early isolation and early treatment have important clinical significance for the disease control and outcome of patients with Corona Virus Disease(COVID-19).And they are also effective ways to prevent the spread of the epidemic.As an important imaging detection method,CT has played an important role in the diagnosis,screening and evaluation of COVID-19.So understanding its clinical imaging characteristics correctly is very vital for its diagnosis and treatment.Based on current clinical reports and cuttingedge clinical studies,we reviewed imaging stages and the evolution of pathological signs of COVID-19.In addition,the latest progress in and controversial issues concerning CT diagnosis of COVID-19 were summarized,in order to provide some clinical reference for the diagnosis and treatment of COVID-19 from the perspective of imaging.