Id |
Subject |
Object |
Predicate |
Lexical cue |
T206 |
0-11 |
Sentence |
denotes |
Discussions |
T207 |
12-73 |
Sentence |
denotes |
COVID-19 is a new disease which is caused by betacoronavirus. |
T208 |
74-432 |
Sentence |
denotes |
The diameter of the virus particle is very small, about 60~140 nm; therefore, it is easy to reach the lung terminal structure, such as alveolar septum, alveolar wall, and interlobular septum, which causes extensive edema and lymphocyte infiltration in the lung interstitium; early alveolar exudation is not prominent, but the disease progresses rapidly [16]. |
T209 |
434-450 |
Sentence |
denotes |
Imaging features |
T210 |
451-730 |
Sentence |
denotes |
In this study, the imaging features were consistent with the previous literature reports [9–13, 16–18] of viral pneumonia; most of the patients had ground-glass opacities and mixed ground-glass opacities; no patients demonstrated consolidation without ground-glass opacification. |
T211 |
731-766 |
Sentence |
denotes |
Subpleural distribution was common. |
T212 |
767-818 |
Sentence |
denotes |
It also occurred around the bronchovascular bundle. |
T213 |
819-890 |
Sentence |
denotes |
Air bronchograms and interlobular septal thickening were often present. |
T214 |
891-962 |
Sentence |
denotes |
No patients had cavitation, centrilobular nodules, and lymphadenopathy. |
T215 |
963-1031 |
Sentence |
denotes |
Pleural effusion was rare and most of them occurred in severe cases. |
T216 |
1032-1214 |
Sentence |
denotes |
Most of the lesions involved both lower lobes (85.7%), most of them more than two lobes (74%), and bilateral involvement was common (83.3%); single lobe involvement was rare (10.3%). |
T217 |
1216-1249 |
Sentence |
denotes |
CT visual quantitative evaluation |
T218 |
1250-1546 |
Sentence |
denotes |
In a recent study done by Michael et al, they introduced a method to score the severity of inflammation on CT images based on summing up degree of acute lung inflammation lesions involvement of each lobe (including ground-glass opacity or consolidation or other fuzzy interstitial opacities) [9]. |
T219 |
1547-1652 |
Sentence |
denotes |
We used the same method to quantify pulmonary inflammation and correlate to the clinical classifications. |
T220 |
1653-1753 |
Sentence |
denotes |
There was significant difference in scores between common type and severe-critical type (p < 0.001). |
T221 |
1754-1941 |
Sentence |
denotes |
However, there was also a score overlap between the two groups, which showed that 8 cases in the common type had a higher score, and 5 cases in the severe-critical type had a lower score. |
T222 |
1942-2186 |
Sentence |
denotes |
Among 8 cases of common type, 7 cases had fibrotic lesions which indicated that the lesions began to be repaired, and all of the 8 patients were less than 70 years old (range 36–65, average 52.5 years), none of them had pulmonary complications. |
T223 |
2187-2289 |
Sentence |
denotes |
The specific situation of 5 patients in a severe-critical type which had a lower score was as follows: |
T224 |
2290-2848 |
Sentence |
denotes |
3 of the 5 patients were over 70 years old; among them, 1 patient was a female smoker with diabetes, aged 80 years old, with moderate emphysema and a small amount of pleural effusion; 1 patient was a 70-year-old female, with emphysema and a small amount of pleural effusion as well; the other one was 75-year-old female with high blood pressure; the forth case was a 44-year-old male without any underlying disease; however, CT images showed only progressive lesions such as ground-glass opacification and consolidation without any fibrotic lesions (Fig. 5). |
T225 |
2849-2991 |
Sentence |
denotes |
The last case was a 58-year-old female without any underlying disease; further analysis was needed to find out the cause of clinical severity. |
T226 |
2992-3178 |
Sentence |
denotes |
