Follow‐up the severity of abnormalities diagnosed in chest CT imaging of COVID‐19 patients: A cross‐sectional study

Abstract

Abstract Background and Aims This study aimed to evaluate the severity of diagnosed lung abnormalities of coronavirus disease 2019 (COVID‐19) patients based on the pre‐and postrecovery follow‐up chest computed tomography (CT) scan findings done at regular intervals. Methods This cross‐sectional study was performed in three phases. The severity of lung abnormalities was recorded and compared based on the initial and follow‐up chest CT findings carried out pre‐and at regular intervals (3 and 6 months) of postrecovery of COVID‐19 patients. Statistical data analysis was conducted using SPSS‐Version 26. Pearson Chi‐square test was used to analyze the results. p‐value < 0.05 was considered statistically significant. Results Regarding the initial chest CT findings, although ground‐glass opacity (GGO) was observed as the most common lung lesion, almost all the evaluated COVID‐19 patients had multiple lung lesions and involvements, especially with more involvement of the lower lobes. concerning the frequency of lung lesions and involvements in all phases of the study, almost no statistically significant differences were observed between male and female COVID‐19 patients and different age groups. However, older age groups had relatively more lung abnormalities due to Covid‐19 based on initial CT images which take more time to be eliminated. Lung abnormalities of Covid‐19 patients decreased significantly during the follow ups based on chest CT findings at different study phases. Conclusion According to evaluated pre‐ and post‐recovery chest CT scans, the frequency of lung lesions and lung involvement distribution decreased significantly in COVID‐19 patients, 3 and 6 months after recovery, and most of the recovered patients had no lung lesions or involvement anymore.

Keywords

• COVID‐19
• CT manifestations
• follow‐up study
• lung involvement
• lung lesion