本书精选60多例新型冠状病毒肺炎病例及一千多幅图片，内容以CT影像图片为主、文字描述为辅，结合临床治疗介绍，通过对动态的新型冠状病毒肺炎患者的胸部影像资料的叙述，以每一病例病变发生发展的过程，说明新型冠状病毒肺炎的影像特点；结合每一病例的临床资料，阐述新型冠状病毒肺炎的发病、演变、治疗及转归。本书在新型冠状病毒肺炎的诊断及治疗方面具有较大的参考价值，适合临床医学及影像医学工作者阅读。 This Atlas of Chest Imaging in COVID-19 patients clearly illustrates the CT imaging features of COVID-19 pneumonia at different stages and the prognosis in different COVID-19 patients， which will enrich the radiologists experience in early diagnosis of COVID-19 pneumonia and also help clinicians making timely diagnosis and treatment. It belongs to each radiologist and clinical expert caring about COVID-19.
Contents
1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Jing Qu， Lin Lin， Shuyi Xie， Feng Li， Jinxin Liu， Wanhua Guan， Zhiping Zhang， Qingxin Gan， Chengcheng Yu， Rui Jiang， Zhoukun Ling， Yanhong Yang， and Xiaoping Tang
2 Common CT Features of COVID-19 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Chengcheng Yu， Wanhua Guan， Shuijiang Cai， and Fei Shan
3 CT Features of Early COVID-19 Pneumonia (PCR-Positive) . . . . . . . . . . . . . . . . 17 Zhiping Zhang， Yan Ding， and Bihua Chen
4 CT Features of Intermediate Stage of COVID-19 Pneumonia . . . . . . . . . . . . . . . . 45 Lin Lin， Xi Xu， and Weiping Cai
5 CT Features of Late Stage of COVID-19 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . 71 Yanhong Yang， Peixu Wang， and Fengjuan Chen
6 Chest Features of Severe and Critical Patients with COVID-19 Pneumonia . . . . 91 Jing Qu， Xilong Deng， and Yanqing Ding
7 Role of CT and CT Features of Suspected COVID-19 Patients (PCR Negative) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115 Qingxin Gan， Tianli Hu， and Songfeng Jiang
8 Follow-Up CT of Patients with First Negative CT But Positive PCR for COVID-19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137 Zhoukun Ling， Deyang Huang， and Chunliang Lei
9 Imaging Analysis of Family Clustering COVID-19 . . . . . . . . . . . . . . . . . . . . . . . . .163 Rui Jiang， Xiaoneng Mo， and Yueping Li
10 Residual CT Features in Recovery Stage of COVID-19 Pneumonia . . . . . . . . . . .179 Yanhong Yang， Lieguang Zhang， Haiyan Shi， and Sufang Tian
11 CT Features and Pathological Analysis of COVID-19 Death . . . . . . . . . . . . . . . . .187 Jing Qu， Li Liang， Meiyan Liao， and Ying Liu
內容試閱：
Preface
Life is like a dream. A scene like the SARS outbreak in 2003 which reoccurs countless times in my dream now occurred 17 years later in reality at almost the same season in early 2020. For us who once witnessed the SARS outbreak， and experienced and survived the hard and war-like times in 2003， our first reaction after we realized that an infectious “unknown pneumonia” extremely similar to SARS， named as COVID-19 now， emerged was that of anxiety and con-cern. We clearly know that the disease would cause severe social consequences once out of control. What we could do was to reallocate and train personnel， to prepare enough medicines and medical supplies， and to empty the occupied beds and backup isolation wards. We aimed to maximally protect the whole Guangzhou population from suffering the COVID-19 disease by admitting and treating the patients and by curing their diseases. With no delay， the Guangzhou Eighth People’s Hospital arranged an emergency meeting which was called “pre-paratory meeting for admission and treatment of pneumonia of unknown cause” on January 6， 2020. Right after the meeting， the whole hospital immediately entered a state of preparation. On January 20， 2020， the hospital issued an emergency notice that required all staff to cancel their coming festival holidays and to stand by on call in Guangzhou. On the same day， the wards started to accept confirmed and suspected COVID-19 patients. The first batch of CT examinations were conducted on January 22. Seven of all eight patients who received CT examinations had typical imaging manifestations. By March 2， a total of 402 confirmed and suspected patients had been admitted， 295 (including 46 cases of severe illness， 15 cases of critical illness， and 1 case of death) were confirmed， and 232 cases were cured and discharged from hospital; no medical personnel were infected.
No one can escape by sheer luck when in front of a pandemic. I had the same feeling and agreed that “COVID-19 is still raging， we don’t know how many people will die or how many families will never see the light of tomorrow from now on” in a news report when I knew that professor Shunfang Wang， the wife of my supervisor， who once worked in Renmin Hospital of Wuhan University， died of COVID-19 on February 26. She died only 5 days from confirmed diagnosis. May there be no novel coronavirus and no pain in heaven.
Just as professor Nanshan Zhong， one academician of the Chinese Engineering Academy， said， our understanding of COVID-19 is “just a preliminary understanding” and there are still many unknowns to be explored and studied. Here， I would like to mention the other two elder seniors who deserve our respect. One is professor Jincheng Chen from Jinan University; the other is professor Xuelin Zhang from Southern Medical University. In order to understand the imaging characteristics of SARS patients， they， regardless of their own safety， made a special trip to the Eighth People’s Hospital of Guangzhou to check right after the SARS outbreak in 2003. They read the chest radiographs of all confirmed patients and gave us a lot of sugges-tions. Their rigorousness in science and truth-seeking spirit are worthy of our learning and inheritance.
This book is compiled on the basis of our consistent principles: data authenticity and com-pleteness. We also provide our comments， insights， and interpretations after we have studied the images and the disease evolution.
We collected the image data of 295 confirmed COVID-19 cases in our Guangzhou Eighth People’s Hospital and included 922 images from 82 selected and typical cases in this atlas.
viii Preface
This book covered the imaging manifestations of the confirmed COVID-19 cases in the onset of the early stage， early stage， progression， and absorption stage. In particular， special chest imaging data from first viral RNA test negative patients， from first CT test negative patients， and from family gathering history confirmed patients are included in the atlas. They can serve as references for our medical peers and aid their diagnosis and research.
We really wish to express our gratitude to Prof. Nanshan Zhong， academician of the Chinese Engineering Academy， who wrote the preface for the atlas for his chief reviewing and detailed suggestions.
Guangzhou， China Jinxin.Liu
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