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Pediatric lung imaging features of COVID‐19: A systematic review and meta‐analysis

Pediatric Pulmonology Sep 18, 2020

Nino G, Zember J, Sanchez‐Jacob R, et al. - Via performing this systematic review and meta‐analysis, researchers sought to present the first comprehensive summary of the findings of published studies thus far delineating COVID‐19 lung imaging data in the pediatric population. Searching PubMed, they identified a total of 29 articles (n = 1,026 children) based on chest CT images. This comprehensive analysis yielded following results: (1) normal chest CT scans in over a third of pediatric patients with COVID‐19 and presence of bilateral lesions in only 27.7%; (2) ground‐glass opacities (GGO) and the presence of consolidations or pneumonic infiltrates were the most typical pediatric chest CT findings of COVID‐19; (3) relative to adult patients, children with COVID‐19 had less frequent and less severe lung imaging findings; and (4) in children with COVID‐19, there was no reporting of typical lung imaging features of viral respiratory infections in the pediatric population such as increased perihilar markings and hyperinflation. Findings suggest possible utility of chest CT manifestations in children with COVID‐19 for early identification and prompt intervention in the pediatric population.

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