Thoracic computerised tomography scans in one hundred eighteen orthopaedic patients during the COVID-19 pandemic: identification of chest lesions; added values; help in managing patients; burden on the computerised tomography scan department.
Identifieur interne : 000374 ( Main/Exploration ); précédent : 000373; suivant : 000375Thoracic computerised tomography scans in one hundred eighteen orthopaedic patients during the COVID-19 pandemic: identification of chest lesions; added values; help in managing patients; burden on the computerised tomography scan department.
Auteurs : Jacques Hernigou [Belgique] ; François Cornil [Belgique] ; Alexandre Poignard [France] ; Said El Bouchaibi [Belgique] ; Jean Mani [France] ; Jean François Naouri [France] ; Patrick Younes [France] ; Philippe Hernigou [France]Source :
- International orthopaedics [ 1432-5195 ] ; 2020.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Betacoronavirus (MeSH), Femelle (MeSH), Humains (MeSH), Infections à coronavirus (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Orthopédie (méthodes), Pandémies (MeSH), Pneumopathie virale (MeSH), Radiographie thoracique (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Thorax (imagerie diagnostique), Tomodensitométrie (méthodes).
- MESH :
- imagerie diagnostique : Thorax.
- méthodes : Orthopédie, Tomodensitométrie.
- Adolescent, Adulte, Adulte d'âge moyen, Betacoronavirus, Femelle, Humains, Infections à coronavirus, Jeune adulte, Mâle, Pandémies, Pneumopathie virale, Radiographie thoracique, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Betacoronavirus (MeSH), Coronavirus Infections (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Orthopedics (methods), Pandemics (MeSH), Pneumonia, Viral (MeSH), Radiography, Thoracic (MeSH), Thorax (diagnostic imaging), Tomography, X-Ray Computed (methods), Young Adult (MeSH).
- MESH :
- diagnostic imaging : Thorax.
- methods : Orthopedics, Tomography, X-Ray Computed.
- Adolescent, Adult, Aged, Aged, 80 and over, Betacoronavirus, Coronavirus Infections, Female, Humans, Male, Middle Aged, Pandemics, Pneumonia, Viral, Radiography, Thoracic, Young Adult.
Abstract
PURPOSE
Based on the recent literature, chest computed tomography (CT) examination could aid for management of patients during COVID-19 pandemic. However, the role of chest CT in management of COVID-19 patients is not exactly the same for medical or surgical specialties. In orthopaedic or trauma emergency, abdomen, pelvis, cervical, dorsal, and lumbar spine CT are performed to investigate patients; the result is a thoracic CT scan incorporating usually the thorax; however, information about lung parenchyma can be obtained on this thorax CT, and manifestations of COVID-19 can be diagnosed. The objective of our study was to evaluate this role in orthopedic patients to familiarize orthopaedists with the value and limits of thoracic CT in orthopaedic surgery.
MATERIALS AND METHODS
Among the 1397 chest CT scans performed during the pandemic period from 1 March 2020 to 10 May 2020, in two centres with orthopaedic surgery, we selected all the 118 thoracic or chest CT performed for patients who presented to the Emergency Department of the hospital with a diagnosis of trauma for orthopaedic surgical treatment. Thirty-nine of these 118 patients were tested with PCR for the diagnosis of COVID-19 infection. Depending on clinical status (symptomatic or non-symptomatic), the information useful for the orthopaedist surgeon and obtained from the Chest CT scan according to the result of the PCR (gold standard) was graded from 0 (no or low value) to 3 (high value). The potential risks of chest CT as exposure to radiation, and specific pathway were analyzed and discussed. A group of patients treated during a previous similar period (1 March 2018 to 15 April 2018) was used as control for evaluation of the increase of CT scanning during the COVID-19 pandemic.
RESULTS
Among the 118 patients with chest CT, there were 16 patients with positive COVID-19 chest CT findings, and 102 patients with negative chest CT scan. With PCR results as reference, the sensitivity, specificity, positive predictive value of chest CT in indicating COVID-19 infection were 81%, 93%, and 86%, respectively (p = 0.001). A useful information for the orthopaedic surgeon (graded as 1 for 71 cases, as 2 for 5 cases, and as 3 for 11 cases) was obtained from 118 chest CT scans for 87 (74%) patients, while the CT was no value in 30 (25%) cases, and negative value in one (1%) case. Roughly 20% of the total number of CT scanner performed over the pandemic period was dedicated to COVID-19, but only 2% were for orthopaedic or trauma patients. However, this was ten times higher than during the previous control period of comparison.
CONCLUSION
Although extremely valuable for surgery management, these results should not be overstated. The CT findings studied are not specific for COVID-19, and the positive predictive value of CT will be low unless disease prevalence is high, which was the case during this period.
