Evidence map›Paper›PMID 33664342›Full record

ArticleScientific reports2021

Quantitative and semi-quantitative CT assessments of lung lesion burden in COVID-19 pneumonia.

Xiaojun Guan, Liding Yao, Yanbin Tan, Zhujing Shen, Hanpeng Zheng, Haisheng Zhou, Yuantong Gao, Yongchou Li, Wenbin Ji, Huangqi Zhang and 3 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 22 citations in OpenAlex.

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  8. Are the thorax Computed Tomography findings of ICU patients diagnosed with COVID-19 pneumonia related to the duration of hospital stay and mortality?Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2023
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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

13 authors at 5 institutions in 1 country.

Xiaojun Guan *Department of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, No.88 Jiefang Road, Shangcheng District, Hangzhou, 31009, China.
Liding Yao *Department of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, No.88 Jiefang Road, Shangcheng District, Hangzhou, 31009, China.
Yanbin TanDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, No.88 Jiefang Road, Shangcheng District, Hangzhou, 31009, China.
Zhujing ShenDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, No.88 Jiefang Road, Shangcheng District, Hangzhou, 31009, China.
Hanpeng ZhengDepartment of Radiology, Yueqing People's Hospital, Yueqing, Wenzhou, Zhejiang, China.
Haisheng ZhouDepartment of Radiology, Yueqing People's Hospital, Yueqing, Wenzhou, Zhejiang, China.
Yuantong GaoDepartment of Radiology, The Third Affiliated Hospital and Ruian People's Hospital of Wenzhou Medical University, Ruian, Zhejiang, China.
Yongchou LiDepartment of Radiology, The Third Affiliated Hospital and Ruian People's Hospital of Wenzhou Medical University, Ruian, Zhejiang, China.
Wenbin JiDepartment of Radiology, Taizhou Hospital of Zhejiang Province, Taizhou, Zhejiang, China.
Huangqi ZhangDepartment of Radiology, Taizhou Hospital of Zhejiang Province, Taizhou, Zhejiang, China.
Jun WangSchool of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.
Minming ZhangDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, No.88 Jiefang Road, Shangcheng District, Hangzhou, 31009, China. zhangminming@zju.edu.cn.
Xiaojun XuDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, No.88 Jiefang Road, Shangcheng District, Hangzhou, 31009, China. xxjmailbox@zju.edu.cn.
Second Affiliated Hospital of Zhejiang University · CNRuian People's Hospital · CNYueqing People's Hospital · CNZhejiang Taizhou Hospital · CNShanghai Jiao Tong University · CN

Funding

Medical Health Science and Technology Project of Zhejiang Provincial Health Commission 2017198897National Key Research and Development Program of China 2017YFC0113400the Biomedical Engineering Interdisciplinary Research Fund of Shanghai Jiao Tong University YG2020YQ17Zhejiang University Special Scientific Research Fund for COVID-19 Prevention and Control 2020XGZX036
6 · The paper itself

Abstract

This study aimed to clarify and provide clinical evidence for which computed tomography (CT) assessment method can more appropriately reflect lung lesion burden of the COVID-19 pneumonia. A total of 244 COVID-19 patients were recruited from three local hospitals. All the patients were assigned to mild, common and severe types. Semi-quantitative assessment methods, e.g., lobar-, segmental-based CT scores and opacity-weighted score, and quantitative assessment method, i.e., lesion volume quantification, were applied to quantify the lung lesions. All four assessment methods had high inter-rater agreements. At the group level, the lesion load in severe type patients was consistently observed to be significantly higher than that in common type in the applications of four assessment methods (all the p < 0.001). In discriminating severe from common patients at the individual level, results for lobe-based, segment-based and opacity-weighted assessments had high true positives while the quantitative lesion volume had high true negatives. In conclusion, both semi-quantitative and quantitative methods have excellent repeatability in measuring inflammatory lesions, and can well distinguish between common type and severe type patients. Lobe-based CT score is fast, readily clinically available, and has a high sensitivity in identifying severe type patients. It is suggested to be a prioritized method for assessing the burden of lung lesions in COVID-19 patients.

Indexed as

AdultAge FactorsCOVID-19FemaleHumansLungMaleMiddle AgedRadiography, ThoracicRetrospective StudiesSeverity of Illness IndexTomography, X-Ray Computed

Identifiers

PMID33664342
PMCPMC7933172
OpenAlexW3134030071

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Registered trials

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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.