CT manifestations of lung changes and complications in patients with severe acute respiratory syndrome
Identifieur interne : 000973 ( Istex/Corpus ); précédent : 000972; suivant : 000974CT manifestations of lung changes and complications in patients with severe acute respiratory syndrome
Auteurs : Zhang Xue-Zhe ; Wang Wu ; Lu Yan ; Huang Zhen-Guo ; Hong Wen ; Shang Yan-Ning ; Ren AnSource :
- Chinese Journal of Integrative Medicine [ 1672-0415 ] ; 2003-12-01.
English descriptors
Abstract
Abstract: Objective: To investigate the role of CT scanning in diagnosing severe acute respiratory syndrome (SARS).Methods: One hundred and twelve times of spiral CT scanning, 106 times on the chest with standard pulmonary and mediastinal window, 5 on the brain and once on the abdomen, were performed in 82 patients (37 males and 45 females) of SARS.Results: Bilateral shadows showed in 66 patients (80.48%) and unilateral shadow in 16 (19.52%). The lung CT findings were sub-pleural focal consolidation in 26 patients (31.70%), flaky cloudy opacity in 53 (64.63%), large area consolidation in 9 (10.97%), ground-glass blurry shadow in 31 (37.80%), alveolar substantive shadow in 14 (17.07%) and interstitial changes in 16 (19.51%). The pulmonary CT signs of SARS were relatively characterized by: (1) The lesions tending to multiply occur, mostly to be bilaterally distributed and commonly involved in the lower lung field. (2) The lung shadows mostly showed as sub-pleural focal consolidation, flaky cloudy shadow, large area consolidation, ground-glass blurry shadow, and often accompanied with signs of broncho-inflation. (3) Having opacified nodular shadows in the alveolar cavities. (4) Rapid progressions or changes on the size, amount, and distribution of the lesions likely to be found in dynamic observation of chest X-ray and CT scanning, i.e., markedly dynamic changes found within 24 to 48 hrs. Lesions with these characteristics may be recognized as pulmonary changes possibly induced by SARS. Complications were found in 6 patients (7.31%), including tuberculosis of lung and brain accompanied with pneumomediastinum in one patient, secondary infection of lung in 2, pneumothorax in 1, pulmonary fungus in 1, and pyothorax in 1.Conclusion: CT scanning is a sensitive method for diagnosis of SARS, by which more accurate assessment of the abnormal changes of lung and occurrence of complications in SARS patients can be made.
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DOI: 10.1007/BF02838608
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">CT manifestations of lung changes and complications in patients with severe acute respiratory syndrome</title><author><name sortKey="Xue Zhe, Zhang" sort="Xue Zhe, Zhang" uniqKey="Xue Zhe Z" first="Zhang" last="Xue-Zhe">Zhang Xue-Zhe</name><affiliation><mods:affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: cjfhdrct@public.fhnet.cn.net</mods:affiliation></affiliation></author><author><name sortKey="Wu, Wang" sort="Wu, Wang" uniqKey="Wu W" first="Wang" last="Wu">Wang Wu</name><affiliation><mods:affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</mods:affiliation></affiliation></author><author><name sortKey="Yan, Lu" sort="Yan, Lu" uniqKey="Yan L" first="Lu" last="Yan">Lu Yan</name><affiliation><mods:affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</mods:affiliation></affiliation></author><author><name sortKey="Zhen Guo, Huang" sort="Zhen Guo, Huang" uniqKey="Zhen Guo H" first="Huang" last="Zhen-Guo">Huang Zhen-Guo</name><affiliation><mods:affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</mods:affiliation></affiliation></author><author><name sortKey="Wen, Hong" sort="Wen, Hong" uniqKey="Wen H" first="Hong" last="Wen">Hong Wen</name><affiliation><mods:affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</mods:affiliation></affiliation></author><author><name sortKey="Yan Ning, Shang" sort="Yan Ning, Shang" uniqKey="Yan Ning S" first="Shang" last="Yan-Ning">Shang Yan-Ning</name><affiliation><mods:affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</mods:affiliation></affiliation></author><author><name sortKey="An, Ren" sort="An, Ren" uniqKey="An R" first="Ren" last="An">Ren An</name><affiliation><mods:affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:8E6E9E4374EAAA1508B3331098AEE4AD6D281E34</idno><date when="2003" year="2003">2003</date><idno type="doi">10.1007/BF02838608</idno><idno