18F-FDG PET/CT findings of COVID-19: a series of four highly suspected cases
Identifieur interne : 000C90 ( an2020/Analysis ); précédent : 000C89; suivant : 000C9118F-FDG PET/CT findings of COVID-19: a series of four highly suspected cases
Auteurs : Chunxia Qin [République populaire de Chine] ; Fang Liu [République populaire de Chine] ; Tzu-Chen Yen [Taïwan] ; Xiaoli Lan [République populaire de Chine]Source :
- European Journal of Nuclear Medicine and Molecular Imaging [ 1619-7070 ] ; 2020.
Abstract
The aim of this case series is to illustrate the 18F-FDG PET/CT findings of patients with acute respiratory disease caused by COVID-19 in Wuhan, Hubei province of China.
We describe the 18F-FDG PET/CT results from four patients who were admitted to the hospital with respiratory symptoms and fever between January 13 and January 20, 2020, when the COVID-19 outbreak was still unrecognized and the virus infectivity was unknown. A retrospective review of the patients’ medical history, clinical and laboratory data, as well as imaging findings strongly suggested a diagnosis of COVID-19.
All patients had peripheral ground-glass opacities and/or lung consolidations in more than two pulmonary lobes. Lung lesions were characterized by a high 18F-FDG uptake and there was evidence of lymph node involvement. Conversely, disseminated disease was absent, a finding suggesting that COVID-19 has pulmonary tropism.
Although 18F-FDG PET/CT cannot be routinely used in an emergency setting and is generally not recommended for infectious diseases, our pilot data shed light on the potential clinical utility of this imaging technique in the differential diagnosis of complex cases.
Url:
DOI: 10.1007/s00259-020-04734-w
PubMed: 32088847
PubMed Central: 7080035
Affiliations:
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PMC:7080035Le document en format XML
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de Chine</country><wicri:regionArea>No. 1277 Jiefang Ave, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">Hubei Province Key Laboratory of Molecular Imaging, Wuhan, 430022 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Hubei Province Key Laboratory of Molecular Imaging, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author></analytic><series><title level="j">European Journal of Nuclear Medicine and Molecular Imaging</title><idno type="ISSN">1619-7070</idno><idno type="eISSN">1619-7089</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p id="Par1">The aim of this case series is to illustrate the <sup>18</sup>F-FDG PET/CT findings of patients with acute respiratory disease caused by COVID-19 in Wuhan, Hubei province of China.</p></sec><sec><title>Methods</title><p id="Par2">We describe the <sup>18</sup>F-FDG PET/CT results from four patients who were admitted to the hospital with respiratory symptoms and fever between January 13 and January 20, 2020, when the COVID-19 outbreak was still unrecognized and the virus infectivity was unknown. A retrospective review of the patients’ medical history, clinical and laboratory data, as well as imaging findings strongly suggested a diagnosis of COVID-19.</p></sec><sec><title>Results</title><p id="Par3">All patients had peripheral ground-glass opacities and/or lung consolidations in more than two pulmonary lobes. Lung lesions were characterized by a high <sup>18</sup>F-FDG uptake and there was evidence of lymph node involvement. Conversely, disseminated disease was absent, a finding suggesting that COVID-19 has pulmonary tropism.</p></sec><sec><title>Conclusions</title><p id="Par4">Although <sup>18</sup>F-FDG PET/CT cannot be routinely used in an emergency setting and is generally not recommended for infectious diseases, our pilot data shed light on the potential clinical utility of this imaging technique in the differential diagnosis of complex cases.