COVID-19 MRI: Difference between revisions
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==MRI== | ==MRI== | ||
=== Cardiac === | === Cardiac === | ||
*Cardiac MRI may be helpful in the diagnosis of cardiac complications associated with [[COVID-19]].<ref name="HanChen2020">{{cite journal|last1=Han|first1=Yuchi|last2=Chen|first2=Tiffany|last3=Bryant|first3=Jennifer|last4=Bucciarelli-Ducci|first4=Chiara|last5=Dyke|first5=Christopher|last6=Elliott|first6=Michael D.|last7=Ferrari|first7=Victor A.|last8=Friedrich|first8=Matthias G.|last9=Lawton|first9=Chris|last10=Manning|first10=Warren J.|last11=Ordovas|first11=Karen|last12=Plein|first12=Sven|last13=Powell|first13=Andrew J.|last14=Raman|first14=Subha V.|last15=Carr|first15=James|title=Society for Cardiovascular Magnetic Resonance (SCMR) guidance for the practice of cardiovascular magnetic resonance during the COVID-19 pandemic|journal=Journal of Cardiovascular Magnetic Resonance|volume=22|issue=1|year=2020|issn=1532-429X|doi=10.1186/s12968-020-00628-w}}</ref> | *[[Cardiac MRI]] may be helpful in the [[diagnosis]] of [[Cardiac complications of covid-19|cardiac complications]] associated with [[COVID-19]].<ref name="HanChen2020">{{cite journal|last1=Han|first1=Yuchi|last2=Chen|first2=Tiffany|last3=Bryant|first3=Jennifer|last4=Bucciarelli-Ducci|first4=Chiara|last5=Dyke|first5=Christopher|last6=Elliott|first6=Michael D.|last7=Ferrari|first7=Victor A.|last8=Friedrich|first8=Matthias G.|last9=Lawton|first9=Chris|last10=Manning|first10=Warren J.|last11=Ordovas|first11=Karen|last12=Plein|first12=Sven|last13=Powell|first13=Andrew J.|last14=Raman|first14=Subha V.|last15=Carr|first15=James|title=Society for Cardiovascular Magnetic Resonance (SCMR) guidance for the practice of cardiovascular magnetic resonance during the COVID-19 pandemic|journal=Journal of Cardiovascular Magnetic Resonance|volume=22|issue=1|year=2020|issn=1532-429X|doi=10.1186/s12968-020-00628-w}}</ref> | ||
*Findings on an cardiac MRI suggestive of cardiac complications associated with [[COVID-19]] include:<ref name="InciardiLupi2020">{{cite journal|last1=Inciardi|first1=Riccardo M.|last2=Lupi|first2=Laura|last3=Zaccone|first3=Gregorio|last4=Italia|first4=Leonardo|last5=Raffo|first5=Michela|last6=Tomasoni|first6=Daniela|last7=Cani|first7=Dario S.|last8=Cerini|first8=Manuel|last9=Farina|first9=Davide|last10=Gavazzi|first10=Emanuele|last11=Maroldi|first11=Roberto|last12=Adamo|first12=Marianna|last13=Ammirati|first13=Enrico|last14=Sinagra|first14=Gianfranco|last15=Lombardi|first15=Carlo M.|last16=Metra|first16=Marco|title=Cardiac Involvement in a Patient With Coronavirus Disease 2019 (COVID-19)|journal=JAMA Cardiology|year=2020|issn=2380-6583|doi=10.1001/jamacardio.2020.1096}}</ref><ref name="HanKim2020">{{cite journal|last1=Han|first1=Seongwook|last2=Kim|first2=Hyun Ah|last3=Kim|first3=Jin Young|last4=Kim|first4=In-Cheol|title=COVID-19-related myocarditis in a 21-year-old female patient|journal=European Heart Journal|volume=41|issue=19|year=2020|pages=1859–1859|issn=0195-668X|doi=10.1093/eurheartj/ehaa288}}</ref><ref name="EspositoGodino2020">{{cite