Chest MRI of a pregnant woman with COVID-19 pneumonia

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Abstract

This paper presents a clinical case of a 39-year-old pregnant woman with respiratory signs of the novel coronavirus Covid-19 infection. Chest MRI showed bilateral lesions in basal segments. The PCR test was positive. A lung condition was assessed without loss of significant diagnostic information. Besides that, the absence of exposure to ionizing radiation allowed to avoid a high loading dose on the patient and the fetus. This case reveals potential opportunities of MRI in the diagnosis of pulmonary pathology without exposure to ionizing radiation, especially in patient risk groups (children, pregnant women, etc.).

About the authors

Yuriy A. Vasilev

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department; City Clinical Oncological Hospital No. 1 of the Moscow Health Care Department

Author for correspondence.
Email: dr.vasilev@me.com
ORCID iD: 0000-0002-0208-5218
SPIN-code: 4458-5608

Ph.D

Russian Federation, Moscow

Alexander V. Bazhin

City Polyclinic No. 3 of the Moscow Health Care Department

Email: avbazhin@yandex.ru
ORCID iD: 0000-0003-3198-1334
SPIN-code: 6122-5786

Ph.D

Russian Federation, Moscow

Amir G. Masri

City Polyclinic No. 3 of the Moscow Health Care Department

Email: amir.masri6@gmail.com
ORCID iD: 0000-0001-6294-1285
SPIN-code: 5357-1487
Russian Federation, Moscow

Yulia N. Vasileva

City Polyclinic No. 3 of the Moscow Health Care Department; Moscow State University of Medicine and Dentistry named after A.I. Evdokimov

Email: drugya@yandex.ru
ORCID iD: 0000-0003-4955-2749
SPIN-code: 9777-2067

Ph.D

Russian Federation, Moscow

Olga Yu. Panina

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department

Email: olgayurpanina@gmail.com
ORCID iD: 0000-0002-8684-775X
SPIN-code: 5504-8136

