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International Panel Unveils CT Protocols for Post-COVID Lung Abnormalities

The Radiology journal released a consensus that unifies chest CT criteria for lingering post-COVID lung changes by recommending specific scan timing, low-dose protocols, reporting terminology

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Overview

  • Today’s Radiology publication introduces a multisociety consensus on best practices for CT imaging of post-COVID-19 residual lung abnormalities
  • The guidelines advise chest CT for patients with persistent or worsening respiratory symptoms three months after infection and set criteria for follow-up timing
  • Recommendations stress low-dose CT protocols aligned with ALARA principles to minimize radiation during serial evaluations
  • The statement endorses the term “post-COVID-19 residual lung abnormalities” to distinguish non-progressive, stabilizing findings from interstitial lung disease or fibrosis
  • Developed through a two-stage Delphi process with 21 chest radiologists and reviewed by pulmonologists, the recommendations aim to harmonize practice across 14 countries