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The Analysis of Thoracic Computed Tomography before and after COVID-19 Pandemic

Yıl 2020, Cilt 10, Sayı 3, 363 - 368, 21.09.2020
https://doi.org/10.33631/duzcesbed.757465

Öz

Aim: The aim of this study is to describe the changes in the number of Thoracic Computed Tomographs (TCT) taken from the emergency department (ED) and the general characteristics of the patients concerned. Material and Methods: The patients were examined in two periods as before and after March 10 (Period 1: January 1, 2020 - March 9, 2020; Period 2: March 10-31, 2020), the date COVID-19 first occurred in our country. Furthermore, if COVID-19 findings were present, the severity of the findings, the side involved (right lung, left lung, bilateral), the number of lobes involved, the type of the finding observed, the localization of the lesions were identified. Results: The daily number of TCT scans increased by approximately two-folds after March 10. A total of 400 TCT scans were performed in Period 1. In a total of 69 days, the average daily TCT number was 5.8, and the number of cases consistent with viral pneumonia was 21 (5.25% of the TCT scans on these dates). A total of 243 TCT scans were performed in Period 2. In a total of 22 days, the daily number of TCT scans was 11.04, and the number of patients consistent with viral pneumonia (COVID-19 included) was 44 (18.1% of the TCT scans on these dates). Conclusion: During this period, while it is still being debated whether COVID-19 is a biological attack or not, the significant increase in exposure to ionizing radiation with known risks is a matter worthy of discussion.

Kaynakça

  • İncesu E, Beylik U, Küçükkendirci H. The problem of re-admission to emergency services: a case study for a state hospital emergency service in Turkey. Akademik Bakış International Refereed Journal of Social Sciences. 2016; (53): 1-13.
  • Karpuz Ç. Acil servise başvuran hastalara çekilen toraks bilgisayarlı tomografilerin değerlendirilmesinde acil tıp uzmanlık öğrencilerinin tomografileri yorumlamadaki doğruluk ve güvenilirlik derecelerinin araştırılması [Uzmanlık Tezi]. Bursa: Uludağ Üniversitesi; 2018.
  • Satıcı C, Kabalak PA, Yılmaz U. Lung cancer and COVID-19: need to know principles for chest specialists. Eurasian Journal of Pulmonology. 2020; Additional issue review: 118-27.
  • Balbay EG, Safçı S, Çakıroğlu EB, Şafak AA. Are we requesting computed thoracic tomography more than needed? Abant Medical Journal. 2015; 4(1): 6-10
  • Perelas A, Dimou A, Saenz A, Rhee JH, Teerapuncharoen K, Rowden A, et al. Incidental findings on computed tomography angiography in patients evaluated for pulmonary embolism. Annals of the American Thoracic Society. 2015; 12(5): 689-95.
  • Shi H, Han X, Jiang N, Cao Y, Alwalid O, Gu J, et al. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. The Lancet Infectious Diseases. 2020; 20(4): 425-34.
  • Yoon SH, Lee KH, Kim JY, Lee YK, Ko H, Kim KH, et al. Chest radiographic and CT findings of the 2019 novel coronavirus disease (COVID-19): analysis of nine patients treated in Korea. Korean Journal of Radiology. 2020; 21(4): 494-500.
  • Caruso D, Zerunian M, Polici M, Pucciarelli F, Polidori T, Rucci C, et al. Chest CT features of COVID-19 in Rome, Italy. Radiology. 2020; 296(2): E79-85.
  • Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv W, et al. Correlation of chest CT and RT-PCR testing in coronavirus disease 2019 (COVID-19) in China: a report of 1014 cases. Radiology. 2020; 296(2): E32-40.
  • Inui S, Fujikawa A, Jitsu M, Kunishima N, Wanatabe S, Suziki Y, et al. Chest CT findings in cases from the cruise ship “Diamond Princess” with Coronavirus disease 2019 (COVID-19). Radiology: Cardiothoracic Imaging. 2020; 2(2): e200110.
  • Zhao W, Zhong Z, Xie X, Yu Q, Liu J. Relation between chest CT findings and clinical conditions of coronavirus disease (COVID-19) pneumonia: a multicenter study. American Journal of Roentgenology. 2020; 214(5): 1072-7.
  • McCunney RJ, Li J. Radiation risks in lung cancer screening programs. Chest. 2014; 145(3): 618-24. Davy S, Byrne M, Roche C, Glynn C, McCarthy P. Alternative diagnoses and incidental findings on CTPA. European Congress of Radiology; 2018 Feb 28– Mar 4; Austria.
  • Hu JJ, Smith TR, Miller MS, Lohman K, Case LD. Genetic regulation of ionizing radiation sensitivity and breast cancer risk. Environmental and Molecular Mutagenesis. 2002; 39(2-3): 208-15.
  • Wong HYF, Lam HYS, Fong AHT, Leung ST, Chin TWY, Lui MMS, et al. Frequency and distribution of chest radiographic findings in COVID-19 positive patients. Radiology. 2020; 296(2): E72-8.
  • Kanne JP, Little BP, Chung JH, Elicker BM, Ketai LH. Essentials for radiologists on COVID-19: an update—radiology scientific expert panel. 2020; 296(2): E113-4.
  • Bernheim A, Mei X, Huang M, Yang Y, Fayad ZA, Zhang N, et al. Chest CT findings in coronavirus disease-19 (COVID-19): relationship to duration of infection. Radiology. 2020; 295(3): 685-91.
  • Salehi S, Abedi A, Balakrishnan S, Gholamrezanezhad A. Coronavirus disease 2019 (COVID-19): a systematic review of imaging findings in 919 patients. American Journal of Roentgenology. 2020; 215(1): 1-7.

