{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T12:06:31Z","timestamp":1768565191145,"version":"3.49.0"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,1,2]],"date-time":"2023-01-02T00:00:00Z","timestamp":1672617600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Medical Radiation Sci"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The COVID\u201019 pandemic caused by the coronavirus SARS\u2010CoV\u20102 has resulted in a global healthcare crisis. The provision of computed tomography (CT) imaging services by radiology departments for COVID\u201019 patients poses multiple challenges. Consequently, it is important to explore the clinical need and indications for thoracic CT and whether they subsequently alter patient management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We report our experience in this single\u2010centre retrospective cohort study of all confirmed COVID\u201019 cases admitted during the peak of the \u2018Delta\u2019 variant wave in Australia, and who underwent a chest CT. Clinical indication and patient management plan pre\u2010 and post\u2010CT were ascertained.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 92 out of 1403 patients who were admitted with COVID\u201019 underwent a thoracic CT (73 CT pulmonary angiogram (CTPA), 14 CT Chest and five high\u2010resolution CT (HRCT) studies). 72.8% of studies were to evaluate for pulmonary emboli, 16.2% for assessment of COVID\u201019 pneumonia complications, 5.4% for tuberculosis and 6.5% for other indications. 21 (23%) of these studies resulted in a change in management with two patients having a major change in management (thrombolysis, CT\u2010guided aspiration). Management was altered due to diagnosis of pulmonary embolism (PE), pneumonia, cryptogenic organising pneumonia and other reasons. Of 73 CTPA studies, 11 (15%) patients had evidence of PE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In our centre, thoracic CT in COVID\u201019 patients were predominantly for the evaluation of PE with other indications being for COVID\u201019 complications and other cardiopulmonary pathologies. 23% of studies subsequently altered patient management, suggesting there is good clinical need for CT chests for these indications.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jmrs.642","type":"journal-article","created":{"date-parts":[[2023,1,3]],"date-time":"2023-01-03T06:58:00Z","timestamp":1672729080000},"page":"40-45","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Chest <scp>CT<\/scp> in <scp>COVID<\/scp>\u201019 patients: A clinical need"],"prefix":"10.1002","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8382-6152","authenticated-orcid":false,"given":"Brooke","family":"Cao","sequence":"first","affiliation":[{"name":"Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Iredell","sequence":"additional","affiliation":[{"name":"Infectious Diseases &amp; Microbiology Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Middleton","sequence":"additional","affiliation":[{"name":"Respiratory &amp; Sleep Medicine Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noel","family":"Young","sequence":"additional","affiliation":[{"name":"Radiology Department Westmead Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Medicine, Sydney Medical School The University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,1,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2020201365"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-020-06865-y"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diii.2020.06.001"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.20202040130"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2020203453"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2020.07.011"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2020200642"},{"key":"e_1_2_8_9_1","unstructured":"ACR Recommendations for the use of Chest Radiography and Computed Tomography (CT) for Suspected COVID\u201019 Infection. Available from:https:\/\/www.acr.org\/Advocacy\u2010and\u2010Economics\/ACR\u2010Position\u2010Statements\/Recommendations\u2010for\u2010Chest\u2010Radiography\u2010and\u2010CT\u2010for\u2010Suspected\u2010COVID19\u2010Infection2020."},{"key":"e_1_2_8_10_1","unstructured":"STR\/ASER COVID\u201019 Position Statement. Available from:https:\/\/thoracicrad.org\/2020."},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijmr.IJMR_3669_20"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2020.07.030"},{"key":"e_1_2_8_13_1","unstructured":"BartolucciM BenelliM BettiM et\u00a0al.The incremental value of computed tomography of COVID\u201019 pneumonia in predicting ICU admission.medRxiv.2021."},{"key":"#cr-split#-e_1_2_8_14_1.1","unstructured":"World Health Organization.Enhancing response to Omicron (COVID\u201019 variant B.1.1.529): Technical brief and priority actions for Member States [Internet] 2021 [updated 7\/01\/2022"},{"key":"#cr-split#-e_1_2_8_14_1.2","unstructured":"cited 2022 16th January]. Available from:https:\/\/www.who.int\/docs\/default\u2010source\/coronaviruse\/2021\u201001\u201007\u2010global\u2010technical\u2010brief\u2010and\u2010priority\u2010action\u2010on\u2010omicron\u2010\u2010\u2010corr2.pdf?sfvrsn=918b09d_5&download=true."},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/suab100"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jth.14975"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11239-020-02134-3"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinimag.2021.05.016"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.01365-2020"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.120.047430"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2020201544"}],"container-title":["Journal of Medical Radiation Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jmrs.642","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jmrs.642","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jmrs.642","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,18]],"date-time":"2023-08-18T00:52:05Z","timestamp":1692319925000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jmrs.642"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,2]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1002\/jmrs.642"],"URL":"https:\/\/doi.org\/10.1002\/jmrs.642","archive":["Portico"],"relation":{},"ISSN":["2051-3895","2051-3909"],"issn-type":[{"value":"2051-3895","type":"print"},{"value":"2051-3909","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,2]]},"assertion":[{"value":"2022-06-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}