Covid 19 Pozitif Hastaların Akciğer ve Göğüs Hacminin Incelenmesi

Öz

Amaç: Covid-19 pozitif olan hastaların BT görüntülerinde, cinsiyete ve buzlu cam opasitesi varlığına göre akciğer hacmini, lezyon hacmini ve toraks çaplarını incelemeyi amaçladık. Materyal ve Metod: Çalışmamıza Covid-19 pozitif tanılı 113 kişinin (Erkek;58, Kadın;55) BT görüntülerini dahil ettik. Her hastanın BT görüntüleri DICOM veri setlerine aktarıldı ve MicroDicom kullanılarak toraks çap ölçümleri yapıldı. Ayrıca BT görüntülerinden üç boyutlu görüntüleme yöntemi (Vitrea) kullanılarak akciğer hacmi ve lezyon hacmi parametreleri hesaplandı. Tüm ölçüm parametreleri cinsiyete ve buzlu cam opaklık görünümüne göre karşılaştırıldı. Bulgular: Çalışmamıza yaş ortalaması 44,57±14,59 olan ve Covid-19 tanısı alan 113 hasta (Erkek;58, Kadın;55) dahil edildi. Akciğer hacmi (erkek; 3530,90±1454,99 ml ve kadın; 3149,92±1335,16 ml) ve lezyon hacmi (erkek; 434,59±664,19 ml ve kadın; 557,10±671,99 ml) parametrelerinin ortalama değerlerinde cinsiyete göre anlamlı fark elde edildi. Ayrıca buzlu cam opasitesi olan ve olmayan gruplar arasında, akciğer hacmi (p<0.001) ve lezyon hacmi (p<0.001) parametrelerinde anlamlı fark elde edildi. Ayrıca buzlu cam opasitesi olan ve olmayan gruplar arasında toraks ön-arka çap uzunluğu parametresinde anlamlı fark (p=0.001) elde edildi. Ancak göğüs çapları ölçümleri açısından cinsiyetler arasında anlamlı bir fark bulunamadı (p=0,542). Sonuç: Çalışmamızda kadınlarda, Covid-19 kaynaklı akciğer hasarının daha fazla olabileceğini bulduk. Çalışmamızın eldeki veriler ışığında, çalışmamızın bulgularının aşılamanın henüz yapılmadığı pandeminin erken evrelerine ve uzun vadeli etkilerine katkı sağlayacağına inanıyoruz.

Anahtar Kelimeler

• covid-19
• göğüs çapları
• akciğer hacmi

Examination of Lung and Thorax Volume of Patients with Covid 19 Positive

Öz

Background: We aimed to reveal lung volume, lesion volume and thorax diameters in patients with Covid-19 positive in CT images according to gender and presence of ground glass opacity. Materials and Methods: We included CT images of 113 people (male;58, female;55) diagnosed with Covid-19 positive in our study. CT images of each patient were imported the DICOM datasets and thorax diameter measurements were performed by using MicroDicom. Moreover, lung volume and lesion volume parameters were calculated from the CT images using the three-dimensional imaging method (Vitrea). All measurement parameters were compared according to gender and ground glass opacity appearance. Results: The 113 patients (male;58, female;55) with a mean age of 44.57±14.59 diagnosed with Covid-19 were included in our study. There was a significant difference between the gender in the mean values of lung volume (males; 3530.90±1454.99 ml and females; 3149.92±1335.16 ml) and lesion volume (males; 434.59±664.19 ml and females; 557.10±671.99 ml) parameters. In addition, a significant difference in lung volume (p<0.001) and lesion volume (p<0.001) was obtained between the groups with ground glass opacity and without ground glass opacity. Moreover, A significant difference (p=0.001) in thorax anteroposterior diameter length was obtained between the groups the with/without ground glass opacity. However, there was no significant difference (p=0.542) between genders in thorax diameters. Conclussion: In our study, we found that in the females may have more lung damage from Covid-19. We believe that our work in the light of the available data, we believe that the findings of our study will contribute to early stages of the pandemic, in which vaccination has not yet , and the long-term effects of post-covid.

Anahtar Kelimeler

• covid-19
• thorax diameters
• lung volume

Kaynakça

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