type="url">https://api.istex.fr/ark:/67375/VQC-JV7MWRZ3-5/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">000973</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000973</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">CT manifestations of lung changes and complications in patients with severe acute respiratory syndrome</title><author><name sortKey="Xue Zhe, Zhang" sort="Xue Zhe, Zhang" uniqKey="Xue Zhe Z" first="Zhang" last="Xue-Zhe">Zhang Xue-Zhe</name><affiliation><mods:affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: cjfhdrct@public.fhnet.cn.net</mods:affiliation></affiliation></author><author><name sortKey="Wu, Wang" sort="Wu, Wang" uniqKey="Wu W" first="Wang" last="Wu">Wang Wu</name><affiliation><mods:affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</mods:affiliation></affiliation></author><author><name sortKey="Yan, Lu" sort="Yan, Lu" uniqKey="Yan L" first="Lu" last="Yan">Lu Yan</name><affiliation><mods:affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</mods:affiliation></affiliation></author><author><name sortKey="Zhen Guo, Huang" sort="Zhen Guo, Huang" uniqKey="Zhen Guo H" first="Huang" last="Zhen-Guo">Huang Zhen-Guo</name><affiliation><mods:affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</mods:affiliation></affiliation></author><author><name sortKey="Wen, Hong" sort="Wen, Hong" uniqKey="Wen H" first="Hong" last="Wen">Hong Wen</name><affiliation><mods:affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</mods:affiliation></affiliation></author><author><name sortKey="Yan Ning, Shang" sort="Yan Ning, Shang" uniqKey="Yan Ning S" first="Shang" last="Yan-Ning">Shang Yan-Ning</name><affiliation><mods:affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</mods:affiliation></affiliation></author><author><name sortKey="An, Ren" sort="An, Ren" uniqKey="An R" first="Ren" last="An">Ren An</name><affiliation><mods:affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Chinese Journal of Integrative Medicine</title><title level="j" type="abbrev">Chin. J. Integr. Med.</title><idno type="ISSN">1672-0415</idno><idno type="eISSN">1993-0402</idno><imprint><publisher>Chinese Association of Traditional and Western Medicine, China Academy of Chinese Medical Sciences</publisher><pubPlace>Beijing</pubPlace><date type="published" when="2003-12-01">2003-12-01</date><biblScope unit="volume">9</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="254">254</biblScope><biblScope unit="page" to="258">258</biblScope></imprint><idno type="ISSN">1672-0415</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1672-0415</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>chest</term><term>complication</term><term>computerized X-ray tomography</term><term>severe acute respiratory syndrome</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Objective: To investigate the role of CT scanning in diagnosing severe acute respiratory syndrome (SARS).Methods: One hundred and twelve times of spiral CT scanning, 106 times on the chest with standard pulmonary and mediastinal window, 5 on the brain and once on the abdomen, were performed in 82 patients (37 males and 45 females) of SARS.Results: Bilateral shadows showed in 66 patients (80.48%) and unilateral shadow in 16 (19.52%). The lung CT findings were sub-pleural focal consolidation in 26 patients (31.70%), flaky cloudy opacity in 53 (64.63%), large area consolidation in 9 (10.97%), ground-glass blurry shadow in 31 (37.80%), alveolar substantive shadow in 14 (17.07%) and interstitial changes in 16 (19.51%). The pulmonary CT signs of SARS were relatively characterized by: (1) The lesions tending to multiply occur, mostly to be bilaterally distributed and commonly involved in the lower lung field. (2) The lung shadows mostly showed as sub-pleural focal consolidation, flaky cloudy shadow, large area consolidation, ground-glass blurry shadow, and often accompanied with signs of broncho-inflation. (3) Having opacified nodular shadows in the alveolar cavities. (4) Rapid progressions or changes on the size, amount, and distribution of the lesions likely to be found in dynamic observation of chest X-ray and CT scanning, i.e., markedly dynamic changes found within 24 to 48 hrs. Lesions with these characteristics may be recognized as pulmonary changes possibly induced by SARS. Complications were found in 6 patients (7.31%), including tuberculosis of lung and brain accompanied with pneumomediastinum in one patient, secondary infection of lung in 2, pneumothorax in 1, pulmonary fungus in 1, and pyothorax in 1.Conclusion: CT scanning is a sensitive method for diagnosis of SARS, by which more accurate assessment of the abnormal changes of lung and occurrence of complications in SARS patients can be made.