journal|last1=Esposito|first1=Antonio|last2=Godino|first2=Cosmo|last3=Basso|first3=Cristina|last4=Cappelletti|first4=Alberto Maria|last5=Tresoldi|first5=Moreno|last6=De Cobelli|first6=Francesco|last7=Vignale|first7=Davide|last8=Villatore|first8=Andrea|last9=Palmisano|first9=Anna|last10=Gramegna|first10=Mario|last11=Peretto|first11=Giovanni|last12=Sala|first12=Simone|title=Acute myocarditis presenting as a reverse Tako-Tsubo syndrome in a patient with SARS-CoV-2 respiratory infection|journal=European Heart Journal|volume=41|issue=19|year=2020|pages=1861–1862|issn=0195-668X|doi=10.1093/eurheartj/ehaa286}}</ref><ref name="CoyleIgbinomwanhia2020">{{cite journal|last1=Coyle|first1=Justin|last2=Igbinomwanhia|first2=Efehi|last3=Sanchez-Nadales|first3=Alejandro|last4=Danciu|first4=Sorin|last5=Chu|first5=Chae|last6=Shah|first6=Nishit|title=A Recovered Case of COVID-19 Myocarditis and ARDS Treated With Corticosteroids, Tocilizumab, and Experimental AT-001|journal=JACC: Case Reports|year=2020|issn=26660849|doi=10.1016/j.jaccas.2020.04.025}}</ref><ref name="DoyenMoceri2020">{{cite journal|last1=Doyen|first1=Denis|last2=Moceri|first2=Pamela|last3=Ducreux|first3=Dorothée|last4=Dellamonica|first4=Jean|title=Myocarditis in a patient with COVID-19: a cause of raised troponin and ECG changes|journal=The Lancet|volume=395|issue=10235|year=2020|pages=1516|issn=01406736|doi=10.1016/S0140-6736(20)30912-0}}</ref><ref name="LuetkensIsaak2020">{{cite journal|last1=Luetkens|first1=Julian Alexander|last2=Isaak|first2=Alexander|last3=Zimmer|first3=Sebastian|last4=Nattermann|first4=Jacob|last5=Sprinkart|first5=Alois Martin|last6=Boesecke|first6=Christoph|last7=Rieke|first7=Gereon Jonas|last8=Zachoval|first8=Christian|last9=Heine|first9=Annkristin|last10=Velten|first10=Markus|last11=Duerr|first11=Georg Daniel|title=Diffuse Myocardial Inflammation in COVID-19 Associated Myocarditis Detected by Multiparametric Cardiac Magnetic Resonance Imaging|journal=Circulation: Cardiovascular Imaging|volume=13|issue=5|year=2020|issn=1941-9651|doi=10.1161/CIRCIMAGING.120.010897}}</ref><ref name="InciardiLupi20202">{{cite journal|last1=Inciardi|first1=Riccardo M.|last2=Lupi|first2=Laura|last3=Zaccone|first3=Gregorio|last4=Italia|first4=Leonardo|last5=Raffo|first5=Michela|last6=Tomasoni|first6=Daniela|last7=Cani|first7=Dario S.|last8=Cerini|first8=Manuel|last9=Farina|first9=Davide|last10=Gavazzi|first10=Emanuele|last11=Maroldi|first11=Roberto|last12=Adamo|first12=Marianna|last13=Ammirati|first13=Enrico|last14=Sinagra|first14=Gianfranco|last15=Lombardi|first15=Carlo M.|last16=Metra|first16=Marco|title=Cardiac Involvement in a Patient With Coronavirus Disease 2019 (COVID-19)|journal=JAMA Cardiology|year=2020|issn=2380-6583|doi=10.1001/jamacardio.2020.1096}}</ref> | *Findings on an [[cardiac MRI]] suggestive of [[Cardiac complications of covid-19|cardiac complications]] associated with [[COVID-19]] include:<ref name="InciardiLupi2020">{{cite journal|last1=Inciardi|first1=Riccardo M.|last2=Lupi|first2=Laura|last3=Zaccone|first3=Gregorio|last4=Italia|first4=Leonardo|last5=Raffo|first5=Michela|last6=Tomasoni|first6=Daniela|last7=Cani|first7=Dario S.