Evidence map›Paper›PMID 34367510›Full record

ArticleWorld journal of radiology2021

"Pulmonary target sign" as a diagnostic feature in chest computed tomography of COVID-19.

Ramezan Jafari, Nematollah Jonaidi-Jafari, Houshyar Maghsoudi, Fatemeh Dehghanpoor, U Joseph Schoepf, Kyle A Ulversoy, Amin Saburi

Open access · diamondAbstract read
In one paragraph

Article in World journal of radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Radiological Findings in SARS-CoV-2 Viral Pneumonia Compared to Other Viral Pneumonias: A Single-Centre Study.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2022
    Article
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

7 authors at 1 institution in 1 country.

Ramezan JafariDepartment of Radiology, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran 11151877, Iran.
Nematollah Jonaidi-JafariHealth Research Center, Baqiyatallah University of Medical Sciences, Tehran 11151877, Iran.
Houshyar MaghsoudiDepartment of Radiology, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran 11151877, Iran.
Fatemeh DehghanpoorDepartment of Radiology, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran 11151877, Iran.
U Joseph SchoepfDepartment of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC 29425, United States.
Kyle A UlversoyFaculty of Medicine, Augusta University/University of Georgia Medical Partnership, Athens, GA 30606, United States.
Amin SaburiHealth Research Center, Baqiyatallah University of Medical Sciences, Tehran 11151877, Iran.
Medical University of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn chest computed tomography (CT) scan, bilateral peripheral multifocal ground-glass opacities, linear opacities, reversed halo sign, and crazy-paving pattern are suggestive for coronavirus disease 2019 (COVID-19) in clinically suspicious cases, but they are not specific for the diagnosis, as other viral pneumonias, like influenza and some viral pneumonia may show similar imaging findings.

aimTo find a specific imaging feature of the disease would be a welcome guide in diagnosis and management of challenging cases.

methodsChest CT imaging findings of 650 patients admitted to a university Hospital in Tehran, Iran between January 2020 and July 2020 with confirmed COVID-19 infection by RT-PCR were reviewed by two expert radiologists. In addition to common non-specific imaging findings of COVID-19 pneumonia, radiologic characteristics of "pulmonary target sign" (PTS) were assessed. PTS is defined as a circular appearance of non-involved pulmonary parenchyma, which encompass a central hyperdense dot surrounded by ground-glass or alveolar opacities.

resultsPTS were presented in 32 cases (frequency 4.9%). The location of the lesions in 31 of the 32 cases (96.8%) was peripheral, while 4 of the 31 cases had lesions both peripherally and centrally. In 25 cases, the lesions were located near the pleural surface and considered pleural based and half of the lesions (at least one lesion) were in the lower segments and lobes of the lungs. 22 cases had multiple lesions with a > 68% frequency. More than 87% of cases had an adjacent bronchovascular bundle. Ground-glass opacities were detectable adjacent or close to the lesions in 30 cases (93%) and only in 7 cases (21%) was consolidation adjacent to the lesions.

conclusionAlthough it is not frequent in COVID-19, familiarity with this feature may help radiologists and physicians distinguish the disease from other viral and non-infectious pneumonias in challenging cases.

Indexed as

Case reportChest computed tomographyCOVID-19DiagnosisPulmonary target signViral pneumonia

Identifiers

PMID34367510
PMCPMC8326149
OpenAlexW3183204642

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.