</div></front></TEI><istex><corpusName>springer-journals</corpusName><author><json:item><name>Zhang Xue-zhe</name><affiliations><json:string>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</json:string><json:string>E-mail: cjfhdrct@public.fhnet.cn.net</json:string></affiliations></json:item><json:item><name>Wang Wu</name><affiliations><json:string>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</json:string></affiliations></json:item><json:item><name>Lu Yan</name><affiliations><json:string>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</json:string></affiliations></json:item><json:item><name>Huang Zhen-guo</name><affiliations><json:string>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</json:string></affiliations></json:item><json:item><name>Hong Wen</name><affiliations><json:string>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</json:string></affiliations></json:item><json:item><name>Shang Yan-ning</name><affiliations><json:string>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</json:string></affiliations></json:item><json:item><name>Ren An</name><affiliations><json:string>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>severe acute respiratory syndrome</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>computerized X-ray tomography</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>chest</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>complication</value></json:item></subject><articleId><json:string>BF02838608</json:string><json:string>Art6</json:string></articleId><arkIstex>ark:/67375/VQC-JV7MWRZ3-5</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>OriginalPaper</json:string></originalGenre><abstract>Abstract: Objective: To investigate the role of CT scanning in diagnosing severe acute respiratory syndrome (SARS).Methods: One hundred and twelve times of spiral CT scanning, 106 times on the chest with standard pulmonary and mediastinal window, 5 on the brain and once on the abdomen, were performed in 82 patients (37 males and 45 females) of SARS.Results: Bilateral shadows showed in 66 patients (80.48%) and unilateral shadow in 16 (19.52%). The lung CT findings were sub-pleural focal consolidation in 26 patients (31.70%), flaky cloudy opacity in 53 (64.63%), large area consolidation in 9 (10.97%), ground-glass blurry shadow in 31 (37.80%), alveolar substantive shadow in 14 (17.07%) and interstitial changes in 16 (19.51%). The pulmonary CT signs of SARS were relatively characterized by: (1) The lesions tending to multiply occur, mostly to be bilaterally distributed and commonly involved in the lower lung field. (2) The lung shadows mostly showed as sub-pleural focal consolidation, flaky cloudy shadow, large area consolidation, ground-glass blurry shadow, and often accompanied with signs of broncho-inflation. (3) Having opacified nodular shadows in the alveolar cavities. (4) Rapid progressions or changes on the size, amount, and distribution of the lesions likely to be found in dynamic observation of chest X-ray and CT scanning, i.e., markedly dynamic changes found within 24 to 48 hrs. Lesions with these characteristics may be recognized as pulmonary changes possibly induced by SARS. Complications were found in 6 patients (7.31%), including tuberculosis of lung and brain accompanied with pneumomediastinum in one patient, secondary infection of lung in 2, pneumothorax in 1, pulmonary fungus in 1, and pyothorax in 1.Conclusion: CT scanning is a sensitive method for diagnosis of SARS, by which more accurate assessment of the abnormal changes of lung and occurrence of complications in SARS patients can be made.