COVID-19 Pandemisinden Önce ve Sonra Çekilen Toraks Bilgisayarlı Tomografilerin Analizi

Yıl 2020, Cilt 10, Sayı 3, 363 - 368, 21.09.2020
https://doi.org/10.33631/duzcesbed.757465

Öz

Amaç: Bu çalışmanın amacı, acil servisten çekilen toraks bilgisayarlı tomografilerin (TBT) sayısındaki değişiklikleri ve ilgili hastaların genel özelliklerini tanımlamaktır. Gereç ve Yöntemler: Hastalar ülkemizde COVID-19'un ilk ortaya çıktığı tarih olan10 Mart öncesi ve sonrası olmak üzere iki dönemde incelenmiştir (Dönem 1: 1 Ocak 2020 - 9 Mart 2020; Dönem 2: 10-31 Mart 2020). Ayrıca COVID-19 bulguları mevcutsa, bulguların şiddeti, ilgili taraf (sağ akciğer, sol akciğer, bilateral), etkilenen olan lob sayısı, gözlenen bulgunun tipi, lezyonların lokalizasyonu belirlenmiştir. Bulgular: Günlük TBT taraması sayısı 10 Mart'tan sonra yaklaşık iki kat artmıştır. Dönem 1'de toplam 400 TBT taraması yapıldı. Toplam 69 günde, ortalama günlük TBT sayısı 5,8 ve viral pnömoni ile uyumlu vaka sayısı 21 idi (bu tarihlerde çekilen TBT taramalarının %5,25'i). Dönem 2'de toplam 243 TBT taraması gerçekleştirildi. Toplam 22 günde, günlük TCT taraması sayısı 11,04 idi ve viral pnömoniyle uyumulu hasta sayısı (COVID-19 dahil) 44 (bu tarihlerde çekilen TBT taramalarının %18,1’i). Sonuç: COVID-19'un biyolojik bir saldırı olup olmadığı hala tartışılırken, iyonizan radyasyona maruziyetinde ki bu artışın tartışmaya değer bir konu olduğunu düşünüyoruz.

