Table 2.
Overview of studies involving in vivo imaging in animal models monitored for over 14 days post-infection, exposed to SARS-CoV-2 (or related viruses)
| Animal | Longest follow-up time | Imaging modality | Imaged body part and PASC-related research application | Imaging results |
|---|---|---|---|---|
|
136 Mouse C57BL/B6 |
6 m | Ultrasound |
Cardiac Organ and BCM |
Significant decrease in cardiac ejection fraction and fractional shortening, significant increase in the left ventricular end-systolic diameter and volume. |
| 30 Mouse | 5.5 m | μCT |
Thorax Organ and BCM |
Differences were observed in tidal volume between male and female. |
|
127 NHP (CM) |
14 d or 3 m + 7 d |
PET-CT [89Zr]COVA1-27 and [89Zr]IgG1kappa |
Whole body Immune system |
Viral dissemination could be followed via the tracers. Tracer uptake was higher in lesional lung regions of both tracers. Accumulation was detected in the lungs, trachea, kidneys and brain. |
| 134Mouse | 2.5 m |
MRI 9.4 T T2-RARE, MSME-T2, MGE, DTI-tensor |
Head CNS |
After infection cerebral microbleeds and small vessel damage was detected most prominent in the cortex, hypothalamus and thalamus with persistent sequelae. |
| 124NHP (CM) | 52 d |
PET-CT [18F]DPA714 and [64Cu]SIRP-Nb |
Whole body Organ and BCM |
An increased uptake of SIRPα was detected in the LNs but not in the lung lesions. In contrast, [18F]DPA714 showed an increased uptake in both the lung lesions and the unaffected lung lesions but less in the LNs. |
|
47 NHP (RM) |
44 d |
PET-CT [18F]DPA714 |
Head CNS |
Increased tracer uptake was detected in the brain with a maximum uptake at 30 dpi. Suggesting neuroinflammation and vascular dysregulation. |
|
48 NHP (RM) |
44 d |
PET-CT [18F]DPA714 Retrospective gated |
Thorax Immune system |
Increased uptake in the lesions was detected, but also in the anatomical unaffected regions until 30 dpi, which correlated with dendritic cells. |
|
128 NHP (RM) |
44 d |
PET-CT [18F]FDG |
Total body – Intenstine Organ and BCM |
Increased tracer uptake in the ileum correlated with extended fecal shedding of the virus and histology. |
|
111 NHP (RM) |
42 d | X-ray |
Thorax Organ and BCM |
Instititial infiltration, exudative lesions, and obscured diaphragmatic surfaces were determined, less prominent after reinfection. |
|
88 NHP (RM, CM) |
42 d |
CT and PET-CT [18F]FDG |
Head and thorax Immune system |
Increased uptake was observed in the pituitary gland related to the infiltration of T-cells and activated microglia. |
|
112 NHP (RM, CM) |
35 d |
CT and PET-CT Retrospective gated [18F]FDG |
Thorax Organ and BCM Immune system |
CT showed lesions with a variable time course and lung involvement. All PET-CTs showed increased uptake in at least one LN with a peak on 8 and 29 dpi. No differences were observed between RM and CM. |
|
56 NHP (RM) |
28–35 d |
PET-CT [18F]FDG |
Whole body Immune system |
IL-10 and IFN-γ regulate pulmonary inflammation during infection. Extra-pulmonary, no significant differences were determined. |
|
122 NHP (CM) |
30 d |
CT Breath-hold |
Thorax Organ and BCM |
Radiomic features were extracted to allow quantification of the disease. |
|
129 NHP (CM) |
30 d |
CT and PET-CT [18F]FDG |
Thorax CT and whole body PET-CT Organ and BCM Immune system |
Heterogeneity was detected in the duration and evolution of lung abnormalities. By 19 dpi, most lesions were resolved. Increased tracer uptake was determined in the LNs, spleen, and structural changes in the lungs. |
|
123 NHP (CM) |
30 d | CT |
Thorax Organ and BCM |
Lesions could be segmented via deep learning to allow longitudinal quantification of lung disease. |
| 114 Mink | 28 d | X-ray |
Thorax Organ and BCM |
Bilateral GGOs were described, not in the gravitationally dependent regions. The hearts were radiographically and grossly normal. |
|
115 NHP (RM, AGM) |
28 d | X-ray |
Thorax Organ and BCM |
In 2 AGMs a stark contrast was seen between two X-rays on consective days. |
|
119 NHP (RM, CM, CoM) |
21 d | X-ray |
Thorax Organ and BCM |
Nodules, massses, and interstitial patterns were detected in the lungs of RM and CM. Most severe in RM and most prominent in aged RM. |
|
118 NHP (RM) |
21 d | X-ray |
Thorax Organ and BCM |
Pulmonary infiltration was seen in all animals starting from the lower lung lobes at 1 dpi. |
|
40 NHP (RM) |
21 d | X-ray |
Thorax Organ and BCM |
Older animals displayed slightly elevated clinical scores with increased pulmonary infiltrates, which were resolved at 10 dpi. |
| 57 NHP (pigtail) | 21 d | X-ray |
Thorax Organ and BCM |
Subtle changes consistent with interstitial pneumonia reflective of mild to moderate COVID-19 were reported. |
|
117 NHP (RM, CM, AGM) |
21 d | X-ray |
Thorax Organ and BCM |
Increased lung opacity with or without the presence of infiltrates was detected more commonly for AGM and CM. |
|
116 NHP (RM, CM) |
21 d | X-ray |
Thorax Organ and BCM |
Mild-to-moderate lung abnormalities were detected, predominantly in the caudal lung lobes. Vaccinated animals didn’t show GGOs but modest bilateral increases in reticulation, which were resolved by 21 dpi. |
|
120 NHP (RM) |
20 d | X-ray |
Thorax Organ and BCM |
Only subtle and limited changes were observed, but were overall lower in the vaccinated groups. |
|
113 NHP (AGM) |
18 d |
X-ray and PET-CT [18F]FDG |
Thorax Organ and BCM |
Modest disease was examined at all timepoints with PET-CT. Only in one animal abnormalities on the X-ray could be determined. |
|
53 NHP (RM, CM) |
18 d | CT |
Thorax Organ and BCM |
GGOs were observed in all at 18 dpi, divided over all lung lobes. |
|
135 NHP (CM) |
15 d | MEG |
Head CNS |
Vaccination has a neuroprotective effect, as observed with the global resting-state brain function. |
|
121 NHP (RM) |
15 d | X-ray |
Thorax Organ and BCM |
Lesions were mainly in the lungs where interstitial pneumonia was remarkale. Pneumonia was more severe in aged NHPs. |
The bold and italic written cells indicate articles which are also listed in Table 1.
Details summarized include animal model specifics, longest follow-up time, imaging modality, and imaged body part, PASC-related research application, and key findings.