Vulasala SSR, Gopireddy DR, Bhosale P, Virarkar MK. Comments on "Review of the role of diagnostic modalities and imaging findings in the COVID-19 pandemic". World J Radiol 2022; 14(2): 50-54 [PMID: 35317243 DOI: 10.4329/wjr.v14.i2.50]
Corresponding Author of This Article
Sai Swarupa R Vulasala, MBBS, Research Assistant, Radiology, University of Florida College of Medicine, No. 655 West 8th Street, C90 2nd Floor, Clinical Center, Jacksonville, FL 32209, United States. vulasalaswarupa@gmail.com
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Radiol. Feb 28, 2022; 14(2): 50-54 Published online Feb 28, 2022. doi: 10.4329/wjr.v14.i2.50
Table 1 Radiological assessment of lung edema classification[13]
Consolidation
Score
Extent of alveolar opacities in each lung quadrant.
0
0%
1
0-25%
2
25-50%
3
50-75%
4
> 75%
If consolidation is ≥ 1, then score density
1
Hazy
2
Moderate
3
Dense
Final RALE scoring
Right lung
Left lung
Upper quadrant, Cons × Density= Q1
Upper quadrant, Cons × Density= Q3
Lower quadrant, Cons × Density= Q2
Lower quadrant, Cons × Density= Q4
Total RALE: Q1+Q2+Q3+Q4
Table 2 Brixia score
Score
Findings on CXR in three divided zones of each lung
0
No abnormal findings
1
Interstitial infiltrates
2
Interstitial > Alveolar infiltrates
3
Alveolar > Interstitial infiltrates
Table 3 Coronavirus disease 2019 reporting and data system classification.
Category
Level of COVID-19 suspicion
Findings
0
Non-interpretable
Technically insufficient scan to assign a score
1
Very low
Normal lung
2
Low
Typical of infection other than COVID-19
3
Equivalent/unsure
Non-specific findings to COVID-19 and other infections
4
High
Suspicious of COVID-19
5
Very high
Typical COVID-19 findings
6
Proven
Positive RT-PCR for COVID-19
Table 4 Multilobular infiltration, hypo-lymphocytosis, bacterial coinfection, smoking history, hypertension, and age scoring system
Parameter
Yes
No
Multi-lobar involvement
+ 5
0
Lymphopenia (≤ 0.8 ×109/L)
+ 4
0
Bacterial co-infection in blood or sputum
+ 4
0
Smoking history
Active smoker: + 3; Prior Smoker: + 2
0
Hypertension
+ 2
0
Age ≥ 60 yr
+ 2
0
Citation: Vulasala SSR, Gopireddy DR, Bhosale P, Virarkar MK. Comments on "Review of the role of diagnostic modalities and imaging findings in the COVID-19 pandemic". World J Radiol 2022; 14(2): 50-54