</abstract><qualityIndicators><refBibsNative>false</refBibsNative><abstractWordCount>295</abstractWordCount><abstractCharCount>1940</abstractCharCount><keywordCount>4</keywordCount><score>8.457</score><pdfWordCount>3457</pdfWordCount><pdfCharCount>19195</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>6</pdfPageCount><pdfPageSize>590.424 x 806.424 pts</pdfPageSize></qualityIndicators><title>CT manifestations of lung changes and complications in patients with severe acute respiratory 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respiratory syndrome</title><author xml:id="author-0000" corresp="yes"><persName><forename type="first">Zhang</forename><surname>Xue-zhe</surname></persName><email>cjfhdrct@public.fhnet.cn.net</email><affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Wang</forename><surname>Wu</surname></persName><affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Lu</forename><surname>Yan</surname></persName><affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</affiliation></author><author xml:id="author-0003"><persName><forename type="first">Huang</forename><surname>Zhen-guo</surname></persName><affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</affiliation></author><author xml:id="author-0004"><persName><forename type="first">Hong</forename><surname>Wen</surname></persName><affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</affiliation></author><author xml:id="author-0005"><persName><forename type="first">Shang</forename><surname>Yan-ning</surname></persName><affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</affiliation></author><author xml:id="author-0006"><persName><forename type="first">Ren</forename><surname>An</surname></persName><affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</affiliation></author><idno type="istex">8E6E9E4374EAAA1508B3331098AEE4AD6D281E34</idno><idno type="ark">ark:/67375/VQC-JV7MWRZ3-5</idno><idno type="DOI">10.1007/BF02838608</idno><idno type="article-id">BF02838608</idno><idno type="article-id">Art6</idno></analytic><monogr><title level="j">Chinese Journal of Integrative Medicine</title><title level="j" type="abbrev">Chin. J. Integr. Med.</title><idno type="pISSN">1672-0415</idno><idno type="eISSN">1993-0402</idno><idno type="journal-ID">true</idno><idno type="issue-article-count">31</idno><idno type="volume-issue-count">4</idno><imprint><publisher>Chinese Association of Traditional and Western Medicine, China Academy of Chinese Medical Sciences</publisher><pubPlace>Beijing</pubPlace><date type="published" when="2003-12-01"></date><biblScope unit="volume">9</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="254">254</biblScope><biblScope unit="page" to="258">258</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2003-07-04</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Abstract: Objective: To investigate the role of CT scanning in diagnosing severe acute respiratory syndrome (SARS).Methods: One hundred and twelve times of spiral CT scanning, 106 times on the chest with standard pulmonary and mediastinal window, 5 on the brain and once on the abdomen, were performed in 82 patients (37 males and 45 females) of SARS.Results: Bilateral shadows showed in 66 patients (80.48%) and unilateral shadow in 16 (19.52%). The lung CT findings were sub-pleural focal consolidation in 26 patients (31.70%), flaky cloudy opacity in 53 (64.63%), large area consolidation in 9 (10.97%), ground-glass blurry shadow in 31 (37.80%), alveolar substantive shadow in 14 (17.07%) and interstitial changes in 16 (19.51%). The pulmonary CT signs of SARS were relatively characterized by: (1) The lesions tending to multiply occur, mostly to be bilaterally distributed and commonly involved in the lower lung field. (2) The lung shadows mostly showed as sub-pleural focal consolidation, flaky cloudy shadow, large area consolidation, ground-glass blurry shadow, and often accompanied with signs of broncho-inflation. (3) Having opacified nodular shadows in the alveolar cavities. (4) Rapid progressions or changes on the size, amount, and distribution of the lesions likely to be found in dynamic observation of chest X-ray and CT scanning, i.e., markedly dynamic changes found within 24 to 48 hrs. Lesions with these characteristics may be recognized as pulmonary changes possibly induced by SARS. Complications were found in 6 patients (7.31%), including tuberculosis of lung and brain accompanied with pneumomediastinum in one patient, secondary infection of lung in 2, pneumothorax in 1, pulmonary fungus in 1, and pyothorax in 1.Conclusion: CT scanning is a sensitive method for diagnosis of SARS, by which more accurate assessment of the abnormal changes of lung and occurrence of complications in SARS patients can be made.