March 2021. Volume 17. Number 1

Imaging studies in pediatric COVID-19: without a clear indication

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Shelmerdine SC, Lovrenski J, Caro-Domínguez P, Toso S; Collaborators of the European Society of Paediatric Radiology Cardiothoracic Imaging Taskforce. Coronavirus disease 2019 (COVID-19) in children: a systematic review of imaging findings. Pediatr Radiol. 2020;50:1217-30.

Reviewers: Rivero Martín MJ1, Pérez-Moneo Agapito B2.
1Servicio de Pediatría. Hospital Universitario de Fuenlabrada. Fuenlabrada. Madrid. España.
2Servicio de Pediatría. Hospital Universitario Infanta Leonor. Universidad Complutense. Madrid. España.
Correspondence: M.ª José Rivero Martín. Email: mriverom@salud.madrid.org
Reception date: 09/03/2021
Acceptance date: 17/03/2021
Publication date: 31/03/2021

Abstract

Authors’ conclusions: radiological findings in children with COVID-19 are often normal or mild, with unilateral involvement, ground-glass pattern, and affecting lower lobes. Chest CT should be reserved for severe cases or to identify other diagnoses.

Reviewers’ commentary: performing chest CT imaging should be limited to severe cases, if it is going to lead to a change in clinical attitude. Although the most frequent changes are unilateral involvement of lower lobes and ground glass pattern, it remains to be defined what type of test to perform, and which images may be indicative of a worse prognosis in pediatric population. The risk of radiation outweighs the benefits of chest CT in not severe cases.

How to cite this article

Rivero Martín MJ, Pérez-Moneo Agapito B. Pruebas radiológicas en COVID-19 pediátrico: sin una indicación clara. Evid Pediatr. 2021;17:7.

AVC | Critically appraised articles

Shelmerdine SC, Lovrenski J, Caro-Domínguez P, Toso S; Collaborators of the European Society of Paediatric Radiology Cardiothoracic Imaging Taskforce. Coronavirus disease 2019 (COVID-19) in children: a systematic review of imaging findings. Pediatr Radiol. 2020;50:1217-30.

Reviewers: Rivero Martín MJ1, Pérez-Moneo Agapito B2.
1Servicio de Pediatría. Hospital Universitario de Fuenlabrada. Fuenlabrada. Madrid. España.
2Servicio de Pediatría. Hospital Universitario Infanta Leonor. Universidad Complutense. Madrid. España.
Correspondence: M.ª José Rivero Martín. Email: mriverom@salud.madrid.org
Reception date: 09/03/2021
Acceptance date: 17/03/2021
Publication date: 31/03/2021

How to cite this article

Rivero Martín MJ, Pérez-Moneo Agapito B. Pruebas radiológicas en COVID-19 pediátrico: sin una indicación clara. Evid Pediatr. 2021;17:7.

31/03/2021

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