Evidence map›Paper›PMID 34036187›Full record

ArticleHeliyon2021

Remarkable vessel enlargement within lung consolidation in COVID-19 compared to AH1N1 pneumonia: A retrospective study in Italy.

Andrea Bianco, Tullio Valente, Fabio Perrotta, Elvira Stellato, Luca Brunese, Brad J Wood, Gianpaolo Carrafiello, Roberto Parrella, Study Investigators

Open access · goldAbstract read
In one paragraph

Article in Heliyon, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

9 authors at 6 institutions in 2 countries.

Andrea BiancoDepartment of Translational Medical and Surgical Science, University of Campania Luigi Vanvitelli, Naples, Italy.
Tullio ValenteDepartment of Radiology, Monaldi Hospital, A.O.R.N. dei Colli, Naples, Italy.
Fabio PerrottaDepartment of Medicine and Health Sciences "V. Tiberio", University of Molise, Campobasso, Italy.
Elvira StellatoPostgraduate School of Diagnostic and Interventional Radiology, University of Milan, Milan, Italy.
Luca BruneseDepartment of Medicine and Health Sciences "V. Tiberio", University of Molise, Campobasso, Italy.
Brad J WoodCenter for Interventional Oncology, Radiology and Imaging Science, National Institutes of Health, Bethesda, USA.
Gianpaolo CarrafielloRadiology Department, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Roberto ParrellaDepartment of Infectious Diseases, COVID Unit D. Cotugno Hospital, A.O.R.N. dei Colli, Naples, Italy.
Study Investigators
University of Campania "Luigi Vanvitelli" · ITUniversity of Milan · ITUniversity of Molise · ITNational Institutes of Health Clinical Center · USOspedale D. Cotugno · ITOspedale Monaldi · IT

Funding

Development of COVID-19 Imaging Tools with Artificial IntelligenceZIABC011936 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WOOD, BRADFORD J · 2020 to 2025
$1.2M
Interventional OncologyZIACL040015 · CLC · CLINICAL CENTER · PI WOOD, BRADFORD · 2009 to 2025
$0k
Artificial Intelligence with Chest Imaging in COVID-19 and Isolation and Ventilator Devices for COVID-19ZIACL090072 · CLC · CLINICAL CENTER · PI WOOD, BRADFORD · 2020 to 2025
$0k
6 · The paper itself

Abstract

purposeTo investigate the early CT findings in COVID-19 pneumonia as compared to influenza A virus H1N1 (AH1N1), with focus on vascular enlargement within consolidation or ground glass opacity (GGO) areas.

methods50 patients with COVID-19 pneumonia were retrospectively compared to 50 patients with AH1N1 pneumonia diagnosed during the 2009 pandemic. Two radiologists reviewed chest CT scans independently and blindly, with discordance resolved by consensus. Dilated or tortuous vessels within hyperdense lesions were recorded.

resultsCOVID-19 pneumonia presented with bilateral (96%), peripheral areas of GGO (22%), consolidation (4%) or combined GGO-consolidation (74%). The vascular enlargement sign in COVID-19 pneumonia was much more commonly present in COVID-19 (45/50, 90%) versus AH1N1 pneumonia (12/50, 24%) (p < 0.001). Vascular enlargement was more often present in lower lobes with a peripheral distribution.

conclusionsVascular enlargement in consolidative/GGO areas may represent a reasonably common early CT marker in COVID-19 patients and is of uncertain etiology. Although speculative, theoretical mechanisms could potentially reflect acute inflammatory changes, pulmonary endothelial activation, or acute stasis. Further studies are necessary to verify specificity and to study if prognostic for clinical outcomes.

Indexed as

AH1N1 influenzaChest computed tomographyCOVID-19SARS-CoV-2Vascular enlargement

Identifiers

PMID34036187
PMCPMC8135228
OpenAlexW3163145881

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.