DOI: 10.1007/s00264-020-04651-5
PubMed: 32506142
PubMed Central: PMC7275929
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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sortKey="Hernigou, Jacques" sort="Hernigou, Jacques" uniqKey="Hernigou J" first="Jacques" last="Hernigou">Jacques Hernigou</name><affiliation wicri:level="1"><nlm:affiliation>Orthopedic Department, EpiCURA baudour Hornu Hospital, Mons, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Orthopedic Department, EpiCURA baudour Hornu Hospital, Mons</wicri:regionArea><wicri:noRegion>Mons</wicri:noRegion></affiliation></author><author><name sortKey="Cornil, Francois" sort="Cornil, Francois" uniqKey="Cornil F" first="François" last="Cornil">François Cornil</name><affiliation wicri:level="1"><nlm:affiliation>Imaging Department, EpiCURA baudour Hornu Hospital, Mons, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Imaging Department, EpiCURA baudour Hornu Hospital, Mons</wicri:regionArea><wicri:noRegion>Mons</wicri:noRegion></affiliation></author><author><name sortKey="Poignard, Alexandre" sort="Poignard, Alexandre" uniqKey="Poignard A" first="Alexandre" last="Poignard">Alexandre Poignard</name><affiliation wicri:level="3"><nlm:affiliation>Orthopedic Department, Clinique Geoffroy Saint Hilaire, 75005, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Orthopedic Department, Clinique Geoffroy Saint Hilaire, 75005, Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="El Bouchaibi, Said" sort="El Bouchaibi, Said" uniqKey="El Bouchaibi S" first="Said" last="El Bouchaibi">Said El Bouchaibi</name><affiliation wicri:level="1"><nlm:affiliation>Imaging Department, EpiCURA baudour Hornu Hospital, Mons, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Imaging Department, EpiCURA baudour Hornu Hospital, Mons</wicri:regionArea><wicri:noRegion>Mons</wicri:noRegion></affiliation></author><author><name sortKey="Mani, Jean" sort="Mani, Jean" uniqKey="Mani J" first="Jean" last="Mani">Jean Mani</name><affiliation wicri:level="3"><nlm:affiliation>Imaging Department, Clinique Geoffroy Saint Hilaire, 75005, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Imaging Department, Clinique Geoffroy Saint Hilaire, 75005, Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Naouri, Jean Francois" sort="Naouri, Jean Francois" uniqKey="Naouri J" first="Jean François" last="Naouri">Jean François Naouri</name><affiliation wicri:level="3"><nlm:affiliation>Imaging Department, Clinique Geoffroy Saint Hilaire, 75005, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Imaging Department, Clinique Geoffroy Saint Hilaire, 75005, Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Younes, Patrick" sort="Younes, Patrick" uniqKey="Younes P" first="Patrick" last="Younes">Patrick Younes</name><affiliation wicri:level="3"><nlm:affiliation>Imaging Department, Clinique Geoffroy Saint Hilaire, 75005, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Imaging Department, Clinique Geoffroy Saint Hilaire, 75005, Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Hernigou, Philippe" sort="Hernigou, Philippe" uniqKey="Hernigou P" first="Philippe" last="Hernigou">Philippe Hernigou</name><affiliation wicri:level="3"><nlm:affiliation>Orthopedic Department, Clinique Geoffroy Saint Hilaire, 75005, Paris, France. philippe.hernigou@wanadoo.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Orthopedic Department, Clinique Geoffroy Saint Hilaire, 75005, Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Hospital Henri Mondor, University Paris, Paris, France. philippe.hernigou@wanadoo.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hospital Henri Mondor, University Paris, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">International orthopaedics</title><idno type="eISSN">1432-5195</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Coronavirus Infections (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Orthopedics (methods)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (MeSH)</term><term>Radiography, Thoracic (MeSH)</term><term>Thorax (diagnostic imaging)</term><term>Tomography, X-Ray Computed (methods)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Orthopédie (méthodes)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (MeSH)</term><term>Radiographie thoracique (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Thorax (imagerie diagnostique)</term><term>Tomodensitométrie (méthodes)</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Thorax</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Thorax</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Orthopedics</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Orthopédie</term><term>Tomodensitométrie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Betacoronavirus</term><term>Coronavirus Infections</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Pneumonia, Viral</term><term>Radiography, Thoracic</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Betacoronavirus</term><term>Femelle</term><term>Humains</term><term>Infections à coronavirus</term><term>Jeune adulte</term><term>Mâle</term><term>Pandémies</term><term>Pneumopathie virale</term><term>Radiographie thoracique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>Based on the recent literature, chest computed tomography (CT) examination could aid for management of patients during COVID-19 pandemic. However, the role of chest CT in management of COVID-19 patients is not exactly the same for medical or surgical specialties. In orthopaedic or trauma emergency, abdomen, pelvis, cervical, dorsal, and lumbar spine CT are performed to investigate patients; the result is a thoracic CT scan incorporating usually the thorax; however, information about lung parenchyma can be obtained on this thorax CT, and manifestations of COVID-19 can be diagnosed. The objective of our study was to evaluate this role in orthopedic patients to familiarize orthopaedists with the value and limits of thoracic CT in orthopaedic surgery.