Dynamic MRI in a COVID-19 patient: a case series

Yuriy A. Vasilev; Васильев Юрий Александрович; Yuriy A. Vasilev; Evgeniia A. Grik; Грик Евгения Андреевна; Evgeniia A. Grik; Olga Yu. Panina; Панина Ольга Юрьевна; Olga Yu. Panina; Anna N. Khoruzhaya; Хоружая Анна Николаевна; Anna N. Khoruzhaya; Dmitriy S. Semenov; Семенов Дмитрий Сергеевич; Dmitriy S. Semenov; Alexander V. Bazhin; Бажин Александр Владимирович; Alexander V. Bazhin; Yulia N. Vasileva; Васильева Юлия Николаевна; Yulia N. Vasileva

doi:10.17816/DD114723

COVID-19患者的肺部动态磁共振成像：一系列临床病例

作者: Vasilev Y.A.¹, Grik E.A.², Panina O.Y.¹^,3^,4, Khoruzhaya A.N.¹, Semenov D.S.¹, Bazhin A.V.¹, Vasileva Y.N.⁴
隶属关系:
1. Moscow Center for Diagnostics and Telemedicine
2. Lincoln Medical Center
3. City Clinical Oncological Hospital 1 of the Department of healthcare of the city of Moscow
4. Moscow State University of Medicine and Dentistry named after A.I. Evdokimov
期: 卷 4, 编号 1 (2023)
页面: 71-79
栏目: 临床病例及临床病例的系列
URL: https://journals.rcsi.science/DD/article/view/146877
DOI: https://doi.org/10.17816/DD114723
ID: 146877

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详细

一场新冠状病毒感染（COVID-19）的广泛流行导致了对其诊断特征的积极性研究。与COVID-19相关的急性病毒性肺炎是已经在计算机断层扫描（CT）、辐射成像和静态磁共振成像（MRI）的研究中详细描述的。然而，文献中有很少关于通过动态MRI观察到的描述性图片的数据。鉴于综合诊断方法，放射科医生知道如何通过MRI正确识别和解释COVID-19是很重要的。在这一系列临床病例中，我们展示了动态MRI工作方法的威力，使我们能够看到“cloudy sky”的迹象，并将其与COVID-19患者的固结区分开来，使我们能够推测区分早期或轻微的变化和渐进的临床过程。因此，MRI作为一种无辐射的工具，在进行CT扫描的机会有限和需要动态形态功能成像的情况下是非常有用的。

关键词

磁共振成像, 动态MRI, 实时MRI, 肺炎, COVID-19

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作者简介

Yuriy A. Vasilev

Moscow Center for Diagnostics and Telemedicine

Email: y.vasilev@npcmr.ru
ORCID iD: 0000-0002-0208-5218
SPIN 代码: 4458-5608

MD, Cand. Sci. (Med.)

俄罗斯联邦, Moscow

MD, Cand. Sci. (Med.)

俄罗斯联邦, Moscow

参考

Shi H, Han X, Jiang N, et al. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: A descriptive study. Lancet Infectious Dis. 2020;20(4):425–434. doi: 10.1016/S1473-3099(20)30086-4
Salehi S, Abedi A, Balakrishnan S, Gholamrezanezhad A. Coronavirus Disease 2019 (COVID-19): A systematic review of imaging findings in 919 patients. Am J Roentgenol. 2020;215(1):87–93. doi: 10.2214/AJR.20.23034
ACR Recommendations for the use of chest radiography and computed tomography (CT) for suspected COVID-19 infection [cited March 11, 2020]. Available from: https://www.acr.org/Advocacy-and-Economics/ACR-Position-Statements/Recommendations-for-Chest-Radiography-and-CT-for-Suspected-COVID19-Infection. Accessed: 15.01.2023.
Temporary guidelines “Prevention, diagnosis and treatment of new coronavirus infection (COVID-19)”. Version 16 (08/18/2022). Moscow; 2022. 249 p. (In Russ).
Vasilev YA, Sergunova KA, Bazhin AV, et al. Chest MRI of patients with COVID-19. Magn Reson Imaging. 2021;(79):13–19. doi: 10.1016/j.mri.2021.03.005
Vasilev YuA, Sergunova KA, BazhinАV, et al. Chest MRI of a pregnant woman with COVID-19 pneumonia. Digital Diagnostics. 2020;1(1):61−68. doi: 10.17816/DD46800
Vasiliev YuA, Panina OYu, Kudryavtsev ND, et al. Magnetic resonance imaging of the lungs: methodological recommendations. Issue 92. Moscow; 2022. 102 р. (Series «The best practices of radiation and instrumental diagnostics»). (In Russ).
Dong D, Tang Z, Wang S, et al. The role of imaging in the detection and management of COVID-19: A review. IEEE Rev Biomed Eng. 2021;(14):16–29. doi: 10.1109/RBME.2020.2990959
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Fonseca EK, Chate RC, Neto RS, et al. Findings of COVID-19 on magnetic resonance imaging. Radiology Cardiothoracic Imaging. 2020;2(2):e200193. doi: 10.1148/ryct.2020200193
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
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
Ussov WY, Nudnov NV, Ignatenko G, et al. Primary and prospective imaging of the chest using magnetic resonance imaging in patients with viral lung damage in COVID-19. Med Visualizat. 2020;24(4):11–26. (In Russ). doi: 10.24835/1607-0763-2020-4-11-26

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2. 图1。吸气时在冠状面、轴状面和矢状面的肺部动态磁共振成像。箭头表示轴向和矢状面的增厚区，箭头表示冠状面的云雾状征象（S9-10）。

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3. Figure 2. Dynamic magnetic resonance imaging of the lungs during exhalation in the coronal, axial, and sagittal planes. Arrows indicate the areas of consolidation (S9–S10).