Junior Scientist Researcher

Russian Federation, Moscow

Valentin E. Sinitsyn

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department

Email: v.sinitsyn@npcmr.ru
ORCID iD: 0000-0002-5649-2193

Professor

Russian Federation, Moscow

References

  1. Morozov SP, Soldatov IV, Lantuh ZA, et al. Characteristic of radiation exposure of patients in medical centers of Moscow [Internet]. (In Russ). Available from: https://tele-med.ai/documents/482/harakteristika_dozovoj_nagruzki_na_pacientov_v_medicinskih_organizaciyah_g_moskvy_1.pdf
  2. Rajewska A, Mikołajek-bedner W, Lebdowicz-knul J, et al. COVID-19 and pregnancy – where are we now ? A review. J Perinat Med. 2020;48(5):428–434. doi: 10.1515/jpm-2020-0132
  3. Fang Y, Zhang H, Xie J, et al. Sensitivity of Chest CT for COVID-19: Comparison to RT-PCR. Radiology. 2020;296(2):E115–E117. doi: 10.1148/radiol.2020200432
  4. Liu H, Liu F, Li J, et al. Clinical and CT imaging features of the COVID-19 pneumonia: Focus on pregnant women and children. J Infect. 2020;80(5):e7–e13. doi: 10.1016/j.jinf.2020.03.007
  5. Gong XM, Song L, Li H, et al. CT characteristics and diagnostic value of COVID-19 in pregnancy. PLoS One. 2020;15(7):e0235134. doi: 10.1371/journal.pone.0235134
  6. Vremennye metodicheskie rekomendatsii. Profilaktika, diagnostika i lechenie novoi koronavirusnoi infektsii (COVID-19). Versiya 8 (utv. Ministerstvom zdravookhraneniya RF 3 sentyabrya 2020). (In Russ). Available from: https://base.garant.ru/74596434/
  7. Torkian P, Rajebi H, Zamani T, et al. Magnetic resonance imaging features of coronavirus disease 2019 (COVID-19) pneumonia: The first preliminary case series. Clin Imaging. 2021;69:261–265. doi: 10.1016/j.clinimag.2020.09.002
  8. Ates OF, Taydas O, Dheir H. Thorax magnetic resonance imaging findings in patients with Coronavirus Disease (COVID-19). Acad Radiol. 2020;27(10):1373–1378. doi: 10.1016/j.acra.2020.08.009
  9. Luchevaya diagnostika koronavirusnoi bolezni (COVID-19): magnitno-rezonansnaya tomografiya. Preprint. Seriya “Luchshie praktiki luchevoi i instrumental’noi diagnostiki”: Gosudarstvennoe byudzhetnoe uchrezhdenie zdravookhraneniya goroda Moskvy “Nauchno-prakticheskii klinicheskii tsentr diagnostiki i telemeditsinskikh tekhnologii Departamenta zdravookhraneniya goroda Moskvy” [Internet]. (In Russ). Available from: https://tele-med.ai/biblioteka-dokumentov/luchevaya-diagnostika-covid-19-mri
  10. Schloß M, Heckrodt J, Schneider C, et al. Magnetic resonance imaging of the lung as an alternative for a pregnant woman with pulmonary tuberculosis. J Radiol Case Rep. 2015;9(5):7–13. doi: 10.3941/jrcr.v9i5.2256
  11. Holzmann K, Kropfmüller R, Schinko H, et al. Lung cancer in pregnancy. Wien Klin Wochenschr. 2015;127(15-16):639–644. doi: 10.1007/s00508-015-0726-6
  12. Bin Saeedan M, Alabdulkarim FM, Aloufi FF, et al. Check the chest: review of chest findings on abdominal MRI. Clin Imaging. 2020;59(1):68–77. doi: 10.1016/j.clinimag.2019.10.005
  13. Oto A, Ernst R, Jesse MK, et al. Magnetic resonance imaging of the chest, abdomen, and pelvis in the evaluation of pregnant patients with neoplasms. Am J Perinatol. 2007;24(4):243–250. doi: 10.1055/s-2007-973444
  14. Kapdagli M, Erus S, Tanju S, Dilege S. Extensive chest wall resection, reconstruction and right pneumonectomy in a 24-week pregnant patient. Lung Cancer. 2018;(122):7–9. doi: 10.1016/j.lungcan.2018.05.005
  15. Said M, Migaw H, Hafsa C, et al. Imaging features of primary pulmonary liposarcoma. Australas Radiol. 2003;47(3):313–317. doi: 10.1046/j.1440-1673.2003.01198.x
  16. Alì M, Monti CB, Secchi F, et al. Fast thoracic MRI as an alternative to chest x-ray: A retrospective evaluation of 287 patients. Clin Imaging. 2020;60(2):244–248. doi: 10.1016/j.clinimag.2019.12.016
  17. Romei C, Turturici L, Tavanti L, et al. The use of chest magnetic resonance imaging in interstitial lung disease: A systematic review. Eur Respir Rev. 2018;27(150):180062. doi: 10.1183/16000617.0062-2018
  18. Wielpütz M, Kauczor HU. MRI of the lung: State of the art. Diagnostic Interv Radiol. 2012;18(4):344–353. doi: 10.4261/1305-3825.DIR.5365-11.0
  19. Zeng J, Liu Z, Shen G, et al. MRI evaluation of pulmonary lesions and lung tissue changes induced by tuberculosis. Int J Infect Dis. 2019;82:138–146. doi: 10.1016/j.ijid.2019.03.004

Supplementary files

Supplementary Files
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1. JATS XML
2. Figure 1. Chest magnetic resonance imaging, T2-weighted imaging single-shot fast spin echo: a) Primary examination, b) magnetic resonance imaging 7 days later. In Fig. 1b, consolidation zones in lower lungs appeared as areas of hyperintense and isointense signals.

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3. Figure 2. Chest magnetic resonance imaging, T2-weighted imaging single-shot fast spin echo: a) Primary examination, b) magnetic resonance imaging 7 days later. In Fig. 2b, consolidation zones in the lower right lung appeared as areas of hyperintense signal.

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Copyright (c) 2020 Vasilev Y.A., Bazhin A.V., Masri A.G., Vasileva Y.N., Panina O.Y., Sinitsyn V.E.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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