|last8=Cerini|first8=Manuel|last9=Farina|first9=Davide|last10=Gavazzi|first10=Emanuele|last11=Maroldi|first11=Roberto|last12=Adamo|first12=Marianna|last13=Ammirati|first13=Enrico|last14=Sinagra|first14=Gianfranco|last15=Lombardi|first15=Carlo M.|last16=Metra|first16=Marco|title=Cardiac Involvement in a Patient With Coronavirus Disease 2019 (COVID-19)|journal=JAMA Cardiology|year=2020|issn=2380-6583|doi=10.1001/jamacardio.2020.1096}}</ref><ref name="HanKim2020">{{cite journal|last1=Han|first1=Seongwook|last2=Kim|first2=Hyun Ah|last3=Kim|first3=Jin Young|last4=Kim|first4=In-Cheol|title=COVID-19-related myocarditis in a 21-year-old female patient|journal=European Heart Journal|volume=41|issue=19|year=2020|pages=1859–1859|issn=0195-668X|doi=10.1093/eurheartj/ehaa288}}</ref><ref name="EspositoGodino2020">{{cite journal|last1=Esposito|first1=Antonio|last2=Godino|first2=Cosmo|last3=Basso|first3=Cristina|last4=Cappelletti|first4=Alberto Maria|last5=Tresoldi|first5=Moreno|last6=De Cobelli|first6=Francesco|last7=Vignale|first7=Davide|last8=Villatore|first8=Andrea|last9=Palmisano|first9=Anna|last10=Gramegna|first10=Mario|last11=Peretto|first11=Giovanni|last12=Sala|first12=Simone|title=Acute myocarditis presenting as a reverse Tako-Tsubo syndrome in a patient with SARS-CoV-2 respiratory infection|journal=European Heart Journal|volume=41|issue=19|year=2020|pages=1861–1862|issn=0195-668X|doi=10.1093/eurheartj/ehaa286}}</ref><ref name="CoyleIgbinomwanhia2020">{{cite journal|last1=Coyle|first1=Justin|last2=Igbinomwanhia|first2=Efehi|last3=Sanchez-Nadales|first3=Alejandro|last4=Danciu|first4=Sorin|last5=Chu|first5=Chae|last6=Shah|first6=Nishit|title=A Recovered Case of COVID-19 Myocarditis and ARDS Treated With Corticosteroids, Tocilizumab, and Experimental AT-001|journal=JACC: Case Reports|year=2020|issn=26660849|doi=10.1016/j.jaccas.2020.04.025}}</ref><ref name="DoyenMoceri2020">{{cite journal|last1=Doyen|first1=Denis|last2=Moceri|first2=Pamela|last3=Ducreux|first3=Dorothée|last4=Dellamonica|first4=Jean|title=Myocarditis in a patient with COVID-19: a cause of raised troponin and ECG changes|journal=The Lancet|volume=395|issue=10235|year=2020|pages=1516|issn=01406736|doi=10.1016/S0140-6736(20)30912-0}}</ref><ref name="LuetkensIsaak2020">{{cite journal|last1=Luetkens|first1=Julian Alexander|last2=Isaak|first2=Alexander|last3=Zimmer|first3=Sebastian|last4=Nattermann|first4=Jacob|last5=Sprinkart|first5=Alois Martin|last6=Boesecke|first6=Christoph|last7=Rieke|first7=Gereon Jonas|last8=Zachoval|first8=Christian|last9=Heine|first9=Annkristin|last10=Velten|first10=Markus|last11=Duerr|first11=Georg Daniel|title=Diffuse Myocardial Inflammation in COVID-19 Associated Myocarditis Detected by Multiparametric Cardiac Magnetic Resonance Imaging|journal=Circulation: Cardiovascular Imaging|volume=13|issue=5|year=2020|issn=1941-9651|doi=10.1161/CIRCIMAGING.120.010897}}</ref><ref name="InciardiLupi20202">{{cite journal|last1=Inciardi|first1=Riccardo M.