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b></p><p>Among the 1397 chest CT scans performed during the pandemic period from 1 March 2020 to 10 May 2020, in two centres with orthopaedic surgery, we selected all the 118 thoracic or chest CT performed for patients who presented to the Emergency Department of the hospital with a diagnosis of trauma for orthopaedic surgical treatment. Thirty-nine of these 118 patients were tested with PCR for the diagnosis of COVID-19 infection. Depending on clinical status (symptomatic or non-symptomatic), the information useful for the orthopaedist surgeon and obtained from the Chest CT scan according to the result of the PCR (gold standard) was graded from 0 (no or low value) to 3 (high value). The potential risks of chest CT as exposure to radiation, and specific pathway were analyzed and discussed. A group of patients treated during a previous similar period (1 March 2018 to 15 April 2018) was used as control for evaluation of the increase of CT scanning during the COVID-19 pandemic.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Among the 118 patients with chest CT, there were 16 patients with positive COVID-19 chest CT findings, and 102 patients with negative chest CT scan. With PCR results as reference, the sensitivity, specificity, positive predictive value of chest CT in indicating COVID-19 infection were 81%, 93%, and 86%, respectively (p = 0.001). A useful information for the orthopaedic surgeon (graded as 1 for 71 cases, as 2 for 5 cases, and as 3 for 11 cases) was obtained from 118 chest CT scans for 87 (74%) patients, while the CT was no value in 30 (25%) cases, and negative value in one (1%) case. Roughly 20% of the total number of CT scanner performed over the pandemic period was dedicated to COVID-19, but only 2% were for orthopaedic or trauma patients. However, this was ten times higher than during the previous control period of comparison.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Although extremely valuable for surgery management, these results should not be overstated. The CT findings studied are not specific for COVID-19, and the positive predictive value of CT will be low unless disease prevalence is high, which was the case during this period.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32506142</PMID><DateCompleted><Year>2020</Year><Month>08</Month><Day>14</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-5195</ISSN><JournalIssue CitedMedium="Internet"><Volume>44</Volume><Issue>8</Issue><PubDate><Year>2020</Year><Month>08</Month></PubDate></JournalIssue><Title>International orthopaedics</Title><ISOAbbreviation>Int Orthop</ISOAbbreviation></Journal><ArticleTitle>Thoracic computerised tomography scans in one hundred eighteen orthopaedic patients during the COVID-19 pandemic: identification of chest lesions; added values; help in managing patients; burden on the computerised tomography scan department.</ArticleTitle><Pagination><MedlinePgn>1571-1580</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00264-020-04651-5</ELocationID><Abstract><AbstractText Label="PURPOSE">Based on the recent literature, chest computed tomography (CT) examination could aid for management of patients during COVID-19 pandemic. However, the role of chest CT in management of COVID-19 patients is not exactly the same for medical or surgical specialties. In orthopaedic or trauma emergency, abdomen, pelvis, cervical, dorsal, and lumbar spine CT are performed to investigate patients; the result is a thoracic CT scan incorporating usually the thorax; however, information about lung parenchyma can be obtained on this thorax CT, and manifestations of COVID-19 can be diagnosed. The objective of our study was to evaluate this role in orthopedic patients to familiarize orthopaedists with the value and limits of thoracic CT in orthopaedic surgery.</AbstractText><AbstractText Label="MATERIALS AND METHODS">Among the 1397 chest CT scans performed during the pandemic period from 1 March 2020 to 10 May 2020, in two centres with orthopaedic surgery, we selected all the 118 thoracic or chest CT performed for patients who presented to the Emergency Department of the hospital with a diagnosis of trauma for orthopaedic surgical treatment. Thirty-nine of these 118 patients were tested with PCR for the diagnosis of COVID-19 infection. Depending on clinical status (symptomatic or non-symptomatic), the information useful for the orthopaedist surgeon and obtained from the Chest CT scan according to the result of the PCR (gold standard) was graded from 0 (no or low value) to 3 (high value). The potential risks of chest CT as exposure to radiation, and specific pathway were analyzed and discussed. A group of patients treated during a previous similar period (1 March 2018 to 15 April 2018) was used as control for evaluation of the increase of CT scanning during the COVID-19 pandemic.