Evidence map›Paper›PMID 40718135›Full record

ArticleRadiologia brasileira

Reversed halo sign on chest computed tomography: a retrospective analysis of 286 cases.

Camila Soares Franco, Paula Terra Martins Almeida Amaral, Eduardo Kaiser Ururahy Nunes Fonseca, Tassia Regina Yamanari, Paulo Esrom Moreira Catarina, Alessandra de Pinho Pimenta Borges, Luiz Augusto de Moraes Pinheiro Filho, Felipe Freitas Camara, Márcio Valente Yamada Sawamura

Abstract read
In one paragraph

Article in Radiologia brasileira. 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
–field-weighted citation impact
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.

  1. Article
  2. The reversed halo sign in pulmonary paracoccidioidomycosis.Revista da Sociedade Brasileira de Medicina Tropical · 2025
    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

9 authors.

Camila Soares FrancoHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, SP, Brazil.ORCID 0000-0001-5397-1933
Paula Terra Martins Almeida AmaralHospital Israelita Albert Einstein, São Paulo, SP, Brazil.ORCID 0000-0003-2918-7190
Eduardo Kaiser Ururahy Nunes FonsecaHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, SP, Brazil.ORCID 0000-0002-0233-0041
Tassia Regina YamanariHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, SP, Brazil.ORCID 0009-0004-7051-0580
Paulo Esrom Moreira CatarinaHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, SP, Brazil.ORCID 0000-0002-7479-0805
Alessandra de Pinho Pimenta BorgesHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, SP, Brazil.ORCID 0009-0003-6679-2127
Luiz Augusto de Moraes Pinheiro FilhoHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, SP, Brazil.ORCID 0009-0009-7568-0892
Felipe Freitas CamaraHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, SP, Brazil.ORCID 0009-0006-4414-4825
Márcio Valente Yamada SawamuraHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, SP, Brazil.ORCID 0000-0002-9424-9776

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To characterize the main causes of the reversed halo sign (RHS) on computed tomography (CT) of the chest and its imaging features. Materials and Methods: This was a retrospective study reviewing all chest CT scans for which the report contained the term "reversed halo sign" among those performed between 2015 and 2020 at a tertiary care hospital. Results: A total of 286 cases were identified, and the corresponding CT images and clinical data were reviewed. In this population, the most common cause of an RHS was pulmonary infarction (in 42%), followed by cryptogenic organizing pneumonia (in 17%) and bacterial pneumonia (in 16%). In addition, the CT characteristics of the RHS were identified in various conditions, such as pulmonary thromboembolism with pulmonary infarction, in which the RHS was typically smooth-walled and solitary with a peripheral distribution. Conclusion: The RHS can be observed in many contexts, and its CT characteristics, in combination with the clinical picture, can help narrow the differential diagnosis.

Indexed as

interstitial/diagnostic imagingLung diseasesPulmonary embolism/diagnostic imagingRespiratory tract infections/diagnostic imagingTomographyX-ray computed/methods

Identifiers

PMID40718135
PMCPMC12295819

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.