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Prevalence of interstitial pneumonia suggestive of COVID-19 at 18F-FDG PET/CT in oncological asymptomatic patients in a high prevalence country during pandemic period: a national multi-centric retrospective study

Albano, Domenico ; Bertagna, Francesco ; Alongi, Pierpaolo ; Baldari, Sergio ; Baldoncini, Alfonso ; Bartolomei, Mirco ; Boccaletto, Franco ; Boero, Michele ; Borsatti, Eugenio ; Bruno, Andrea ; Burroni, Luca ; Capoccetti, Francesca ; Castellani, Massimo ; Cervino, Anna Rita ; Chierichetti, Franca ; Ciarmiello, Andrea ; Corso, Angelo ; Cuocolo, Alberto ; De Rimini, Maria Luisa ; Deandreis, Desiree’ ; Dottorini, Massimo Eugenio ; Esposito, Filomena ; Farsad, Mohsen ; Gasparini, Massimo ; Grana, Chiara Maria ; Gregianin, Michele ; Guerra, Luca ; Loreti, Fabio ; Lupi, Andrea ; Martino, Gianluigi ; Milan, Elisa ; Modoni, Sergio ; Morbelli, Silvia ; Muni, Alfredo ; Nicolai, Emanuele ; Palumbo, Barbara ; Papa, Sergio ; Papaleo, Alberto ; Pellerito, Riccardo ; Poti, Carlo ; Romano, Pasquale ; Rossetti, Claudio ; Rossini, Pierluigi ; Rubini, Giuseppe ; Ruffini, Livia ; Sacchetti, Gianmauro ; Savelli, Giordano ; Schiavariello, Saverio ; Sciagrà, Roberto ; Sciuto, Rosa ; Seregni, Ettore ; Sestini, Stelvio ; Sicolo, Michele ; Spanu, Angela ; Storto, Giovanni ; Balducci, Massimo Tosti ; Trifirò, Giuseppe ; Versari, Annibale ; Vignati, Alberto ; Volterrani, Duccio ; Calcagni, Maria Lucia ; Marzola, Maria Cristina ; Garufo, Antonio ; Evangelista, Laura ; Maroldi, Roberto ; Schillaci, Orazio ; Giubbini, Raffaele

European journal of nuclear medicine and molecular imaging, 2021-08, Vol.48 (9), p.2871-2882 [Periódico revisado por pares]

Berlin/Heidelberg: Springer Berlin Heidelberg

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Título:
Prevalence of interstitial pneumonia suggestive of COVID-19 at 18F-FDG PET/CT in oncological asymptomatic patients in a high prevalence country during pandemic period: a national multi-centric retrospective study
Autor: Albano, Domenico ; Bertagna, Francesco ; Alongi, Pierpaolo ; Baldari, Sergio ; Baldoncini, Alfonso ; Bartolomei, Mirco ; Boccaletto, Franco ; Boero, Michele ; Borsatti, Eugenio ; Bruno, Andrea ; Burroni, Luca ; Capoccetti, Francesca ; Castellani, Massimo ; Cervino, Anna Rita ; Chierichetti, Franca ; Ciarmiello, Andrea ; Corso, Angelo ; Cuocolo, Alberto ; De Rimini, Maria Luisa ; Deandreis, Desiree’ ; Dottorini, Massimo Eugenio ; Esposito, Filomena ; Farsad, Mohsen ; Gasparini, Massimo ; Grana, Chiara Maria ; Gregianin, Michele ; Guerra, Luca ; Loreti, Fabio ; Lupi, Andrea ; Martino, Gianluigi ; Milan, Elisa ; Modoni, Sergio ; Morbelli, Silvia ; Muni, Alfredo ; Nicolai, Emanuele ; Palumbo, Barbara ; Papa, Sergio ; Papaleo, Alberto ; Pellerito, Riccardo ; Poti, Carlo ; Romano, Pasquale ; Rossetti, Claudio ; Rossini, Pierluigi ; Rubini, Giuseppe ; Ruffini, Livia ; Sacchetti, Gianmauro ; Savelli, Giordano ; Schiavariello, Saverio ; Sciagrà, Roberto ; Sciuto, Rosa ; Seregni, Ettore ; Sestini, Stelvio ; Sicolo, Michele ; Spanu, Angela ; Storto, Giovanni ; Balducci, Massimo Tosti ; Trifirò, Giuseppe ; Versari, Annibale ; Vignati, Alberto ; Volterrani, Duccio ; Calcagni, Maria Lucia ; Marzola, Maria Cristina ; Garufo, Antonio ; Evangelista, Laura ; Maroldi, Roberto ; Schillaci, Orazio ; Giubbini, Raffaele
Assuntos: Asymptomatic ; Cardiology ; Computed tomography ; Coronaviruses ; COVID-19 ; Diffusion rate ; Fluorine ; Fluorine isotopes ; Imaging ; Infection and inflammation ; Lungs ; Medicine ; Medicine & Public Health ; Nuclear Medicine ; Oncology ; Original ; Original Article ; Orthopedics ; Pandemics ; Pneumonia ; Positron emission ; Positron emission tomography ; Radiology ; Tomography ; Viruses
É parte de: European journal of nuclear medicine and molecular imaging, 2021-08, Vol.48 (9), p.2871-2882
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Descrição: Purpose To assess the presence and pattern of incidental interstitial lung alterations suspicious of COVID-19 on fluorine-18-fluorodeoxyglucose positron emission tomography (PET)/computed tomography (CT) ([ 18 F]FDG PET/CT) in asymptomatic oncological patients during the period of active COVID-19 in a country with high prevalence of the virus. Methods This is a multi-center retrospective observational study involving 59 Italian centers. We retrospectively reviewed the prevalence of interstitial pneumonia detected during the COVID period (between March 16 and 27, 2020) and compared to a pre-COVID period (January–February 2020) and a control time (in 2019). The diagnosis of interstitial pneumonia was done considering lung alterations of CT of PET. Results Overall, [ 18 F]FDG PET/CT was performed on 4008 patients in the COVID period, 19,267 in the pre-COVID period, and 5513 in the control period. The rate of interstitial pneumonia suspicious for COVID-19 was significantly higher during the COVID period (7.1%) compared with that found in the pre-COVID (5.35%) and control periods (5.15%) ( p < 0.001). Instead, no significant difference among pre-COVID and control periods was present. The prevalence of interstitial pneumonia detected at PET/CT was directly associated with geographic virus diffusion, with the higher rate in Northern Italy. Among 284 interstitial pneumonia detected during COVID period, 169 (59%) were FDG-avid (average SUVmax of 4.1). Conclusions A significant increase of interstitial pneumonia incidentally detected with [ 18 F]FDG PET/CT has been demonstrated during the COVID-19 pandemic. A majority of interstitial pneumonia were FDG-avid. Our results underlined the importance of paying attention to incidental CT findings of pneumonia detected at PET/CT, and these reports might help to recognize early COVID-19 cases guiding the subsequent management.
Editor: Berlin/Heidelberg: Springer Berlin Heidelberg
Idioma: Inglês

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Prevalence of interstitial pneumonia suggestive of COVID-19 at 18F-FDG PET/CT in oncological asymptomatic patients in a high prevalence country during pandemic period: a national multi-centric retrospective study

Berlin/Heidelberg: Springer Berlin Heidelberg

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