</AbstractText><AbstractText Label="RESULTS">Among the 118 patients with chest CT, there were 16 patients with positive COVID-19 chest CT findings, and 102 patients with negative chest CT scan. With PCR results as reference, the sensitivity, specificity, positive predictive value of chest CT in indicating COVID-19 infection were 81%, 93%, and 86%, respectively (p = 0.001). A useful information for the orthopaedic surgeon (graded as 1 for 71 cases, as 2 for 5 cases, and as 3 for 11 cases) was obtained from 118 chest CT scans for 87 (74%) patients, while the CT was no value in 30 (25%) cases, and negative value in one (1%) case. Roughly 20% of the total number of CT scanner performed over the pandemic period was dedicated to COVID-19, but only 2% were for orthopaedic or trauma patients. However, this was ten times higher than during the previous control period of comparison.</AbstractText><AbstractText Label="CONCLUSION">Although extremely valuable for surgery management, these results should not be overstated. The CT findings studied are not specific for COVID-19, and the positive predictive value of CT will be low unless disease prevalence is high, which was the case during this period.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hernigou</LastName><ForeName>Jacques</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Orthopedic Department, EpiCURA baudour Hornu Hospital, Mons, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cornil</LastName><ForeName>François</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Imaging Department, EpiCURA baudour Hornu Hospital, Mons, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Poignard</LastName><ForeName>Alexandre</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Orthopedic Department, Clinique Geoffroy Saint Hilaire, 75005, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>El Bouchaibi</LastName><ForeName>Said</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Imaging Department, EpiCURA baudour Hornu Hospital, Mons, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mani</LastName><ForeName>Jean</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Imaging Department, Clinique Geoffroy Saint Hilaire, 75005, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Naouri</LastName><ForeName>Jean François</ForeName><Initials>JF</Initials><AffiliationInfo><Affiliation>Imaging Department, Clinique Geoffroy Saint Hilaire, 75005, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Younes</LastName><ForeName>Patrick</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Imaging Department, Clinique Geoffroy Saint Hilaire, 75005, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hernigou</LastName><ForeName>Philippe</ForeName><Initials>P</Initials><Identifier Source="ORCID">0000-0002-8475-279X</Identifier><AffiliationInfo><Affiliation>Orthopedic Department, Clinique Geoffroy Saint Hilaire, 75005, Paris, France. philippe.hernigou@wanadoo.fr.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Hospital Henri Mondor, University Paris, Paris, France. philippe.hernigou@wanadoo.fr.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Int Orthop</MedlineTA><NlmUniqueID>7705431</NlmUniqueID><ISSNLinking>0341-2695</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName 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UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009985" MajorTopicYN="N">Orthopedics</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="Y">Pneumonia, Viral</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013902" MajorTopicYN="Y">Radiography, Thoracic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013909" MajorTopicYN="N">Thorax</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014057" MajorTopicYN="Y">Tomography, X-Ray Computed</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">Chest CT scan</Keyword><Keyword MajorTopicYN="Y">Coronavirus</Keyword><Keyword MajorTopicYN="Y">Orthopaedic patients and COVID-19</Keyword><Keyword MajorTopicYN="Y">PCR test</Keyword><Keyword MajorTopicYN="Y">Pandemic COVID-19</Keyword><Keyword MajorTopicYN="Y">Thoracic CT scan</Keyword><Keyword MajorTopicYN="Y">Trauma patients and COVID-19</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>05</Month><Day>21</Day></PubMedPubDate><PubMedPubDate 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first="François" last="Cornil">François Cornil</name><name sortKey="El Bouchaibi, Said" sort="El Bouchaibi, Said" uniqKey="El Bouchaibi S" first="Said" last="El Bouchaibi">Said El Bouchaibi</name></country><country name="France"><region name="Île-de-France"><name sortKey="Poignard, Alexandre" sort="Poignard, Alexandre" uniqKey="Poignard A" first="Alexandre" last="Poignard">Alexandre Poignard</name></region><name sortKey="Hernigou, Philippe" sort="Hernigou, Philippe" uniqKey="Hernigou P" first="Philippe" last="Hernigou">Philippe Hernigou</name><name sortKey="Hernigou, Philippe" sort="Hernigou, Philippe" uniqKey="Hernigou P" first="Philippe" last="Hernigou">Philippe Hernigou</name><name sortKey="Mani, Jean" sort="Mani, Jean" uniqKey="Mani J" first="Jean" last="Mani">Jean Mani</name><name sortKey="Naouri, Jean Francois" sort="Naouri, Jean Francois" uniqKey="Naouri J" first="Jean François" last="Naouri">Jean François Naouri</name><name sortKey="Younes, Patrick" sort="Younes, Patrick" uniqKey="Younes P" first="Patrick" last="Younes">Patrick Younes</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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