International Expert Consensus Statement on Chest Imaging in Pediatric COVID-19 Patient Management: Imaging Findings, Imaging Study Reporting, and Imaging Study Recommendations.

Journal

Radiology. Cardiothoracic imaging
ISSN: 2638-6135
Titre abrégé: Radiol Cardiothorac Imaging
Pays: United States
ID NLM: 101748663

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 14 04 2020
revised: 20 04 2020
accepted: 23 04 2020
entrez: 29 3 2021
pubmed: 30 3 2021
medline: 30 3 2021
Statut: epublish

Résumé

Coronavirus disease 2019 (COVID-19) has quickly spread since it was first detected in December 2019 and has evolved into a global pandemic with over 1.7 million confirmed cases in over 200 countries around the world at the time this document is being prepared. Owing to the novel nature of the virus and the rapidly evolving understanding of the disease, there is a great deal of uncertainty surrounding the diagnosis and management of COVID-19 pneumonia in pediatric patients. Chest imaging plays an important role in the evaluation of pediatric patients with COVID-19; however, there is currently little information available describing imaging manifestations of COVID-19 in pediatric patients and even less information discussing the utilization of imaging studies in pediatric patients. To specifically address these concerns, a group of international experts in pediatric thoracic imaging from five continents convened to create a consensus statement describing the imaging manifestations of COVID-19 in the pediatric population, discussing the potential utility of structured reporting during the COVID-19 pandemic, and generating consensus recommendations for utilization of chest radiographs and CT in the evaluation of pediatric patients with COVID-19. The results were compiled into two structured reporting algorithms (one for chest radiographs and one for chest CT) and eight consensus recommendations for the utilization of chest imaging in pediatric COVID-19 infection. © RSNA, 2020.

Identifiants

DOI: 10.1148/ryct.2020200214 PMID: 33778577 PMC: PMC7233446
pubmed: 33778577
doi: 10.1148/ryct.2020200214
pmc: PMC7233446
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e200214

Informations de copyright

2020 by the Radiological Society of North America, Inc.

Déclaration de conflit d'intérêts

Disclosures of Conflicts of Interest: A.M.F. disclosed no relevant relationships. G.S.P. disclosed no relevant relationships. W.C.C. disclosed no relevant relationships. P.D. disclosed no relevant relationships. K.M.D. disclosed no relevant relationships. P.G.P. disclosed no relevant relationships. T.K. disclosed no relevant relationships. A.J.W. disclosed no relevant relationships. E.Y.L. Activities related to the present article: disclosed no relevant relationships. Activities not related to the present article: Guerbet supported author’s traveling and accommodation to 2019 AOSPR meeting in Seoul, Korea for luncheon lecture of contrast agent for pediatric imaging study; author paid by Michigan Professional Insurance Exchange for medical legal consultation work ($3529.17); author receives royalties for editorial work for textbook publication from Wolters Kluwer Health (book royalty = $1008.55) and Elsevier (book royalty = $1000). Other relationships: disclosed no relevant relationships.

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Auteurs

Alexandra M Foust (AM)

Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA 02115 (A.M.F., A.J.W., E.Y.L.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (G.S.P.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Radiology, ALTA-Excelência Diagnóstica/Dasa, Rio de Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d'Hebron, Barcelona, Spain (P.G.P.); and Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa (T.K.).
ORCID: 0000-0002-5927-9734

Grace S Phillips (GS)

Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA 02115 (A.M.F., A.J.W., E.Y.L.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (G.S.P.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Radiology, ALTA-Excelência Diagnóstica/Dasa, Rio de Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d'Hebron, Barcelona, Spain (P.G.P.); and Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa (T.K.).
ORCID: 0000-0002-5333-1773

Winnie C Chu (WC)

Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA 02115 (A.M.F., A.J.W., E.Y.L.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (G.S.P.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Radiology, ALTA-Excelência Diagnóstica/Dasa, Rio de Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d'Hebron, Barcelona, Spain (P.G.P.); and Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa (T.K.).
ORCID: 0000-0003-4962-4132

Pedro Daltro (P)

Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA 02115 (A.M.F., A.J.W., E.Y.L.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (G.S.P.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Radiology, ALTA-Excelência Diagnóstica/Dasa, Rio de Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d'Hebron, Barcelona, Spain (P.G.P.); and Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa (T.K.).
ORCID: 0000-0001-7279-5680

Karuna M Das (KM)

Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA 02115 (A.M.F., A.J.W., E.Y.L.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (G.S.P.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Radiology, ALTA-Excelência Diagnóstica/Dasa, Rio de Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d'Hebron, Barcelona, Spain (P.G.P.); and Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa (T.K.).
ORCID: 0000-0002-4703-5433

Pilar Garcia-Peña (P)

Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA 02115 (A.M.F., A.J.W., E.Y.L.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (G.S.P.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Radiology, ALTA-Excelência Diagnóstica/Dasa, Rio de Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d'Hebron, Barcelona, Spain (P.G.P.); and Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa (T.K.).

Tracy Kilborn (T)

Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA 02115 (A.M.F., A.J.W., E.Y.L.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (G.S.P.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Radiology, ALTA-Excelência Diagnóstica/Dasa, Rio de Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d'Hebron, Barcelona, Spain (P.G.P.); and Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa (T.K.).

Abbey J Winant (AJ)

Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA 02115 (A.M.F., A.J.W., E.Y.L.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (G.S.P.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Radiology, ALTA-Excelência Diagnóstica/Dasa, Rio de Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d'Hebron, Barcelona, Spain (P.G.P.); and Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa (T.K.).
ORCID: 0000-0003-3546-4043

Edward Y Lee (EY)

Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA 02115 (A.M.F., A.J.W., E.Y.L.); Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash (G.S.P.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Radiology, ALTA-Excelência Diagnóstica/Dasa, Rio de Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d'Hebron, Barcelona, Spain (P.G.P.); and Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa (T.K.).
ORCID: 0000-0001-8453-4920

Classifications MeSH