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Key Words</head><item><term>severe acute respiratory syndrome</term></item><item><term>computerized X-ray tomography</term></item><item><term>chest</term></item><item><term>complication</term></item></list></keywords></textClass><textClass><keywords scheme="Journal-Subject-Group"><list><label>H</label><item><term>Medicine & Public Health</term></item><label>H00007</label><item><term>Medicine/Public Health, general</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2003-07-04">Created</change><change when="2003-12-01">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/VQC-JV7MWRZ3-5/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus springer-journals not found" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//Springer-Verlag//DTD A++ V2.4//EN" URI="http://devel.springer.de/A++/V2.4/DTD/A++V2.4.dtd" name="istex:docType"></istex:docType><istex:document><Publisher><PublisherInfo><PublisherName>Chinese Association of Traditional and Western Medicine, China Academy of Chinese Medical Sciences</PublisherName><PublisherLocation>Beijing</PublisherLocation></PublisherInfo><Journal><JournalInfo JournalProductType="ArchiveJournal" NumberingStyle="Unnumbered"><JournalID>11655</JournalID><JournalPrintISSN>1672-0415</JournalPrintISSN><JournalElectronicISSN>1993-0402</JournalElectronicISSN><JournalTitle>Chinese Journal of Integrative Medicine</JournalTitle><JournalAbbreviatedTitle>Chin. J. Integr. Med.</JournalAbbreviatedTitle><JournalSubjectGroup><JournalSubject Code="H" Type="Primary">Medicine & Public Health</JournalSubject><JournalSubject Code="H00007" Priority="1" Type="Secondary">Medicine/Public Health, general</JournalSubject></JournalSubjectGroup></JournalInfo><Volume><VolumeInfo TocLevels="0" VolumeType="Regular"><VolumeIDStart>9</VolumeIDStart><VolumeIDEnd>9</VolumeIDEnd><VolumeIssueCount>4</VolumeIssueCount></VolumeInfo><Issue IssueType="Regular"><IssueInfo TocLevels="0"><IssueIDStart>4</IssueIDStart><IssueIDEnd>4</IssueIDEnd><IssueArticleCount>31</IssueArticleCount><IssueHistory><CoverDate><Year>2003</Year><Month>12</Month></CoverDate></IssueHistory><IssueCopyright><CopyrightHolderName>The Chinese Journal of Integrated Traditional and Western Medicine Press</CopyrightHolderName><CopyrightYear>2003</CopyrightYear></IssueCopyright></IssueInfo><Article ID="Art6"><ArticleInfo ArticleType="OriginalPaper" ContainsESM="No" Language="En" NumberingStyle="Unnumbered" TocLevels="0"><ArticleID>BF02838608</ArticleID><ArticleDOI>10.1007/BF02838608</ArticleDOI><ArticleSequenceNumber>6</ArticleSequenceNumber><ArticleTitle Language="En">CT manifestations of lung changes and complications in patients with severe acute respiratory syndrome</ArticleTitle><ArticleCategory>Original Articles</ArticleCategory><ArticleFirstPage>254</ArticleFirstPage><ArticleLastPage>258</ArticleLastPage><ArticleHistory><RegistrationDate><Year>2008</Year><Month>2</Month><Day>16</Day></RegistrationDate><Received><Year>2003</Year><Month>7</Month><Day>4</Day></Received></ArticleHistory><ArticleCopyright><CopyrightHolderName>The Chinese Journal of Integrated Traditional and Western Medicine Press</CopyrightHolderName><CopyrightYear>2003</CopyrightYear></ArticleCopyright><ArticleGrants Type="Regular"><MetadataGrant Grant="OpenAccess"></MetadataGrant><AbstractGrant Grant="OpenAccess"></AbstractGrant><BodyPDFGrant Grant="Restricted"></BodyPDFGrant><BodyHTMLGrant Grant="Restricted"></BodyHTMLGrant><BibliographyGrant Grant="Restricted"></BibliographyGrant><ESMGrant Grant="Restricted"></ESMGrant></ArticleGrants><ArticleContext><JournalID>11655</JournalID><VolumeIDStart>9</VolumeIDStart><VolumeIDEnd>9</VolumeIDEnd><IssueIDStart>4</IssueIDStart><IssueIDEnd>4</IssueIDEnd></ArticleContext></ArticleInfo><ArticleHeader><AuthorGroup><Author AffiliationIDS="Aff1" CorrespondingAffiliationID="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Zhang</GivenName><FamilyName>Xue-zhe</FamilyName></AuthorName><Contact><Phone>010-64222963</Phone><Email>cjfhdrct@public.fhnet.cn.net</Email></Contact></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Wang</GivenName><FamilyName>Wu</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Lu</GivenName><FamilyName>Yan</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Huang</GivenName><FamilyName>Zhen-guo</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Hong</GivenName><FamilyName>Wen</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Shang</GivenName><FamilyName>Yan-ning</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Ren</GivenName><FamilyName>An</FamilyName></AuthorName></Author><Affiliation ID="Aff1"><OrgDivision>Department of Radiology</OrgDivision><OrgName>China-Japan Friendship Hospital</OrgName><OrgAddress><Postcode>100029</Postcode><City>Beijing</City></OrgAddress></Affiliation></AuthorGroup><Abstract ID="Abs1" Language="En"><Heading>Abstract</Heading><Para><Emphasis Type="Bold">Objective</Emphasis>: To investigate the role of CT scanning in diagnosing severe acute respiratory syndrome (SARS).