Evidence map›Paper›PMID 32761260›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2021

COVID-19 in the act: incidental 18F-FDG PET/CT findings in asymptomatic patients and those with symptoms not primarily correlated with COVID-19 during the United Kingdom coronavirus lockdown.

Richard Halsey, Dimitrios Priftakis, Strachan Mackenzie, Simon Wan, Laura M Davis, David Lilburn, Andrew Thornton, Nikolaos Papathanasiou, Gopinath Gnanasegaran, Jamshed Bomanji

Open access · bronzeAbstract read
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
0.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. Contribution ofCurrent issues in molecular biology · 2025
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  7. Review
  8. FDG-PET/CT of COVID-19 and Other Lung Infections.Seminars in nuclear medicine · 2022
    Review
  9. Article
  10. Positron emission tomography in the COVID-19 pandemic era.European journal of nuclear medicine and molecular imaging · 2021
    Review
  11. Prevalence of interstitial pneumonia suggestive of COVID-19 atEuropean journal of nuclear medicine and molecular imaging · 2021
    Observational
  12. A comprehensive review of imaging findings in COVID-19 - status in early 2021.European journal of nuclear medicine and molecular imaging · 2021
    Review
  13. State of the art ofClinical and translational imaging · 2021
    Review
  14. Review
  15. Article
  16. Review
  17. Role of 2-[Pharmaceuticals (Basel, Switzerland) · 2020
    Review
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Richard Halsey *Institute of Nuclear Medicine, University College London Hospital NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK. rhalsey@nhs.net.ORCID 0000-0002-6627-8094
Dimitrios Priftakis *Institute of Nuclear Medicine, University College London Hospital NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK.
Strachan Mackenzie *Department Haematology, University College London Hospital NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK.
Simon Wan *Institute of Nuclear Medicine, University College London Hospital NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK.
Laura M Davis *Institute of Nuclear Medicine, University College London Hospital NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK.
David Lilburn *Institute of Nuclear Medicine, University College London Hospital NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK.
Andrew Thornton *Institute of Nuclear Medicine, University College London Hospital NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK.
Nikolaos Papathanasiou *Nuclear Medicine and PET/CT Department, University Hospital of Patras, Rio, 265 04, Patras, Greece.
Gopinath Gnanasegaran *Department of Nuclear Medicine, Royal Free Hospital, Pond Street, Hampstead, London, NW3 2QG, UK.
Jamshed Bomanji *Institute of Nuclear Medicine, University College London Hospital NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK.
University College London Hospitals NHS Foundation Trust · GBGeneral University Hospital of Patras · GRThe Royal Free Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe emergence of the novel SARS-CoV-2 pathogen and lethal COVID-19 disease pandemic poses major diagnostic challenges. The study aims to describe the spectrum and prevalence of thoracic and extrathoracic incidental findings in patients who have undergone 18F-FDG PET/CT during the first 3 weeks of the COVID-19 UK lockdown.

methodsThis is a single-centre retrospective controlled observational study. 18F-FDG PET/CT scans (n = 160) acquired from 23/3/2020 to 9/4/2020 were retrospectively reviewed for incidental findings in the lungs and extrapulmonary sites (heart, nasal sinuses, parotid and salivary glands, colon, large vessels, renal cortex, brain, spleen and testes). A date-matched control group (n = 205) of patients from 2019 was used for comparison.

resultsThe total prevalence of suspicious findings was 26/160 (16.25%). Fifteen patients presented with incidental findings in the lungs, while eleven patients had only non-pulmonary incidental findings. There was a significant increase in the appearance of incidental 18F-FDG PET/CT findings during the 2nd week (OR = 3.8) and 3rd week (OR = 7.6) in relation to the 1st week. There was a significant increase in the average maximum standardised uptake values (SUVmax) in the parotid/salivary glands of patients scanned during week 2 in relation to week 1 (p = 0.036). There was no significant difference in the prevalence of incidental findings compared to the control group, but the number of pulmonary vs. extrathoracic findings was different between the two populations.

conclusionThe study provides a novel base of evidence to identify asymptomatic patients and those without symptoms strongly associated with COVID-19 with incidental 18F-FDG PET/CT findings suspicious of SARS-CoV-2 infection during the initial stages of the pandemic.

Indexed as

Incidental FindingsAsymptomatic InfectionsCOVID-19FemaleFluorodeoxyglucose F18HumansMaleMiddle AgedPositron Emission Tomography Computed TomographyQuarantineRadiopharmaceuticalsUnited KingdomFluorodeoxyglucose F18Radiopharmaceuticals18F-FDG PET/CTAsymptomaticCOVID-19ExtrathoracicImagingIncidental findingsSARS-CoV-2

Identifiers

PMID32761260
PMCPMC7406218
OpenAlexW3046933975

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.