COVID-19 MRI

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D. Sabawoon Mirwais, M.B.B.S, M.D.[2] Syed Hassan A. Kazmi BSc, MD [3] Aisha Adigun, B.Sc., M.D.[4]

Overview

MRI may be helpful in the diagnosis of COVID-19 complications. Findings on cardiac MRI suggestive of COVID-19 include myocardial edema, scarring, fibrosis, impaired RV function, impaired LV function (reduced ejection fraction), biventricular hypokinesis, late gadolinium enhancement, increased wall thickness, pericardial effusion. Findings on an lung MRI suggestive of pulmonary complications associated with COVID-19 include cloudy sky sign, parenchyma compaction, consolidation, pleural effusion, lung infiltrations with peripheral preference. Findings on an Brain MRI suggestive of neurologic complications associated with COVID-19 include signal abnormalities located in the medial temporal lobe, non-confluent multifocal white matter hyperintense lesions on FLAIR and diffusion sequences, extensive and isolated white matter micro-hemorrhages, intra-cerebral hemorrhagic lesions. Findings on an spine MRI suggestive of neurologic complications associated with COVID-19 include widespread elongated signal changes throughout the gray matter of spinal cord ( Acute transverse myelitis), caudal nerve roots enhanced (Guillain-Barre syndrome).

MRI

Cardiac

Lung

Brain

Spine


References

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  2. Puntmann VO, Carerj ML, Wieters I, et al. Outcomes of Cardiovascular Magnetic Resonance Imaging in Patients Recently Recovered From Coronavirus Disease 2019 (COVID-19). JAMA Cardiol. Published online July 27, 2020. doi:10.1001/jamacardio.2020.3557
  3. Inciardi, Riccardo M.; Lupi, Laura; Zaccone, Gregorio; Italia, Leonardo; Raffo, Michela; Tomasoni, Daniela; Cani, Dario S.; Cerini, Manuel; Farina, Davide; Gavazzi, Emanuele; Maroldi, Roberto; Adamo, Marianna; Ammirati, Enrico; Sinagra, Gianfranco; Lombardi, Carlo M.; Metra, Marco (2020). "Cardiac Involvement in a Patient With Coronavirus Disease 2019 (COVID-19)". JAMA Cardiology. doi:10.1001/jamacardio.2020.1096. ISSN 2380-6583.
  4. Han, Seongwook; Kim, Hyun Ah; Kim, Jin Young; Kim, In-Cheol (2020). "COVID-19-related myocarditis in a 21-year-old female patient". European Heart Journal. 41 (19): 1859–1859. doi:10.1093/eurheartj/ehaa288. ISSN 0195-668X.
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