<Emphasis Type="Bold">Methods</Emphasis>: One hundred and twelve times of spiral CT scanning, 106 times on the chest with standard pulmonary and mediastinal window, 5 on the brain and once on the abdomen, were performed in 82 patients (37 males and 45 females) of SARS.<Emphasis Type="Bold">Results</Emphasis>: Bilateral shadows showed in 66 patients (80.48%) and unilateral shadow in 16 (19.52%). The lung CT findings were sub-pleural focal consolidation in 26 patients (31.70%), flaky cloudy opacity in 53 (64.63%), large area consolidation in 9 (10.97%), ground-glass blurry shadow in 31 (37.80%), alveolar substantive shadow in 14 (17.07%) and interstitial changes in 16 (19.51%). The pulmonary CT signs of SARS were relatively characterized by: (1) The lesions tending to multiply occur, mostly to be bilaterally distributed and commonly involved in the lower lung field. (2) The lung shadows mostly showed as sub-pleural focal consolidation, flaky cloudy shadow, large area consolidation, ground-glass blurry shadow, and often accompanied with signs of broncho-inflation. (3) Having opacified nodular shadows in the alveolar cavities. (4) Rapid progressions or changes on the size, amount, and distribution of the lesions likely to be found in dynamic observation of chest X-ray and CT scanning, i.e., markedly dynamic changes found within 24 to 48 hrs. Lesions with these characteristics may be recognized as pulmonary changes possibly induced by SARS. Complications were found in 6 patients (7.31%), including tuberculosis of lung and brain accompanied with pneumomediastinum in one patient, secondary infection of lung in 2, pneumothorax in 1, pulmonary fungus in 1, and pyothorax in 1.<Emphasis Type="Bold">Conclusion</Emphasis>: CT scanning is a sensitive method for diagnosis of SARS, by which more accurate assessment of the abnormal changes of lung and occurrence of complications in SARS patients can be made.</Para></Abstract><KeywordGroup Language="En"><Heading>Key Words</Heading><Keyword>severe acute respiratory syndrome</Keyword><Keyword>computerized X-ray tomography</Keyword><Keyword>chest</Keyword><Keyword>complication</Keyword></KeywordGroup></ArticleHeader><NoBody></NoBody></Article></Issue></Volume></Journal></Publisher></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>CT manifestations of lung changes and complications in patients with severe acute respiratory syndrome</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>CT manifestations of lung changes and complications in patients with severe acute respiratory syndrome</title></titleInfo><name type="personal" displayLabel="corresp"><namePart type="given">Zhang</namePart><namePart type="family">Xue-zhe</namePart><affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</affiliation><affiliation>E-mail: cjfhdrct@public.fhnet.cn.net</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Wang</namePart><namePart type="family">Wu</namePart><affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lu</namePart><namePart type="family">Yan</namePart><affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Huang</namePart><namePart type="family">Zhen-guo</namePart><affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hong</namePart><namePart type="family">Wen</namePart><affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Shang</namePart><namePart type="family">Yan-ning</namePart><affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ren</namePart><namePart type="family">An</namePart><affiliation>Department of Radiology, China-Japan Friendship Hospital, 100029, Beijing</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="OriginalPaper" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Chinese Association of Traditional and Western Medicine, China Academy of Chinese Medical Sciences</publisher><place><placeTerm type="text">Beijing</placeTerm></place><dateCreated