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Zhu, Na" uniqKey="Zhu N">Na Zhu</name></author><author><name sortKey="Zhang, Dingyu" uniqKey="Zhang D">Dingyu Zhang</name></author><author><name sortKey="Wang, Wenling" uniqKey="Wang W">Wenling Wang</name></author><author><name sortKey="Li, Xingwang" uniqKey="Li X">Xingwang Li</name></author><author><name sortKey="Yang, Bo" uniqKey="Yang B">Bo Yang</name></author><author><name sortKey="Song, Jingdong" uniqKey="Song J">Jingdong Song</name></author><author><name sortKey="Zhao, Xiang" uniqKey="Zhao X">Xiang Zhao</name></author><author><name sortKey="Huang, Baoying" uniqKey="Huang B">Baoying Huang</name></author><author><name sortKey="Shi, Weifeng" uniqKey="Shi W">Weifeng Shi</name></author><author><name sortKey="Lu, Roujian" uniqKey="Lu R">Roujian Lu</name></author><author><name sortKey="Niu, Peihua" uniqKey="Niu P">Peihua Niu</name></author><author><name sortKey="Zhan, Faxian" uniqKey="Zhan F">Faxian Zhan</name></author><author><name sortKey="Ma, Xuejun" uniqKey="Ma X">Xuejun Ma</name></author><author><name sortKey="Wang, Dayan" uniqKey="Wang D">Dayan Wang</name></author><author><name sortKey="Xu, Wenbo" uniqKey="Xu W">Wenbo Xu</name></author><author><name sortKey="Wu, Guizhen" uniqKey="Wu G">Guizhen Wu</name></author><author><name sortKey="Gao, George F" uniqKey="Gao G">George F. Gao</name></author><author><name sortKey="Tan, Wenjie" uniqKey="Tan W">Wenjie Tan</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Huang, Chaolin" uniqKey="Huang C">Chaolin Huang</name></author><author><name sortKey="Wang, Yeming" uniqKey="Wang Y">Yeming Wang</name></author><author><name sortKey="Li, Xingwang" uniqKey="Li X">Xingwang Li</name></author><author><name sortKey="Ren, Lili" uniqKey="Ren L">Lili Ren</name></author><author><name sortKey="Zhao, Jianping" uniqKey="Zhao J">Jianping Zhao</name></author><author><name sortKey="Hu, Yi" uniqKey="Hu Y">Yi Hu</name></author><author><name sortKey="Zhang, Li" uniqKey="Zhang L">Li Zhang</name></author><author><name sortKey="Fan, Guohui" uniqKey="Fan G">Guohui Fan</name></author><author><name sortKey="Xu, Jiuyang" uniqKey="Xu J">Jiuyang Xu</name></author><author><name sortKey="Gu, Xiaoying" uniqKey="Gu X">Xiaoying Gu</name></author><author><name sortKey="Cheng, Zhenshun" uniqKey="Cheng Z">Zhenshun Cheng</name></author><author><name sortKey="Yu, Ting" uniqKey="Yu T">Ting Yu</name></author><author><name sortKey="Xia, Jiaan" uniqKey="Xia J">Jiaan Xia</name></author><author><name sortKey="Wei, Yuan" uniqKey="Wei Y">Yuan Wei</name></author><author><name sortKey="Wu, Wenjuan" uniqKey="Wu W">Wenjuan Wu</name></author><author><name sortKey="Xie, Xuelei" uniqKey="Xie X">Xuelei Xie</name></author><author><name sortKey="Yin, Wen" uniqKey="Yin W">Wen Yin</name></author><author><name sortKey="Li, Hui" uniqKey="Li H">Hui Li</name></author><author><name sortKey="Liu, Min" uniqKey="Liu M">Min Liu</name></author><author><name sortKey="Xiao, Yan" uniqKey="Xiao Y">Yan Xiao</name></author><author><name sortKey="Gao, Hong" uniqKey="Gao H">Hong Gao</name></author><author><name sortKey="Guo, Li" uniqKey="Guo L">Li Guo</name></author><author><name sortKey="Xie, Jungang" uniqKey="Xie J">Jungang Xie</name></author><author><name sortKey="Wang, Guangfa" 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Jonsson</name></author><author><name sortKey="Camp, Jv" uniqKey="Camp J">JV Camp</name></author><author><name sortKey="Wu, A" uniqKey="Wu A">A Wu</name></author><author><name sortKey="Zheng, H" uniqKey="Zheng H">H Zheng</name></author><author><name sortKey="Kraenzle, Jl" uniqKey="Kraenzle J">JL Kraenzle</name></author><author><name sortKey="Biller, Ae" uniqKey="Biller A">AE Biller</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>République populaire de Chine</li><li>Taïwan</li></country><region><li>Hubei</li></region><settlement><li>Wuhan</li></settlement></list><tree><country name="République populaire de Chine"><region name="Hubei"><name sortKey="Qin, Chunxia" sort="Qin, Chunxia" uniqKey="Qin C" first="Chunxia" last="Qin">Chunxia Qin</name></region><name sortKey="Lan, Xiaoli" sort="Lan, Xiaoli" uniqKey="Lan X" first="Xiaoli" last="Lan">Xiaoli Lan</name><name sortKey="Lan, Xiaoli" sort="Lan, Xiaoli" uniqKey="Lan X" first="Xiaoli" last="Lan">Xiaoli Lan</name><name sortKey="Liu, Fang" sort="Liu, Fang" uniqKey="Liu F" first="Fang" last="Liu">Fang Liu</name><name sortKey="Liu, Fang" sort="Liu, Fang" uniqKey="Liu F" first="Fang" last="Liu">Fang Liu</name><name sortKey="Qin, Chunxia" sort="Qin, Chunxia" uniqKey="Qin C" first="Chunxia" last="Qin">Chunxia Qin</name></country><country name="Taïwan"><noRegion><name sortKey="Yen, Tzu Chen" sort="Yen, Tzu Chen" uniqKey="Yen T" first="Tzu-Chen" last="Yen">Tzu-Chen Yen</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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