|last2=Lupi|first2=Laura|last3=Zaccone|first3=Gregorio|last4=Italia|first4=Leonardo|last5=Raffo|first5=Michela|last6=Tomasoni|first6=Daniela|last7=Cani|first7=Dario S.|last8=Cerini|first8=Manuel|last9=Farina|first9=Davide|last10=Gavazzi|first10=Emanuele|last11=Maroldi|first11=Roberto|last12=Adamo|first12=Marianna|last13=Ammirati|first13=Enrico|last14=Sinagra|first14=Gianfranco|last15=Lombardi|first15=Carlo M.|last16=Metra|first16=Marco|title=Cardiac Involvement in a Patient With Coronavirus Disease 2019 (COVID-19)|journal=JAMA Cardiology|year=2020|issn=2380-6583|doi=10.1001/jamacardio.2020.1096}}</ref><ref name="HuangZhao2020">{{cite journal|last1=Huang|first1=Lu|last2=Zhao|first2=Peijun|last3=Tang|first3=Dazhong|last4=Zhu|first4=Tong|last5=Han|first5=Rui|last6=Zhan|first6=Chenao|last7=Liu|first7=Weiyong|last8=Zeng|first8=Hesong|last9=Tao|first9=Qian|last10=Xia|first10=Liming|title=Cardiac involvement in recovered COVID-19 patients identified by magnetic resonance imaging|journal=JACC: Cardiovascular Imaging|year=2020|issn=1936878X|doi=10.1016/j.jcmg.2020.05.004}}</ref> | ||
**[[Myocardial edema]] | **[[Myocardial edema]] | ||
**[[Scarring]] | **[[Scarring]] | ||
**[[Fibrosis]] | **[[Fibrosis]] | ||
**Impaired [[Right ventricle|RV]] function | **Impaired [[Right ventricle|RV]] function | ||
**Impaired [[Left ventricle|LV]] function (reduced ejection fraction) | **Impaired [[Left ventricle|LV]] function (reduced [[ejection fraction]]) | ||
**Biventricular hypokinesis | **Biventricular hypokinesis | ||
**Late [[gadolinium]] enhancement | **Late [[gadolinium]] enhancement | ||
**increased wall thickness | **increased wall thickness | ||
**pericardial effusion | **[[pericardial effusion]] | ||
=== Chest === | |||
<br /> | <br /> | ||
Revision as of 16:29, 2 July 2020
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American Roentgen Ray Society Images of COVID-19 MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D. Sabawoon Mirwais, M.B.B.S, M.D.[2] Syed Hassan A. Kazmi BSc, MD [3]
Overview
There are no specific MRI findings associated with coronavirus infection. MRI can aide in making the diagnosis on the basis of exclusion.
MRI
Cardiac
- Cardiac MRI may be helpful in the diagnosis of cardiac complications associated with COVID-19.[1]
- Findings on an cardiac MRI suggestive of cardiac complications associated with COVID-19 include:[2][3][4][5][6][7][8][9]
- Myocardial edema
- Scarring
- Fibrosis
- Impaired RV function
- Impaired LV function (reduced ejection fraction)
- Biventricular hypokinesis
- Late gadolinium enhancement
- increased wall thickness
- pericardial effusion
Chest
Brain
References
- ↑ Han, Yuchi; Chen, Tiffany; Bryant, Jennifer; Bucciarelli-Ducci, Chiara; Dyke, Christopher; Elliott, Michael D.; Ferrari, Victor A.; Friedrich, Matthias G.; Lawton, Chris; Manning, Warren J.; Ordovas, Karen; Plein, Sven; Powell, Andrew J.; Raman, Subha V.; Carr, James (2020). "Society for Cardiovascular Magnetic Resonance (SCMR) guidance for the practice of cardiovascular magnetic resonance during the COVID-19 pandemic". Journal of Cardiovascular Magnetic Resonance. 22 (1). doi:10.1186/s12968-020-00628-w. ISSN 1532-429X.