encoding="w3cdtf">2003-07-04</dateCreated><dateIssued encoding="w3cdtf">2003-12-01</dateIssued><copyrightDate encoding="w3cdtf">2003</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract lang="en">Abstract: Objective: To investigate the role of CT scanning in diagnosing severe acute respiratory syndrome (SARS).Methods: One hundred and twelve times of spiral CT scanning, 106 times on the chest with standard pulmonary and mediastinal window, 5 on the brain and once on the abdomen, were performed in 82 patients (37 males and 45 females) of SARS.Results: Bilateral shadows showed in 66 patients (80.48%) and unilateral shadow in 16 (19.52%). The lung CT findings were sub-pleural focal consolidation in 26 patients (31.70%), flaky cloudy opacity in 53 (64.63%), large area consolidation in 9 (10.97%), ground-glass blurry shadow in 31 (37.80%), alveolar substantive shadow in 14 (17.07%) and interstitial changes in 16 (19.51%). The pulmonary CT signs of SARS were relatively characterized by: (1) The lesions tending to multiply occur, mostly to be bilaterally distributed and commonly involved in the lower lung field. (2) The lung shadows mostly showed as sub-pleural focal consolidation, flaky cloudy shadow, large area consolidation, ground-glass blurry shadow, and often accompanied with signs of broncho-inflation. (3) Having opacified nodular shadows in the alveolar cavities. (4) Rapid progressions or changes on the size, amount, and distribution of the lesions likely to be found in dynamic observation of chest X-ray and CT scanning, i.e., markedly dynamic changes found within 24 to 48 hrs. Lesions with these characteristics may be recognized as pulmonary changes possibly induced by SARS. Complications were found in 6 patients (7.31%), including tuberculosis of lung and brain accompanied with pneumomediastinum in one patient, secondary infection of lung in 2, pneumothorax in 1, pulmonary fungus in 1, and pyothorax in 1.Conclusion: CT scanning is a sensitive method for diagnosis of SARS, by which more accurate assessment of the abnormal changes of lung and occurrence of complications in SARS patients can be made.</abstract><note>Original Articles</note><subject lang="en"><genre>Key Words</genre><topic>severe acute respiratory syndrome</topic><topic>computerized X-ray tomography</topic><topic>chest</topic><topic>complication</topic></subject><relatedItem type="host"><titleInfo><title>Chinese Journal of Integrative Medicine</title></titleInfo><titleInfo type="abbreviated"><title>Chin. J. Integr. Med.</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>Springer</publisher><dateIssued encoding="w3cdtf">2003-12-01</dateIssued><copyrightDate encoding="w3cdtf">2003</copyrightDate></originInfo><subject><genre>Journal-Subject-Group</genre><topic authority="SpringerSubjectCodes" authorityURI="H">Medicine & Public Health</topic><topic authority="SpringerSubjectCodes" authorityURI="H00007">Medicine/Public Health, general</topic></subject><identifier type="ISSN">1672-0415</identifier><identifier type="eISSN">1993-0402</identifier><identifier type="JournalID">11655</identifier><identifier type="IssueArticleCount">31</identifier><identifier type="VolumeIssueCount">4</identifier><part><date>2003</date><detail type="volume"><number>9</number><caption>vol.</caption></detail><detail type="issue"><number>4</number><caption>no.</caption></detail><extent unit="pages"><start>254</start><end>258</end></extent></part><recordInfo><recordOrigin>The Chinese Journal of Integrated Traditional and Western Medicine Press, 2003</recordOrigin></recordInfo></relatedItem><identifier type="istex">8E6E9E4374EAAA1508B3331098AEE4AD6D281E34</identifier><identifier type="ark">ark:/67375/VQC-JV7MWRZ3-5</identifier><identifier type="DOI">10.1007/BF02838608</identifier><identifier type="ArticleID">BF02838608</identifier><identifier type="ArticleID">Art6</identifier><accessCondition type="use and reproduction" contentType="copyright">The Chinese Journal of Integrated Traditional and Western Medicine Press, 2003</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-3XSW68JL-F">springer</recordContentSource><recordOrigin>The Chinese Journal of Integrated Traditional and Western Medicine Press, 2003</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/ark:/67375/VQC-JV7MWRZ3-5/record.json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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