COVID-19 MRI: Difference between revisions
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*Brain MRI may be helpful in the [[diagnosis]] of [[COVID-19 Neurologic Complications|neurologic complications]] associated with [[COVID-19]]. | *Brain MRI may be helpful in the [[diagnosis]] of [[COVID-19 Neurologic Complications|neurologic complications]] associated with [[COVID-19]]. | ||
*Findings on an Brain MRI suggestive of [[COVID-19 Neurologic Complications|neurologic complications]] associated with [[COVID-19]] include: | *Findings on an Brain MRI suggestive of [[COVID-19 Neurologic Complications|neurologic complications]] associated with [[COVID-19]] include:<ref name="KremerLersy2020">{{cite journal|last1=Kremer|first1=Stéphane|last2=Lersy|first2=François|last3=de Sèze|first3=Jérome|last4=Ferré|first4=Jean-Christophe|last5=Maamar|first5=Adel|last6=Carsin-Nicol|first6=Béatrice|last7=Collange|first7=Olivier|last8=Bonneville|first8=Fabrice|last9=Adam|first9=Gilles|last10=Martin-Blondel|first10=Guillaume|last11=Rafiq|first11=Marie|last12=Geeraerts|first12=Thomas|last13=Delamarre|first13=Louis|last14=Grand|first14=Sylvie|last15=Krainik|first15=Alexandre|last16=Caillard|first16=Sophie|last17=Marc Constans|first17=Jean|last18=Metanbou|first18=Serge|last19=Heintz|first19=Adrien|last20=Helms|first20=Julie|last21=Schenck|first21=Maleka|last22=Lefèbvre|first22=Nicolas|last23=Boutet|first23=Claire|last24=Fabre|first24=Xavier|last25=Forestier|first25=Géraud|last26=de Beaurepaire|first26=Isaure|last27=Bornet|first27=Grégoire|last28=Lacalm|first28=Audrey|last29=Oesterlé|first29=Hélène|last30=Bolognini|first30=Federico|last31=Messie|first31=Julien|last32=Hmeydia|first32=Ghazi|last33=Benzakoun|first33=Joseph|last34=Oppenheim|first34=Catherine|last35=Bapst|first35=Blanche|last36=Megdiche|first36=Imen|last37=Henri-Feugeas|first37=Marie-Cécile|last38=Khalil|first38=Antoine|last39=Gaudemer|first39=Augustin|last40=Jager|first40=Lavinia|last41=Nesser|first41=Patrick|last42=Talla Mba|first42=Yannick|last43=Hemmert|first43=Céline|last44=Feuerstein|first44=Philippe|last45=Sebag|first45=Nathan|last46=Carré|first46=Sophie|last47=Alleg|first47=Manel|last48=Lecocq|first48=Claire|last49=Schmitt|first49=Emmanuelle|last50=Anxionnat|first50=René|last51=Zhu|first51=François|last52=Comby|first52=Pierre-Olivier|last53=Ricolfi|first53=Frédéric|last54=Thouant|first54=Pierre|last55=Desal|first55=Hubert|last56=Boulouis|first56=Grégoire|last57=Berge|first57=Jérome|last58=Kazémi|first58=Apolline|last59=Pyatigorskaya|first59=Nadya|last60=Lecler|first60=Augustin|last61=Saleme|first61=Suzana|last62=Edjlali-Goujon|first62=Myriam|last63=Kerleroux|first63=Basile|last64=Zorn|first64=Pierre-Emmanuel|last65=Mathieu|first65=Muriel|last66=Baloglu|first66=Seyyid|last67=Ardellier|first67=François-Daniel|last68=Willaume|first68=Thibault|last69=Brisset|first69=Jean Christophe|last70=Boulay|first70=Clotilde|last71=Mutschler|first71=Véronique|last72=Hansmann|first72=Yves|last73=Mertes|first73=Paul-Michel|last74=Schneider|first74=Francis|last75=Fafi-Kremer|first75=Samira|last76=Ohana|first76=Mickael|last77=Meziani|first77=Ferhat|last78=David|first78=Jean-Stéphane|last79=Meyer|first79=Nicolas|last80=Anheim|first80=Mathieu|last81=Cotton|first81=Pr François|title=Brain MRI Findings in Severe COVID-19: A Retrospective Observational Study|journal=Radiology|year=2020|pages=202222|issn=0033-8419|doi=10.1148/radiol.2020202222}}</ref> | ||
** | **Signal abnormalities located in the medial temporal lobe | ||
**Non-confluent multifocal white matter hyperintense lesions on FLAIR and diffusion sequences | |||
**Extensive and isolated white mattern microhemorrhages | |||
**Intra-cerebral hemorrhagic lesions | |||
**<br /> <br /> | |||
*** | |||
=== Spine === | === Spine === | ||
Revision as of 17:20, 2 July 2020
For COVID-19 frequently asked inpatient questions, click here
For COVID-19 frequently asked outpatient questions, click here
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COVID-19 Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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COVID-19 MRI On the Web |
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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
Lung
- Lung MRI may be helpful in the diagnosis of pulmonary complications associated with COVID-19.