- ↑ Inciardi, Riccardo M.; Lupi, Laura; Zaccone, Gregorio; Italia, Leonardo; Raffo, Michela; Tomasoni, Daniela; Cani, Dario S.; Cerini, Manuel; Farina, Davide; Gavazzi, Emanuele; Maroldi, Roberto; Adamo, Marianna; Ammirati, Enrico; Sinagra, Gianfranco; Lombardi, Carlo M.; Metra, Marco (2020). "Cardiac Involvement in a Patient With Coronavirus Disease 2019 (COVID-19)". JAMA Cardiology. doi:10.1001/jamacardio.2020.1096. ISSN 2380-6583.
- ↑ Han, Seongwook; Kim, Hyun Ah; Kim, Jin Young; Kim, In-Cheol (2020). "COVID-19-related myocarditis in a 21-year-old female patient". European Heart Journal. 41 (19): 1859–1859. doi:10.1093/eurheartj/ehaa288. ISSN 0195-668X.
- ↑ Esposito, Antonio; Godino, Cosmo; Basso, Cristina; Cappelletti, Alberto Maria; Tresoldi, Moreno; De Cobelli, Francesco; Vignale, Davide; Villatore, Andrea; Palmisano, Anna; Gramegna, Mario; Peretto, Giovanni; Sala, Simone (2020). "Acute myocarditis presenting as a reverse Tako-Tsubo syndrome in a patient with SARS-CoV-2 respiratory infection". European Heart Journal. 41 (19): 1861–1862. doi:10.1093/eurheartj/ehaa286. ISSN 0195-668X.
- ↑ Coyle, Justin; Igbinomwanhia, Efehi; Sanchez-Nadales, Alejandro; Danciu, Sorin; Chu, Chae; Shah, Nishit (2020). "A Recovered Case of COVID-19 Myocarditis and ARDS Treated With Corticosteroids, Tocilizumab, and Experimental AT-001". JACC: Case Reports. doi:10.1016/j.jaccas.2020.04.025. ISSN 2666-0849.
- ↑ Doyen, Denis; Moceri, Pamela; Ducreux, Dorothée; Dellamonica, Jean (2020). "Myocarditis in a patient with COVID-19: a cause of raised troponin and ECG changes". The Lancet. 395 (10235): 1516. doi:10.1016/S0140-6736(20)30912-0. ISSN 0140-6736.
- ↑ Luetkens, Julian Alexander; Isaak, Alexander; Zimmer, Sebastian; Nattermann, Jacob; Sprinkart, Alois Martin; Boesecke, Christoph; Rieke, Gereon Jonas; Zachoval, Christian; Heine, Annkristin; Velten, Markus; Duerr, Georg Daniel (2020). "Diffuse Myocardial Inflammation in COVID-19 Associated Myocarditis Detected by Multiparametric Cardiac Magnetic Resonance Imaging". Circulation: Cardiovascular Imaging. 13 (5). doi:10.1161/CIRCIMAGING.120.010897. ISSN 1941-9651.
- ↑ Inciardi, Riccardo M.; Lupi, Laura; Zaccone, Gregorio; Italia, Leonardo; Raffo, Michela; Tomasoni, Daniela; Cani, Dario S.; Cerini, Manuel; Farina, Davide; Gavazzi, Emanuele; Maroldi, Roberto; Adamo, Marianna; Ammirati, Enrico; Sinagra, Gianfranco; Lombardi, Carlo M.; Metra, Marco (2020). "Cardiac Involvement in a Patient With Coronavirus Disease 2019 (COVID-19)". JAMA Cardiology. doi:10.1001/jamacardio.2020.1096. ISSN 2380-6583.
- ↑ Huang, Lu; Zhao, Peijun; Tang, Dazhong; Zhu, Tong; Han, Rui; Zhan, Chenao; Liu, Weiyong; Zeng, Hesong; Tao, Qian; Xia, Liming (2020). "Cardiac involvement in recovered COVID-19 patients identified by magnetic resonance imaging". JACC: Cardiovascular Imaging. doi:10.1016/j.jcmg.2020.05.004. ISSN 1936-878X.