Overall, we believe that many factors, such as advanced age, underlying diseases, and pleural effusions, would relate to the clinical severity, which call for a comprehensive evaluation. |
T227 |
3179-3295 |
Sentence |
denotes |
Fig. 5 A 44-year-old male was admitted to the hospital 1 day after fever and cough with a body temperature of 39 °C. |
T228 |
3296-3354 |
Sentence |
denotes |
The leukocytes were normal and lymphocytes were decreased. |
T229 |
3355-3472 |
Sentence |
denotes |
He was living in Zhuhai and traveled to Macao 12 days before the onset of the disease and stayed in Macao for 1 week. |
T230 |
3473-3502 |
Sentence |
denotes |
He was healthy and nonsmoker. |
T231 |
3503-3635 |
Sentence |
denotes |
Chest CT (images a–c) on the 4th day after admission demonstrated bilateral peripheral ground-glass opacities without consolidation. |
T232 |
3636-3646 |
Sentence |
denotes |
TSS was 9. |
T233 |
3647-3690 |
Sentence |
denotes |
The clinical type was severe-critical type. |
T234 |
3691-3835 |
Sentence |
denotes |
Follow-up CT (images d, e) on the 22nd day after onset showed bilateral fibrotic changes with traction bronchiectasis and ground-grass opacities |
T235 |
3837-3874 |
Sentence |
denotes |
High proportion of mild-type patients |
T236 |
3875-4036 |
Sentence |
denotes |
Among the 78 cases, there were 24 cases of mild type (30.8%) which mean those patients had positive real-time RT-PCR SARS-CoV-2 tests, while chest CT was normal. |
T237 |
4037-4193 |
Sentence |
denotes |
In the review of several recent published literature of COVID-19 in Wuhan, China, all patients reported in articles had ground-glass opacities in the lungs. |
T238 |
4194-4266 |
Sentence |
denotes |
Huang et al reported 41 infected cases in Wuhan, all had pneumonias [1]. |
T239 |
4267-4378 |
Sentence |
denotes |
Chen et al reported 99 confirmed cases in Wuhan with 74 bilateral pneumonias and 25 unilateral pneumonias [19]. |
T240 |
4379-4525 |
Sentence |
denotes |
However, the most recent report from Guangzhou had similar findings, which showed 23.6% confirmed patients without abnormalities on chest CT [20]. |
T241 |
4526-4588 |
Sentence |
denotes |
To further explore our data, we found several characteristics. |
T242 |
4589-4761 |
Sentence |
denotes |
Nine cases had a short time interval from onset to the latest CT examination with a range of 0–7 days, which indicated that the chest CT could be normal at the early phase. |
T243 |
4762-4864 |
Sentence |
denotes |
Another 9 cases had a longer time interval from onset to the latest CT scan with a range of 8–19 days. |
T244 |
4865-4928 |
Sentence |
denotes |
The negative findings may not relate to the shorter onset time. |
T245 |
4929-5044 |
Sentence |
denotes |
It remains to be further explored whether the CT negativity may relate to the degree of infection and autoimmunity. |
T246 |
5045-5090 |
Sentence |
denotes |
Finally, the last 6 patients had no symptoms. |
T247 |
5091-5253 |
Sentence |
denotes |
These patients were negative in both clinical and imaging, suggesting that some cases were potential sources of infection, which should be paid more attention to. |
T248 |
5255-5265 |
Sentence |
denotes |
Limitation |
T249 |
5266-5469 |
Sentence |
denotes |
In this study, the number of cases between groups was significantly different because too few severe-critical patients were included in this study, which decreased the reliability of statistical results. |
T250 |
5470-5671 |
Sentence |
denotes |
Only image analysis was carried out without combining clinical information in this study; however, advanced age, underlying diseases, and pleural effusions may lead to a lower TSS but severe situation. |
T251 |
5672-5833 |
Sentence |
denotes |
In our next study, we will include more cases, and make a comprehensive evaluation combining the clinical characteristics and laboratory examination information. |