Kaynakça

  • İncesu E, Beylik U, Küçükkendirci H. The problem of re-admission to emergency services: a case study for a state hospital emergency service in Turkey. Akademik Bakış International Refereed Journal of Social Sciences. 2016; (53): 1-13.
  • Karpuz Ç. Acil servise başvuran hastalara çekilen toraks bilgisayarlı tomografilerin değerlendirilmesinde acil tıp uzmanlık öğrencilerinin tomografileri yorumlamadaki doğruluk ve güvenilirlik derecelerinin araştırılması [Uzmanlık Tezi]. Bursa: Uludağ Üniversitesi; 2018.
  • Satıcı C, Kabalak PA, Yılmaz U. Lung cancer and COVID-19: need to know principles for chest specialists. Eurasian Journal of Pulmonology. 2020; Additional issue review: 118-27.
  • Balbay EG, Safçı S, Çakıroğlu EB, Şafak AA. Are we requesting computed thoracic tomography more than needed? Abant Medical Journal. 2015; 4(1): 6-10
  • Perelas A, Dimou A, Saenz A, Rhee JH, Teerapuncharoen K, Rowden A, et al. Incidental findings on computed tomography angiography in patients evaluated for pulmonary embolism. Annals of the American Thoracic Society. 2015; 12(5): 689-95.
  • Shi H, Han X, Jiang N, Cao Y, Alwalid O, Gu J, et al. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. The Lancet Infectious Diseases. 2020; 20(4): 425-34.
  • Yoon SH, Lee KH, Kim JY, Lee YK, Ko H, Kim KH, et al. Chest radiographic and CT findings of the 2019 novel coronavirus disease (COVID-19): analysis of nine patients treated in Korea. Korean Journal of Radiology. 2020; 21(4): 494-500.
  • Caruso D, Zerunian M, Polici M, Pucciarelli F, Polidori T, Rucci C, et al. Chest CT features of COVID-19 in Rome, Italy. Radiology. 2020; 296(2): E79-85.
  • Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv W, et al. Correlation of chest CT and RT-PCR testing in coronavirus disease 2019 (COVID-19) in China: a report of 1014 cases. Radiology. 2020; 296(2): E32-40.
  • Inui S, Fujikawa A, Jitsu M, Kunishima N, Wanatabe S, Suziki Y, et al. Chest CT findings in cases from the cruise ship “Diamond Princess” with Coronavirus disease 2019 (COVID-19). Radiology: Cardiothoracic Imaging. 2020; 2(2): e200110.
  • Zhao W, Zhong Z, Xie X, Yu Q, Liu J. Relation between chest CT findings and clinical conditions of coronavirus disease (COVID-19) pneumonia: a multicenter study. American Journal of Roentgenology. 2020; 214(5): 1072-7.
  • McCunney RJ, Li J. Radiation risks in lung cancer screening programs. Chest. 2014; 145(3): 618-24. Davy S, Byrne M, Roche C, Glynn C, McCarthy P. Alternative diagnoses and incidental findings on CTPA. European Congress of Radiology; 2018 Feb 28– Mar 4; Austria.
  • Hu JJ, Smith TR, Miller MS, Lohman K, Case LD. Genetic regulation of ionizing radiation sensitivity and breast cancer risk. Environmental and Molecular Mutagenesis. 2002; 39(2-3): 208-15.
  • Wong HYF, Lam HYS, Fong AHT, Leung ST, Chin TWY, Lui MMS, et al. Frequency and distribution of chest radiographic findings in COVID-19 positive patients. Radiology. 2020; 296(2): E72-8.
  • Kanne JP, Little BP, Chung JH, Elicker BM, Ketai LH. Essentials for radiologists on COVID-19: an update—radiology scientific expert panel. 2020; 296(2): E113-4.
  • Bernheim A, Mei X, Huang M, Yang Y, Fayad ZA, Zhang N, et al. Chest CT findings in coronavirus disease-19 (COVID-19): relationship to duration of infection. Radiology. 2020; 295(3): 685-91.
  • Salehi S, Abedi A, Balakrishnan S, Gholamrezanezhad A. Coronavirus disease 2019 (COVID-19): a systematic review of imaging findings in 919 patients. American Journal of Roentgenology. 2020; 215(1): 1-7.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Araştırma Makaleleri
Yazarlar

