Imagem médica e o novo coronavírus: enfrentar uma ameaça inesperada

Autores

  • Sérgio Figueiredo H&TRC – Health & Technology Research Center, ESTeSL – Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa. Lisboa, Portugal. Departamento das Ciências do Diagnóstico, Terapêutica e Saúde Pública, Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa. Lisboa, Portugal.
  • Bruno Martins Departamento das Ciências do Diagnóstico, Terapêutica e Saúde Pública, Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa. Lisboa, Portugal. Serviço de Medicina Molecular. Hospital da Luz. Lisboa, Portugal.
  • Fábio Nogueira Departamento das Ciências do Diagnóstico, Terapêutica e Saúde Pública, Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa. Lisboa, Portugal.
  • Ricardo Ribeiro Departamento das Ciências do Diagnóstico, Terapêutica e Saúde Pública, Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa. Lisboa, Portugal.

DOI:

https://doi.org/10.25758/set.2268

Palavras-chave:

COVID-19, Radiologia, Medicina nuclear, Radiografia do tórax, TC do tórax, PET-CT 18F-FDG

Resumo

Em dezembro de 2019, um novo coronavírus foi identificado em Wuhan (China), a partir de um grupo de pacientes com pneumonia inexplicada, sendo denominado por SARS-CoV-2 e responsável pela doença do Coronavírus (COVID)-19. As modalidades de imagem médica desempenham um papel importante no diagnóstico e tratamento da infeção por COVID-19. Consequentemente, é necessário identificar estratégias e procedimentos de controlo nos vários departamentos. Este documento tem como objetivo apresentar os procedimentos operacionais padrão (POPs) a adotar pelas unidades de radiologia (RD) e medicina nuclear (MN) e fornecer informação sobre o potencial contributo das modalidades de imagem médica no cenário atual da COVID-19. A tomografia computadorizada (TC) do tórax é considerada a principal ferramenta de imagem para o diagnóstico e acompanhamento do COVID-19. A radiografia de tórax parece ser uma ferramenta importante, principalmente quando a mobilidade é um problema. Da mesma forma, as primeiras publicações sobre o potencial valor da 18F-FDG PET (fluorodesoxiglicose) (tomografia por emissão de positrões) sugerem que está maioritariamente associado a achados acidentais de opacidades em vidro despolido com correspondente captação de FDG.

Referências

Chan JF, Yuan S, Kok KH, To KK, Chu H, Yang J, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet. 2020;395(10223):514-23.

World Health Organization. WHO coronavirus disease (COVID-19) dashboard [homepage]. Geneva: WHO; 2020 [cited 2020 Apr 6]. Available from: https://covid19.who.int/

Assadi M, Gholamrezanezhad A, Jokar N, Keshavarz M, Picchio M, Seregni E, et al. Key elements of preparedness for pandemic coronavirus disease 2019 (COVID-19) in nuclear medicine units. Eur J Nucl Med Mol Imaging. 2020;47(8):1779-86.

Goh Y, Chua W, Lee JK, Ang BW, Liang CR, Tan CA, et al. Operational strategies to prevent coronavirus disease 2019 (COVID-19) spread in radiology: experience from a Singapore radiology department after severe acute respiratory syndrome. J Am Coll Radiol. 2020;17(6):717-23.

Zu ZY, Jiang MD, Xu PP, Chen W, Ni QQ, Lu GM, et al. Coronavirus disease 2019 (COVID-19): a perspective from China. Radiology. 2020;296(2):E15-25.

Kim H. Outbreak of novel coronavirus (COVID-19): what is the role of radiologists? Eur Radiol. 2020;30(6):3266-7.

Pan F, Ye T, Sun P, Gui S, Liang B, Li L, et al. Time course of lung changes on chest CT during recovery from 2019 novel coronavirus (COVID-19) pneumonia. Radiology. 2020;295(3):715-21.

Guedj E, Verger A, Cammilleri S. PET imaging of COVID-19: the target and the number. Eur J Nucl Med Mol Imaging. 2020;47(7):1636-7.

Albano D, Bertagna F, Bertoli M, Bosio G, Lucchini S, Motta F, et al. Incidental findings suggestive of COVID-19 in asymptomatic patients undergoing nuclear medicine procedures in a high prevalence region. J Nucl Med. 2020;61(5):632-6.

Qin C, Liu F, Yen TC, Lan X. 18F-FDG PET/CT findings of COVID-19: a series of four highly suspected cases. Eur J Nucl Med Mol Imaging. 2020;47(5):1281-6.

Deng Y, Lei L, Chen Y, Zhang W. The potential added value of FDG PET/CT for COVID-19 pneumonia. Eur J Nucl Med Mol Imaging. 2020;47(7):1634-5.

World Health Organisation. Operational guidance for maintaining essential health services during an outbreak: interim guidance, 25 March 2020 [homepage]. Geneva: WHO; 2020. Available from: https://apps.who.int/iris/handle/10665/331561

Paez D, Gnanasegaran G, Fanti S, Bomanji J, Hacker M, Sathekge M, et al. COVID-19 pandemic: guidance for nuclear medicine departments. Eur J Nucl Med Mol Imaging. 2020;47(7):1615-9.

Lam WW, Loke KS, Wong WY, Ng DC. Facing a disruptive threat: how can a nuclear medicine service be prepared for the coronavirus outbreak 2020? Eur J Nucl Med Mol Imaging. 2020;47(7):1645-8.

