ASSESSMENT OF THE CORRELATION BETWEEN COVID-19 PNEUMONIA SEVERITY AND PULMONARY ARTERY DIAMETER MEASUREMENT WITH COMPUTED TOMOGRAPHY SCAN
DOI:
https://doi.org/10.22159/ajpcr.2022.v15i11.45212Keywords:
COVID 19, Pneumonia, Computed tomography, Pulmonary arteryAbstract
Objective: This consideration used the computed tomography scan to investigate and evaluate relationship between COVID-19 pneumonia severity and pulmonary artery diameter, ascending aorta diameter (AAD), right and left pulmonary artery diameter (LPAD), and ratio of main pulmonary artery diameter (MPAD) to AAD in COVID-19 patients.
Methods: This retrospective and cross-sectional consideration was done on 90 confirmed COVID-19 patients. Diameter of MPAD, AAD, LPAD, and right pulmonary artery diameter was calculated on a solitary transverse section designated at extent of main pulmonic arterial trunk separation. Ratio of MPAD TO AAD was calculated by division of the values of MPAD and AAD in manual mode.
Result: In this retrospective consideration, population was divided into groups of mild (43 patients with 42.6% males), moderate (30 patients with 36% males), and severe (17 patients with 21.3% males) pneumonia patients. Diameter of MPA in mild COVID pneumonia group had 23.8±3.4, moderate group had 26.7±4.3, and severe group had 29.9±3.6 (p<0.001). Diameter of AA in mild group had 28.1±3.7, moderate group had 31.0±4.2, and severe group had 34.0±4.2 (p < 0.001). Diameter of LPA in mild group had 16.1±2.0, moderate group had 17.5±2.1, and severe group had 19.1±2.0 (p < 0.001).
Conclusion: Pneumonia severity of COVID-19 patients in severe group showed greater MPAD as compared to moderate group and then mild group patients, respectively. A chest computed tomography (CT) scan/high-resolution CT can be useful to determine the pneumonia extension evaluation, by measuring the MPAD which can provide extraprognostic information and aid doctors inpatient treatment.
Downloads
References
Fong SJ, Dey N, Chaki J. An Introduction to COVID-19. Berlin, Germany: SpringerBriefs in Applied Sciences and Technology; 2021. p. 1-22. doi: 10.1007/978-981-15-5936-5_1.
Bhatraju PK, Ghassemieh BJ, Nichols M, Kim R, Jerome KR, Nalla AK, et al. Covid-19 in critically ill patients in the Seattle region-case series. N Engl J Med 2020;382:2012-22. doi: 10.1056/NEJMoa2004500, PMID 32227758
Cao Y, Han X, Gu J, Li Y, Liu J, Alwalid O, et al. Prognostic value of baseline clinical and HRCT findings in 101 patients with severe COVID-19 in Wuhan, China. Sci Rep 2020;10:17543. doi: 10.1038/ s41598-020-74497-9, PMID 33067524
Hermans JJ, Groen J, Zwets E, Boxma-De Klerk BM, Van Werkhoven JM, Ong DS, et al. Chest CT for triage during COVID-19 on the emergency department: Myth or truth? Emerg Radiol 2020;27:641- 51. doi: 10.1007/s10140-020-01821-1, PMID 32691211
Erdoğan M, Öztürk S, Erdöl MA, Kasapkara A, Beşler MS, Kayaaslan B, et al. Prognostic utility of pulmonary artery and ascending aorta diameters derived from computed tomography in COVID-19 patients. Echocardiography 2021;38:1543-51. doi: 10.1111/ echo.15170, PMID 34355824
Zhu QQ, Gong T, Huang GQ, Niu ZF, Yue T, Xu FY, et al. Pulmonary artery trunk enlargement on admission as a predictor of mortality in-hospital patients with COVID-19. Jpn J Radiol 2021;39:589-97. doi: 10.1007/s11604-021-01094-9, PMID 33751417
Dai M, Liu X, Zhu X, Liu T, Xu C, Ye F, et al. Temporal changes of CT findings between non-severe and severe cases of COVID-19 pneumonia: A multi-center, retrospective, longitudinal Study. Int J Med Sci 2020;17:2653-62. doi: 10.7150/ijms.51159, PMID 33162793
Schiaffino S, Codari M, Cozzi A, Albano D, Alì M, Arioli R, et al. Machine learning to predict in-hospital mortality in covid-19 patients using computed tomography-derived pulmonary and vascular features. J Pers Med 2021;11:501. doi: 10.3390/jpm11060501, PMID 34204911
Yildiz M, Yadigar S, Yildiz BŞ, Aladag NB, Keskin O, Ozer RS, et al. Evaluation of the relationship between COVID-19 pneumonia severity and pulmonary artery diameter measurement. Herz 2021;46:56-62. doi: 10.1007/s00059-020-05014-x, PMID 33433652
Eslami V, Abrishami A, Zarei E, Khalili N, Baharvand Z, Sanei- Taheri M. The association of CT-measured cardiac indices with lung involvement and clinical outcome in patients with COVID-19. Acad Radiol 2021;28:8-17. doi: 10.1016/j.acra.2020.09.012, PMID 33041195
Wang H, Liu K, Wang Z, Zhu Y, Zhao Y, Kong H, et al. Computed tomography measurement of pulmonary artery for diagnosis of COPD and its comorbidity pulmonary hypertension. Int J COPD 2015;10:2525- 33. doi: 10.2147/COPD.S94211
Li X, Zhang C, Sun X, Yang X, Zhang M, Wang Q, et al. Prognostic factors of pulmonary hypertension associated with connective tissue disease: Pulmonary artery size measured by chest CT. Rheumatology (Oxford) 2020;59:3221-8. doi: 10.1093/rheumatology/keaa100, PMID 32221604
Esposito A, Palmisano A, Toselli M, Vignale D, Cereda A, Rancoita PM, et al. Chest CT-derived pulmonary artery enlargement at the admission predicts overall survival in COVID-19 patients: Insight from 1461 consecutive patients in Italy. Eur Radiol 2021;31:4031-41. doi: 10.1007/s00330-020-07622-x, PMID 33355697
Raoufi M, Safavi Naini SA, Azizan Z, Jafar Zade F, Shojaeian F, Ghanbari Boroujeni M, et al. Correlation between chest computed tomography scan findings and mortality of COVID-19 cases; a cross sec-tional study. Arch Acad Emerg Med 2020;8:e57. PMID 32613199
Published
How to Cite
Issue
Section
Copyright (c) 2022 Shubhanshi Rani, Niraj Kumar Sah, Raushan Kumar, Navreet Boora
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.
