摘要
Our study was carried out at Robert BALLANGER Hospital, its aim was to determine the contribution of the scanner in the diagnosis of COVID-19. It was a prospective descriptive study during the first wave of the COVID-19 epidemic in France. Patients were referred to the medical imaging department for a thoracic CT scan without contrast injection or an angioscanner in the context of a suspected COVID-19 pneumopathy or pulmonary embolism. The study involved both sexes, the male sex was with 55.20% and sex ratio of 1.24. In our study 50% of our patients had a comorbid factor, of which diabetes and hypertension were the most represented with 33% and 17%. The RT PRC test is considered the gold standard in the diagnosis of COVID-19 disease. This test was positive in 63.62% of our patients. CT imaging played a key role in the management of COVID-19 pneumonia because chest CT scans found lesions consistent with COVID-19 pneumonia in 71% of patients. The depoliated lung lesion was present in 87% of our patients, with sub pleural topography and minimal parenchymal involvement predominating. In our study, the chest CT scan had a higher sensitivity and a lower specificity than the PCR test.
Our study was carried out at Robert BALLANGER Hospital, its aim was to determine the contribution of the scanner in the diagnosis of COVID-19. It was a prospective descriptive study during the first wave of the COVID-19 epidemic in France. Patients were referred to the medical imaging department for a thoracic CT scan without contrast injection or an angioscanner in the context of a suspected COVID-19 pneumopathy or pulmonary embolism. The study involved both sexes, the male sex was with 55.20% and sex ratio of 1.24. In our study 50% of our patients had a comorbid factor, of which diabetes and hypertension were the most represented with 33% and 17%. The RT PRC test is considered the gold standard in the diagnosis of COVID-19 disease. This test was positive in 63.62% of our patients. CT imaging played a key role in the management of COVID-19 pneumonia because chest CT scans found lesions consistent with COVID-19 pneumonia in 71% of patients. The depoliated lung lesion was present in 87% of our patients, with sub pleural topography and minimal parenchymal involvement predominating. In our study, the chest CT scan had a higher sensitivity and a lower specificity than the PCR test.
作者
Abdoulaye Koné
Saloum Gandéga
Youssouf Koné
Moussa Traoré
Moussa Konaté
Jean Paul Dembélé
Ouncoumba Diarra
Ibrahima Coulibaly
Youssouf Diawara
Cheick Oumar Touré
Kassim Sidibé
Mody A. Camara
Oumar Aba Ata
Yacouba Toloba
Jean Steiner
Mahamadou Diallo
Adama Diaman Keita
Salia Coulibaly
Siaka Sidibe
Abdoulaye Koné;Saloum Gandéga;Youssouf Koné;Moussa Traoré;Moussa Konaté;Jean Paul Dembélé;Ouncoumba Diarra;Ibrahima Coulibaly;Youssouf Diawara;Cheick Oumar Touré;Kassim Sidibé;Mody A. Camara;Oumar Aba Ata;Yacouba Toloba;Jean Steiner;Mahamadou Diallo;Adama Diaman Keita;Salia Coulibaly;Siaka Sidibe(Faculty of Medicine and Odontostomatology, Bamako, Mali;Medical Imaging Department of the Pasteur Polyclinic, Bamako, Mali;Medical Imaging Department of the Robert BALLANGER Hospital, AulnaySB, Ile de France, France;Radiology Department of the Jacques Boutard Hospital, Saint-Yrieix-la-Perche, France;Medical Imaging Department of GABRIEL TOURE Hospital, Bamako, Mali;Medical Imaging Department of the University Hospital of Point G, Bamako, Mali;Infectious Disease Department of the University Hospital of Point G, Bamako, Mali;Radiology Department of CSREF Commune III, Bamako, Mali;Medical Imaging Service Health Center of Ref Commune IV, Bamako, Mali;DCSSA, Kati, Mali;Medical Imaging Department of Mali Hospital, Bamako, Mali;Pneumology Department of the University Hospital of Point G, Bamako, Mali;Medical Imaging Department of Kati Hospital, Kati, Mali)