Lu Y, Yan SX, Lan X, Zhu X, Macapinlac HA. Nuclear medicine in responding to global pandemic COVID-19: American College of Nuclear Medicine member experience. Eur J Nucl Med Mol Imaging. 2020;47(7):1620-2.

Skali H, Murthy VL, Al-Mallah MH, Bateman TM, Beanlands R, Better N, et al. Guidance and best practices for nuclear cardiology laboratories during the coronavirus disease 2019 (COVID-19) pandemic: an information statement from ASNC and SNMMI. J Nucl Cardiol. 2020;27(3):1022-9.

Huang HL, Gnanasegaran G, Paez D, Fanti S, Hacker M, Sathekge M, et al. Nuclear medicine services after COVID-19: gearing up back to normality. Eur J Nucl Med Mol Imaging. 2020;47(9):2048-53.

Mossa-Basha M, Meltzer CC, Kim DC, Tuite MJ, Kolli KP, Tan BS. Radiology department preparedness for COVID-19: Radiology Scientific Expert Review Panel. Radiology. 2020;296(2):E106-12.

Lomoro P, Verde F, Zerboni F, Simonetti I, Borghi C, Fachinetti C, et al. COVID-19 pneumonia manifestations at the admission on chest ultrasound, radiographs, and CT: single-center study and comprehensive radiologic literature review. Eur J Radiol Open. 2020;7:100231.

Woznitza N, Nair A, Hare SS. COVID-19: a case series to support radiographer preliminary clinical evaluation. Radiography. 2020;26(3):e186-8.

Jacobi A, Chung M, Bernheim A, Eber C. Portable chest X-ray in coronavirus disease-19 (COVID-19): a pictorial review. Clin Imaging. 2020;64:35-42.

Lança L, Reis CS. Mobile X-ray equipment: X-ray mobile and detector. In: Whitley AS, editor. International Covid-19 support for radiographers and radiological technologists [homepage]. International Society of Radiographers and Radiological Technologists; 2020. Available from: https://www.elearning.isrrt.org/course/view.php?id=12

Fatima S, Ratnani I, Husain M, Surani S. Radiological findings in patients with COVID-19. Cureus. 2020;12(4):e7651.

Huang Z, Zhao S, Li Z, Chen W, Zhao L, Deng L, et al. The battle against coronavirus disease 2019 (COVID-19): emergency management and infection control in a radiology department. J Am Coll Radiol. 2020;17(6):710-6.

Li Y, Xia L. Coronavirus disease 2019 (COVID-19): role of chest CT in diagnosis and management. AJR Am J Roentgenol. 2020;214(6):1280-6.

Yang Q, Liu Q, Xu H, Lu H, Liu S, Li H. Imaging of coronavirus disease 2019: a Chinese expert consensus statement. Eur J Radiol. 2020;127:109008.

Miao C, Jin M, Miao L, Yang X, Huang P, Xiong H, et al. Early chest computed tomography to diagnose COVID-19 from suspected patients: a multicenter retrospective study. Am J Emerg Med. 2020;S0735-6757(20):30281-3.

Capitanio S, Nordin AJ, Noraini AR, Rossetti C. PET/CT in nononcological lung diseases: current applications and future perspectives. Eur Respir Rev. 2016;25(141):247-58.

Lütje S, Marinova M, Kütting D, Attenberger U, Essler M, Bundschuh RA. Nuclear medicine in SARS-CoV-2 pandemia: 18F-FDG-PET/CT to visualize COVID-19. Nuklearmedizin. 2020;59(3):276-80.

Das KM, Lee EY, Langer RD, Larsson SG. Middle East respiratory syndrome coronavirus: what does a radiologist need to know? AJR Am J Roentgenol. 2016;206(6):1193-201.

Chefer S, Thomasson D, Seidel J, Reba RC, Bohannon JK, Lackemeyer MG, et al. Modeling [(18)F]-FDG lymphoid tissue kinetics to characterize nonhuman primate immune response to Middle East respiratory syndrome-coronavirus aerosol challenge. EJNMMI Res. 2015;5(1):65.

Gao QY, Chen YX, Fang JY. 2019 Novel coronavirus infection and gastrointestinal tract. J Dig Dis. 2020;21(3):125-6.

Colandrea M, Gilardi L, Travaini LL, Fracassi SL, Funicelli L, Grana CM. 18F-FDG PET/CT in asymptomatic patients with COVID-19: the submerged iceberg surfaces. JPN J Radiol. 2020 Jun 23. [Online ahead of print]

Amini H, Divband G, Montahaei Z, Dehghani T, Kaviani H, Adinehpour Z, et al. A case of COVID-19 lung infection first detected by [18F]FDG PET-CT. Eur J Nucl Med Mol Imaging. 2020;47(7):1771-2.

Ouyang J, Chen KT, Gong E, Pauly J, Zaharchuk G. Ultra-low-dose PET reconstruction using generative adversarial network with feature matching and task-specific perceptual loss. Med Phys. 2019;46(8):3555-64.

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Publicado

24-08-2022

Como Citar

Imagem médica e o novo coronavírus: enfrentar uma ameaça inesperada. (2022). Saúde & Tecnologia, T3, e13-e21. https://doi.org/10.25758/set.2268