Abstract：Objective: To design a standardized imaging diagnostic reporting mode for screening
coronavirus disease 2019 (COVID-19), and to prospectively verify its effectiveness in
clinical practice.
Method: A new classification and standardized imaging diagnosis report mode of viral
pneumonia was established by studying and summarizing the imaging findings of various
kinds of viral pneumonia, combining with lesion density, interstitial changes, pleural
effusion, lymph nodes, and some special signs. After systematic training, the radiologist experienced clinical practice for screening CT features. COVID-19 cases were screened
retrospectively in the single-center. The confirmed cases were verified, and the diagnostic
efficacy of the standardized imaging reporting system in screening COVID-19 was tested.
Results: There were 912 patients in this stage receiving the screening imaging
examination. Of them, 190 patients were screened in the report mode and 30 patients were
diagnosed as COVID-19. The CT manifestation of COVID-19 was characterized by pure
ground glass lesions or with a few solid components, predominant subpleural distribution,
no lymph node enlargement and pleural effusion, and often with paving-way sign and air
bronchus sign. In combination with the above signs, the diagnostic efficacy of COVID-19
was 0.942.
Conclusion: The standardized imaging diagnosis report mode based on COVID-19 chest
image features is effective and practical, which should be popularized.
王天明，熊曾，周晖，罗维军，唐海雄，刘进康. COVID-19规范化影像学诊断报告的设计、验证与临床实践[J]. 中南大学学报(医学版), 2020, 45(3): 229-235.
WANG Tianming, XIONG Zeng, ZHOU Hui, LUOWeijun, TANG Haixiong, LIU Jinkang. Design, validation, and clinical practice of standardized imaging diagnostic report for COVID-19. Journal of Central South University(Medical Scienc, 2020, 45(3): 229-235.
