Abstract

PurposeTo reconstruct a 3D visualization from CT images of COVID-19 patients in order to improve understanding of the disease for better management and follow-up. Materials and methodsWe have retrieved CT images of 185 COVID-19 patients from the Cheikh Zaid International University Hospital in Rabat, Morocco. We then performed computer processing that allowed us to obtain a 3D visualization of these patients. ResultsIn this article, we have chosen to do 3D reconstruction of three specific cases among 185 patients:- Cases (A1, A2) which are negative RT-PCR patient with normal CT images.- Cases (B1, B2) which are positive RT-PCR patient with abnormal CT images.- Case (C) which is a negative RT-PCR patient with CT abnormalities.To improve our results and have a better quality of the 3D reconstruction, we used different algorithms and a specific row data processing. Conclusion3D reconstruction has a significant role in the diagnosis and management of COVID-19 patients. The quality and reliability of 3D reconstructions allow the clinician to make a quick and efficient diagnosis and avoid an eventual false negative (produced by the RT-PCR test). We suggest including chest 3D reconstruction in the patient management and prognosis evaluation.

Highlights

  • During the month of December 2019, in Wuhan County, capital of the Hubei Province in China, several cases of pneumonia linked to a newly identified coronavirus appeared [1]

  • After real-time polymerase chain reaction (RT-PCR) test was performed, 38 patients came back positive, and 52 PCR negative patients were declared positive based on their Computed Tomography (CT)

  • 38 patients (20.5%) were declared positive based on the results of the RT-PCR test while 52 RT-PCR negative patients (28.1%) were declared positive based on their CT scan. 95 patients (51.3%) were tested negative and had normal chest 3D reconstruction

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Summary

Introduction

During the month of December 2019, in Wuhan County, capital of the Hubei Province in China, several cases of pneumonia linked to a newly identified coronavirus appeared [1]. In early March 2020, the WHO decided to classify COVID-19 a pandemic due to the rapid increase in the number of cases outside China and the growing number of affected countries [4]. As of today (22 May 2020), there are nearly 5,220,000 confirmed cases, spread over 185 countries, with nearly 335,000 deaths, i.e. a mortality rate close to 6.4% [5]. In this context, and considering the absence of specific efficient drugs or vaccines against COVID-19, it becomes imperative to detect the disease at an early stage and immediately isolate the infected person from the healthy population

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