- Findings on an lung MRI suggestive of pulmonary complications associated with COVID-19 include: [10][11]
- Cloudy sky sign
- Parenchyma compaction
- Consolidation
- Pleural effusion
- Lung infiltrations with peripheral preference
Brain
- Brain MRI may be helpful in the diagnosis of neurologic complications associated with COVID-19.
- Findings on an Brain MRI suggestive of neurologic complications associated with COVID-19 include:[12]
- Signal abnormalities located in the medial temporal lobe
- Non-confluent multifocal white matter hyperintense lesions on FLAIR and diffusion sequences
- Extensive and isolated white mattern microhemorrhages
- Intra-cerebral hemorrhagic lesions
Spine
- Spine MRI may be helpful in the diagnosis of neurologic complications associated with COVID-19.
- Findings on an spine MRI suggestive of neurologic complications associated with COVID-19 include:[13][14]
- Widespread elongated signal changes throughout the gray matter of spinal cord ( Acute Transverse Myelitis)
- Caudal nerve roots enhanced (Guillain-Barre syndrome)
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.
- ↑ Vasilev, Yuriy; Sergunova, Kristina; Bazhin, Alexander; Masri, Amir; Vasileva, Yulia; Suleumanov, Elhan; Semenov, Dmitry; Kudryavtsev, Nikita; Panina, Olga; Khoruzhaya, Anna; Znichenko, Victoria; Akhmad, Ekaterina; Petraikin, Alexey; Vladzymyrskyy, Anton; Midaev, Aslanbek; Morozov, Sergey (2020). doi:10.1101/2020.05.13.20088732. Missing or empty
|title=(help) - ↑ Langenbach, Marcel C.; Hokamp, Nils Grosse; Persigehl, Thorsten; Bratke, Grischa (2020). "MRI appearance of COVID-19 infection". Diagnostic and Interventional Radiology. 26 (4): 377–378. doi:10.5152/dir.2020.20152. ISSN 1305-3612.
- ↑ Kremer, Stéphane; Lersy, François; de Sèze, Jérome; Ferré, Jean-Christophe; Maamar, Adel; Carsin-Nicol, Béatrice; Collange, Olivier; Bonneville, Fabrice; Adam, Gilles; Martin-Blondel, Guillaume; Rafiq, Marie; Geeraerts, Thomas; Delamarre, Louis; Grand, Sylvie; Krainik, Alexandre; Caillard, Sophie; Marc Constans, Jean; Metanbou, Serge; Heintz, Adrien; Helms, Julie; Schenck, Maleka; Lefèbvre, Nicolas; Boutet, Claire; Fabre, Xavier; Forestier, Géraud; de Beaurepaire, Isaure; Bornet, Grégoire; Lacalm, Audrey; Oesterlé, Hélène; Bolognini, Federico; Messie, Julien; Hmeydia, Ghazi; Benzakoun, Joseph; Oppenheim, Catherine; Bapst, Blanche; Megdiche, Imen; Henri-Feugeas, Marie-Cécile; Khalil, Antoine; Gaudemer, Augustin; Jager, Lavinia; Nesser, Patrick; Talla Mba, Yannick; Hemmert, Céline; Feuerstein, Philippe; Sebag, Nathan; Carré, Sophie; Alleg, Manel; Lecocq, Claire; Schmitt, Emmanuelle; Anxionnat, René; Zhu, François; Comby, Pierre-Olivier; Ricolfi, Frédéric; Thouant, Pierre; Desal, Hubert; Boulouis, Grégoire; Berge, Jérome; Kazémi, Apolline; Pyatigorskaya, Nadya; Lecler, Augustin; Saleme, Suzana; Edjlali-Goujon, Myriam; Kerleroux, Basile; Zorn, Pierre-Emmanuel; Mathieu, Muriel; Baloglu, Seyyid; Ardellier, François-Daniel; Willaume, Thibault; Brisset, Jean Christophe; Boulay, Clotilde; Mutschler, Véronique; Hansmann, Yves; Mertes, Paul-Michel; Schneider, Francis; Fafi-Kremer, Samira; Ohana, Mickael; Meziani, Ferhat; David, Jean-Stéphane; Meyer, Nicolas; Anheim, Mathieu; Cotton, Pr François (2020). "Brain MRI Findings in Severe COVID-19: A Retrospective Observational Study". Radiology: 202222. doi:10.1148/radiol.2020202222. ISSN 0033-8419.
- ↑ Toscano, Gianpaolo; Palmerini, Francesco; Ravaglia, Sabrina; Ruiz, Luigi; Invernizzi, Paolo; Cuzzoni, M. Giovanna; Franciotta, Diego; Baldanti, Fausto; Daturi, Rossana; Postorino, Paolo; Cavallini, Anna; Micieli, Giuseppe (2020). "Guillain–Barré Syndrome Associated with SARS-CoV-2". New England Journal of Medicine. 382 (26): 2574–2576. doi:10.1056/NEJMc2009191. ISSN 0028-4793.