Hasan Baki ALTINSOY
DÜZCE ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0003-0934-3600
Türkiye


Mustafa BOĞAN (Sorumlu Yazar)
Düzce Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı
0000-0002-3238-1827
Türkiye

Yayımlanma Tarihi 21 Eylül 2020
Başvuru Tarihi 24 Haziran 2020
Kabul Tarihi 7 Eylül 2020
Yayınlandığı Sayı Yıl 2020, Cilt 10, Sayı 3

Kaynak Göster

Bibtex @araştırma makalesi { duzcesbed757465, journal = {Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi}, issn = {}, eissn = {2146-443X}, address = {}, publisher = {Düzce Üniversitesi}, year = {2020}, volume = {10}, pages = {363 - 368}, doi = {10.33631/duzcesbed.757465}, title = {The Analysis of Thoracic Computed Tomography before and after COVID-19 Pandemic}, key = {cite}, author = {Altınsoy, Hasan Baki and Boğan, Mustafa} }
APA Altınsoy, H. B. & Boğan, M. (2020). The Analysis of Thoracic Computed Tomography before and after COVID-19 Pandemic . Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi , 10 (3) , 363-368 . DOI: 10.33631/duzcesbed.757465
MLA Altınsoy, H. B. , Boğan, M. "The Analysis of Thoracic Computed Tomography before and after COVID-19 Pandemic" . Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 10 (2020 ): 363-368 <https://dergipark.org.tr/tr/pub/duzcesbed/issue/56790/757465>
Chicago Altınsoy, H. B. , Boğan, M. "The Analysis of Thoracic Computed Tomography before and after COVID-19 Pandemic". Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 10 (2020 ): 363-368
RIS TY - JOUR T1 - The Analysis of Thoracic Computed Tomography before and after COVID-19 Pandemic AU - Hasan Baki Altınsoy , Mustafa Boğan Y1 - 2020 PY - 2020 N1 - doi: 10.33631/duzcesbed.757465 DO - 10.33631/duzcesbed.757465 T2 - Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi JF - Journal JO - JOR SP - 363 EP - 368 VL - 10 IS - 3 SN - -2146-443X M3 - doi: 10.33631/duzcesbed.757465 UR - https://doi.org/10.33631/duzcesbed.757465 Y2 - 2020 ER -
EndNote %0 Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi The Analysis of Thoracic Computed Tomography before and after COVID-19 Pandemic %A Hasan Baki Altınsoy , Mustafa Boğan %T The Analysis of Thoracic Computed Tomography before and after COVID-19 Pandemic %D 2020 %J Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi %P -2146-443X %V 10 %N 3 %R doi: 10.33631/duzcesbed.757465 %U 10.33631/duzcesbed.757465
ISNAD Altınsoy, Hasan Baki , Boğan, Mustafa . "The Analysis of Thoracic Computed Tomography before and after COVID-19 Pandemic". Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 10 / 3 (Eylül 2020): 363-368 . https://doi.org/10.33631/duzcesbed.757465
AMA Altınsoy H. B. , Boğan M. The Analysis of Thoracic Computed Tomography before and after COVID-19 Pandemic. DÜ Sağlık Bil Enst Derg. 2020; 10(3): 363-368.
Vancouver Altınsoy H. B. , Boğan M. The Analysis of Thoracic Computed Tomography before and after COVID-19 Pandemic. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2020; 10(3): 363-368.
IEEE H. B. Altınsoy ve M. Boğan , "The Analysis of Thoracic Computed Tomography before and after COVID-19 Pandemic", Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, c. 10, sayı. 3, ss. 363-368, Eyl. 2020, doi:10.33631/duzcesbed.757465