PDF(Pubmed)
Abstract：
COVID-19 pneumonia represents a challenging health emergency, due to the disproportion between the high transmissibility, morbidity, and mortality of the virus and healthcare systems possibilities. Literature has mainly focused on COVID-19 pneumonia clinical-radiological diagnosis and therapy, and on the most common differential diagnoses, while few papers investigated rare COVID-19 pneumonia differential diagnoses or the overlapping of COVID-19 pneumonia on pre-existing lung pathologies. This article presents the main radiological characteristics of COVID-19 pneumonia and Idiopathic Interstitial Pneumonias (IIPs) to identify key radiological features for a differential diagnosis among IIPs, and between IIPs and COVID-19 pneumonia. COVID-19 pneumonia differential diagnosis with IIPs is challenging, since these entities may share common radiological findings as ground glass opacities, crazy paving patterns, and consolidations. Multidisciplinary discussion is crucial to reach a final and correct diagnosis. Radiologists have a pivotal role in identifying COVID-19 pneumonia patterns, reporting possible overlapping with long-lasting lung diseases, and suggesting potential differential diagnoses. An optimal evaluation of HRTC may help in containing the disease, in promoting better treatment for patients, and in providing an efficient allocation of human and economic resources.
摘要：
COVID-19肺炎是一种具有挑战性的卫生紧急情况，由于高传输率之间的不相称，发病率，以及病毒的死亡率和医疗保健系统的可能性。文献主要集中在COVID-19肺炎的临床放射学诊断和治疗，在最常见的鉴别诊断中，虽然很少有论文研究了罕见的COVID-19肺炎的鉴别诊断或COVID-19肺炎在先前存在的肺部病变上的重叠。本文介绍了COVID-19肺炎和特发性间质性肺炎（IIPs）的主要放射学特征，以确定IIPs之间的鉴别诊断的关键放射学特征。以及IIP和COVID-19肺炎之间。COVID-19肺炎与IIP的鉴别诊断具有挑战性，因为这些实体可能有共同的放射学发现，如毛玻璃混浊，疯狂的铺路模式，和合并。多学科的讨论对于最终和正确的诊断至关重要。放射科医师在识别COVID-19肺炎模式方面发挥着关键作用，报告可能与长期肺部疾病重叠，并提示潜在的鉴别诊断。HRTC的最佳评估可能有助于遏制疾病，在促进对病人更好的治疗方面，并提供人力和经济资源的有效分配。
