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A New Proposed Combined CT and MRI Staging System for Covid-19-Associated Rhino-Orbito-Cerebral Fungal Infection: A Multi-center Study with Pathological Correlation
Faculty
Medicine
Year:
2023
Type of Publication:
ZU Hosted
Pages:
Authors:
Rabab Mohammed Abdelhay Abdulkadir
Staff Zu Site
Abstract In Staff Site
Journal:
Academic Radiology Elsevier
Volume:
Keywords :
, , Proposed Combined , , , Staging System , Covid-19-Associated Rhino-Orbito-Cerebral
Abstract:
Rationale and Objectives To propose a combined computed tomography (CT) and magnetic resonance imaging (MRI) based classification system in the management of COVID-19-associated rhino-orbito-cerebral (C-ROC) fungal infection and to assess the reliability of such proposed staging system. Materials and Methods This was a multi-center prospective study conducted on 122 adults with previously confirmed COVID-19 infection. CT and contrast-enhanced MRI (CE-MRI) were performed for all patients. Three radiologists (with experience of 8, 10, and 14 years) independently assessed all images. Then, each patient was assigned a radiological stage based on the five stages of the proposed system according to the radiological extent of the fungal infection. The intra-class correlation coefficient (ICC) test assessed the inter-rater agreement. Based on the pathological evaluation of post-operative specimens, a diagnosis of fungal infection was documented. Results The most prevalent severity stage among all raters was stage IV in 29.5–31.1% patients. The overall inter-rater agreement of the proposed staging system was excellent (ICC 0.971, 95% CI;0.960–0.979). Moreover, the most common detected pathogen was Mucormycosis (n = 87, 71.3%). Furthermore, there was a statistically significant association between the patients’ outcome and the severity stage (P value 0.001) and there was no statistically significant association between ethmoid and sphenoid sinus affection and cranial extension (P value 0.081). Conclusion Our proposed combined CT and MRI severity staging system has a high inter-rater agreement. Moreover, it can aid in the early detection of the C-ROC fungal infection, improve preoperative planning, and subsequently improve the patient’s outcome.
Author Related Publications
Rabab Mohammed Abdelhay Abdulkadir, "Evaluation Of Calcified Coronary Lesions By Multi-Slice Computed Tomography In Patients Undergoing Percutaneous Coronary Intervention,", مجلة القصر العينى, 2017
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Rabab Mohammed Abdelhay Abdulkadir, "Can Partial Splenic Embolization be A Promising Treatment For Hypersplenism–Related Thrombocytopenia in Oncological Patients Requiring Systemic Chemotherapy: A Retrospective Analysis هل يمكن أن يكون الإنصمام الجزئي للطحال علاجًا واعدًا لعلاج فرط تعداد الدم المرتبط بتضخم الطحال في مرضى الأورام الذين يتطلبون علاجًا كيميائيًا ممنهجا: تحليل رجعي", Zagazig University Medical Journal, 2021
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Rabab Mohammed Abdelhay Abdulkadir, "Diagnostic performance and inter-observer variability of CO-RADS in the triage of Patients with suspected COVID-19 infection:initial experience in Zagazig University Hospital الأداء التشخيصي والتباين بين المراقبين لـنظام التقارير والبيانات الخاص بالكوفيد في فرز المرضى المشتبه في إصابتهم بعدوى كوفيد 19: خبرة أولية في مستشفى جامعة الزقازيق", Polish Journal of Radiology, 2022
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Rabab Mohammed Abdelhay Abdulkadir, "Performance of pathognomonic Magnetic Resonance Imaging findings for Diagnosis of Triple Negative Breast Cancers. أداء نتائج التصوير بالرنين المغناطيسي لتشخيص سرطانات الثدي الثلاثي السلبي", The Egyptian Journal of Hospital Medicine, 2022
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Rabab Mohammed Abdelhay Abdulkadir, "Role of [18F] FDG PET-CT in detection of COVID-19 vaccine-associated hypermetabolic lymphadenopathy (VAHL) in lymphoma patients: with serologic testing correlation دور التصوير المقطعي بالإصدار البوزيتروني بإستخدام فلوروديوكسي جلوكوز[F18] - في الكشف عن تضخم العقد اللمفاويه نتيجة فرط التمثيل الغذائي المرتبط بلقاح كوفيد 19في مرضي سرطان الغدد الليمفاوية :و الربط بإختبار مصل", Egyptian Journal of Radiology and Nuclear Medicine, 2023
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