Table 2.
Ref. | Short-term follow-up, dynamic evolution during hospitalization period: Severity and timing | Main CT features at short-term follow-up | Late follow- up, dynamic evolution after hospital discharge | Main CT features at late follow- up |
Han et al[9], 2020 | Initial deterioration to a peak at the 2nd week followed by improvement in the 3rd and 4th week | GGO decreased from 1st week to 2nd week, then increased in 3 and 4. Consolidation and a mixed pattern noted in 2 wk. Crazy paving pattern had the highest frequency in 2nd week | N/A | N/A |
Wang et al[10], 2020 | Severe/critically ill group: Opacity volume continued to increase beyond 15 d. Moderate group: Peak on days 13-15 (the opacity density began to drop from day 10 to day 12). Asymptomatic/mild group: Highest opacity volume on days 1-3 and almost resolved after 15 d | GGO in the early stages, followed by appearance of consolidations. In the severe/critically ill group: Decreasing trend of GGO, increasing trend of consolidation over time | N/A | N/A |
Liang et al[11], 2020 | Total severity score showed an increasing trend in the first 2 wk, followed by a slight decrease in the 3rd week | GGO was the most common finding over time, consolidation decreased 2 wk after symptom onset. Reticulations and linear opacities and fibrosis became increasing prevalent later in the disease course | N/A | N/A |
Sun et al[23], 2021 | Improvement in the first 3 wk after hospitalization | Decrease in consolidation and GGO overtime and appearance of fibrous-like stripes | N/A | N/A |
Zhou et al[12], 2020 | 3 stages: Early rapid progressive stage (1-7 d from symptom onset); > advanced stage with peak levels of abnormalities on CT at 8-14 d; > improvement after 14 d (particularly, after 21 d the absorption was more obvious) | GGO, GGO + reticular pattern/consolidation in the rapid progressive stage. ↑ GGO + reticular pattern and consolidation in the advanced stage. ↓ GGO + reticular pattern and consolidation and ↑ subpleural line, bronchus distortion, and fibrotic strips in the absorption stage | N/A | N/A |
Wang et al[13], 2020 | 3 stages: Progression process; > absorption process; > stage of discharge | ↑ GGO with consolidation (↑ crazy paving pattern, ↑ vascular thickening sign ↑ air bronchogram sign) in the progression process. Absorption of consolidation displayed as inhomogeneous partial GGOs with fibrosis shadows, occurrence of the fishing net on trees sign, ↑ fibrosis sign, ↑ subpleural line sign in the absorption process. Further absorption of GGOs, consolidation and fibrosis shadows and no appearance of new lesions in the stage of discharge | N/A | N/A |
Wang et al[14], 2020 | Radiological aggravation (< 2 wk) and improvement (> 2 wk) | GGO decreased while mixed GGO and consolidation increased from 1 wk to 2 wk after onset; linear opacity increased from 2 wk to 3 wk after onset | 1-2 mo after symptom onset (median day 38): In 1/3 of cases complete absorption of lesions. Patients with more severe lesions at day 8-14 (> consolidations, CT score > 4, > 3 lobes involved) were more prone to have pulmonary residuals | Mainly linear opacities |
Zhang et al[15], 2020 | 4 stages: Early stage (0-5 d); > peak stage (6-10 d); > absorption stage (11-15 d); > recovery stage (≥ 16 d) | Mainly GGO, (vascular thickening, bronchial wall thickening, and consolidation were also noted) in the early stage. ↑ GGO, vascular and bronchial thickening, and consolidation (mean peak at 8 d) in the peak stage. GGO and consolidation were predominantly present, with ↑ bronchial wall thickening and vascular thickening in the absorption stage. GGO and consolidation were partially absorbed, and bronchial wall thickening and vascular thickening ↓ (residual GGO and subpleural parenchymal bands) in the recovery stage | N/A | N/A |
Feng et al[16], 2020 | 3 stages: Progressive stage (0-5 d); > peak stage (5-15 d). The greatest severity showed approximately 7-8 d from onset; > absorption stage (15-30 d) | GGO and interlobular/intralobular septal thickening were the most frequent CT manifestation | N/A | N/A |
Liu et al[17], 2020 | N/A | N/A | At 3 wk follow up CT scan: Complete absorption of lesions in more than half of the patients | Gradually decrease of GGO and fibrous stripe (GGO during the first and fibrous stripe the 3rd week after discharge). “Tinted” sign and bronchovascular bundle distortion |
Pan et al[18], 2020 | 5 stages: 0-3, 4-7, 8-14, 15-21, and > 21 d from symptoms onset (stages A-E, respectively). The total CT score of lung involvement was significantly higher in Stage C. The lung lesions in most patients improved after 14 d since initial symptom onset | Proportion of GGO was similar in each stage, consolidation gradually ↑ from Stage A to C and gradually ↓ from Stage C to E | N/A | N/A |
Zhuang et al[19], 2021 | Lung involvement peak at approximately 11 d, then lung lesions improved significantly | Mainly GGO in the first scan (0-4 d), crazy-paving pattern and consolidation in scan-2 (4-22 d), lesions were gradually absorbed and tended to be stable and linear opacities were noted in the scan-3 (before discharge, 6-41 d) | 1st CT scan after discharge (22-51 d): Further absorption of lung lesions | Various presentations: negative CT scan, GGO, consolidation, linear opacities |
Urciuoli and Guerriero[24], 2020 | N/A | N/A | Persistence of lung abnormalities in 5/6 cases even if all the patients completely asymptomatic | Various presentations: 1 negative CT scan; in 2 patients, persistence of mixed pattern (GGO and fibrous streaks); in 1 patient fibrotic stripes, in 1 patient mixed pattern (interlobular septal thickening and patchy GGO); in 1 patient fibrotic pattern |
Zhang et al[20], 2020 | 5 stages: Stage 1 (0-3 d), stage 2 (4-7 d), stage 3 (8-14 d), stage 4 (15-21 d), and stage 5 (22-30 d). PTV peaks at 12 d in common pneumonia, at 17 d in severe pneumonia | Common pneumonia: No significant differences in the PTV, PGV and PCV between stages 1-4 (percent of lesions was reduced in stage 5 compared with stage 4). Severe pneumonia PTV, PGV and PCV ↑ from stage 2 to stage 4 and ↓ in stage 5 | N/A | N/A |
Pan et al[21], 2020 | 4 stages: Early stage (0-4 d); progressive stage (5-8 d); peak stage (10-13 d); and absorption stage (≥ 14 d). Peak at 10 d after symptoms onset. CT signs improvement at approximately 14 d | GGO in the early stage, ↑ crazy-paving pattern and consolidation in the progressive stage, consolidation in the peak stage, progressive resolution of consolidation in the absorption stage | N/A | N/A |
Wang et al[22], 2020 | Lung abnormalities increased quickly after the onset of symptoms, peaked around 6-11 d, and were followed by persistence of high levels in extent for a long duration (slow absorption of the lesions) | GGOs trend: “first falling then rising”. Consolidation was the second most common feature seen in the first 11 d. Mixed pattern: The second most predominant pattern since illness days 12-17 | N/A | N/A |
CT: Computer tomography; GGO: Ground glass opacity; N/A: Not applicable; PCV: Percentage of consolidation volume; PGV: Percentage of ground glass opacity volume; PTV: Percentage of total lesion volume.