Включете се в международни уебинари за коронавируса

Включете се в международни уебинари за коронавируса

В отговор на бързо разрастващата се епидемия от COVID-19 в света и необходимостта от адекватни мерки на 11, 13 и 14 март се организират безплатни уебинари за медици.

Лектори ще бъдат специалисти, които са се борили с вируса в най-засегнатия район – град Ухан

и са натрупали ценен опит на базата на хиляди клинични случаи.

Сега за здравните специалисти е от изключителна важност да получат точни знания за този нов патоген и да подготвят адекватен клиничен отговор за бърза и точна диагностика и третиране на инфектираните пациенти

- изтъкват организаторите на онлайн семинарите.

Реномиран производител на медицинско оборудване, в колаборация с CCUSG (Chinese Critical Ultrasound Study Group) създадоха научно обединение, което да предостави

актуална информация за приложението на ехографа при вирусната пневмония

и да я сподели с лекарите в поредица от онлайн семинари.



Уебинар 1: Функция на ултразвуковите изследвания и критерий за клинична диагностика при COVID-19/NCP случай
11 март (сряда), 14:30 часа

Уебинар 2: Ролята на ехографа в респираторния мениджмънт при пациенти с COVID-19/NCP
13 март (петък), 14:30 часа

Уебинар 3: Циркулационна ехографска оценка при COVID-19/NCP пациенти
15 март (неделя) 14:30 часа

Участието в уебинарите, които ще се проведат на английски език, е безплатно и е насочено към само медицински специалисти.

Линк за участие:



Колеги , тези които четат Aunt Minnie Radiolgy site  се вижда ,че  СТ  показва  сензитивност 96 % , докато теста RT - PCR  e едва 70 % !  Пациенти ,които нямат клиника  вече показват характерни  CT  белези  - двустранно  картина на" матово стъкло"  ( за разлика от SARS  I MERS- едностранно ) , Бронхограм , консолидация и.т.н. Заключението е че СТ сканиране е в приоритет пред  теста RT- PCR ! 

За съжаление  не на всички пациенти  се прави CT scan  , a първо теста , който може  в началото да е 2,3 пъти отрицателен  преди да се позитивира  , както при първия очен доктор ,който почина в Ухан и много други пациенти .
Още нещо важно  :  теста   RT Reverse Ttanscriptasa -  e za rettovirus HIV   s Gp 120  гликопротен Gp 120  ,който е открит   във Соvid 19 !  Е характерен също за HIV !  Вадете си заключение !

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CT findings for coronavirus may overlap with adenovirusBy Abraham Kim, AuntMinnie.com staff writer

March 10, 2020 -- Chest CT accurately detected the novel coronavirus disease (COVID-19) in the vast majority of high-risk individuals prior to confirmation by laboratory testing, though it also misidentified COVID-19 for the adenovirus in a small percentage of cases in a study published online March 4 in the American Journal of Roentgenology.

For the study, Dr. Yan Li and Dr. Liming Xia examined data from 53 patients evaluated for suspicion of COVID-19 at Tongji Hospital in Wuhan, China, the original site of the outbreak. The patients underwent chest CT exams and nucleic acid testing with reverse transcription polymerase chain reaction (RT-PCR). Their average age was 58 years, and roughly half were women.

The radiologists who examined the CT scans of these patients detected COVID-19 in 96.1% of all cases eventually confirmed by RT-PCR. They were able to differentiate COVID-19 from common bacterial infections based on CT alone in all but two cases.

Of note, CT showed abnormal patterns suggestive of COVID-19 in two other cases that DNA testing later revealed to be adenovirus infection and not COVID-19. Still, CT overall proved more effective than laboratory testing at early detection of COVID-19, confirming the disease an average of three days before laboratory testing in 69.8% of the patients.

CT image of a 58-year-old woman with adenovirus infection showing ill-defined patchy ground-glass opacities and segmental and subpleural consolidations in both lungs, with most lesions along bronchovascular bundles. Image courtesy of the AJR.

"It is valuable for radiologists to recognize that the CT findings of COVID-19 overlap with the CT findings of diseases caused by viruses from a different family, such as adenovirus, and have differences as well as similarities with viruses within the same family," Li and Xia wrote.

Among the patient cohort, the most common CT findings were ground-glass opacities and consolidation with or without vascular enlargement (96.1% of patients), followed by interlobular septal thickening (70.6%), air bronchogram sign (68.6%), and air trapping (11.8%). Most of these findings were similar to CT features previously reported in patients with severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS).

The researchers did identify CT findings that distinguished COVID-19 from SARS and MERS in several cases: the presence of a reversed halo sign in 3.9% of patients and pulmonary nodules with a halo sign in 17.6%. In addition, COVID-19 patients more frequently had multifocal involvement on CT, compared with unifocal involvement for SARS and MERS.

The group also found that about 20% of initial CT scans showed fibrosis and striplike lesions with deformation of the bronchus, indicating that COVID-19 lesions were likely present on CT before external symptoms appeared and that CT should have been performed earlier in these cases.

"We are confident that CT has a high accuracy and may be useful as a standard method for the diagnosis of COVID-19," the authors concluded. "The use of CT for the diagnosis of viral pneumonia allows patients with suspected [coronavirus] infection to be isolated and treated in time for recovery, thus optimizing patient management."

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Related Reading

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Copyright © 2020 AuntMinnie.com

Last Updated bc 3/9/2020 8:13:08 PM

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