ldtЛучевая диагностика и терапияDiagnostic radiology and radiotherapy2079-5343Baltic Medical Education Center10.22328/2079-5343-2021-12-3-7-15ldt-631Research ArticleРЕДАКЦИОННАЯ СТАТЬЯEDITORIALСовременные возможности и перспективы использования компьютерной томографии в диагностике новой коронавирусной инфекции (COVID-19)Modern possibilities and prospects of using computed tomography in the diagnosis of a new coronavirus infection (COVID-19)https://orcid.org/0000-0003-3279-6448РатниковаА. К.RatnikovaA. K.

 врач-кардиолог высшей категории, заведующая отделением 2 кафедры (терапии усовершенствования врачей); врач-кардиолог приемного отделения 

194044, Санкт-Петербург, ул. Академика Лебедева, д. 6

194291, Санкт-Петербург, пр. Культуры, д. 4

SPIN-код: 4086–7164

 St. Petersburg 

smile_elephant@mail.ruhttps://orcid.org/0000-0002-1095-8787ГриневичВ. Б.GrinevichV. B.

 доктор медицинских наук, профессор, заведующий 2 кафедрой (терапии усовершенствования врачей)

194044, Санкт-Петербург, ул. Академика Лебедева, д. 6

SPIN-код: 1178–0242; Author ID 584771

 St. Petersburg 

grinevich_vb@mail.ruhttps://orcid.org/0000-0002-4398-7525КозловК. В.KozlovK. V.

 доктор медицинских наук, доцент, профессор кафедры инфекционных болезней (с курсом медицинской паразитологии и тропических заболеваний

194044, Санкт-Петербург, ул. Академика Лебедева, д. 6

SPIN-код: 7927–9076; Author ID 695979; ORCID 

 St. Petersburg 

kosstiak@mail.ruhttps://orcid.org/0000-0001-8347-0531КравчукЮ. А.KravchukYu. A.

 доктор медицинских наук, доцент, профессор 2-й кафедры (терапии усовершенствования врачей)

194044, Санкт-Петербург, ул. Академика Лебедева, д. 6

SPIN-код: 6767–5189; Author ID 355377

 St. Petersburg 

kravchuk2003@mail.ruhttps://orcid.org/0000-0002-9645-8408РатниковВ. А.RatnikovV. A.

 доктор медицинских наук, профессор, заместитель генерального директора-медицинский директор; врач-рентгенолог; профессор научно-клинического и образовательного центра «Лучевая диагностика и ядерная медицина» Института высоких медицинских технологий

194291, Санкт-Петербург, пр. Культуры, д. 4

199034, Санкт-Петербург, Университетская наб., д. 7–9

SPIN-код: 4110–0454; Author ID 419179

St. Petersburg

dr.ratnikov@mail.ruВоенно-медицинская академия имени С. М. Кирова; Северо-Западный окружной научно-клинический центр имени Л. Г. Соколова Федерального медико-биологического агентства РоссииРоссияKirov Military Medical Academy; North-Western District Scientific and Clinical Center named after L. G. Sokolov Federal Medical and Biological AgencyRussian FederationВоенно-медицинская академия имени С. М. КироваРоссияKirov Military Medical AcademyRussian FederationСеверо-Западный окружной научно-клинический центр имени Л. Г. Соколова Федерального медико-биологического агентства России; Санкт-Петербургский государственный университетРоссияNorth-Western District Scientific and Clinical Center named after L. G. Sokolov Federal Medical and Biological Agency; St. Petersburg State UniversityRussian Federation202107122021123715Copyright © Ратникова А.К., Гриневич В.Б., Козлов К.В., Кравчук Ю.А., Ратников В.А., 20212021Ратникова А.К., Гриневич В.Б., Козлов К.В., Кравчук Ю.А., Ратников В.А.Ratnikova A.K., Grinevich V.B., Kozlov K.V., Kravchuk Y.A., Ratnikov V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://radiag.bmoc-spb.ru/jour/article/view/631

Новая коронавирусная инфекция (COVID-19) послужила причиной пандемии, не только обусловившей пересмотр подходов к диагностике и лечению инфекционных заболеваний, но и потребовавшей переоценки роли методов лучевой диагностики в выявлении COVID-19 и его осложнений, оценке эффективности проводимого лечения и верификации проявлений постковидного синдрома. Безусловно, особое внимание при первичной диагностике заболевания обращается на состояние легких, при этом все больше данных свидетельствует о вовлечении в процесс органов желудочно-кишечного тракта, других органов-мишеней. Очевидно, что именно компьютерная томография (КТ) составляет основу лучевой диагностики COVID-19. Однако необходимость контроля лучевой нагрузки на организм пациентов, относительная фокусировка при оценке результатов КТ грудной клетки только на изменениях в легких, недостаточное использование количественных критериев изучения состояния легких и органов брюшной полости служат основанием для оптимизации алгоритмов диагностики заболевания, методики выполнения КТ и оценки полученных результатов.

 The new coronavirus infection (COVID-19) was the cause of the pandemic, which led to a revision of not only approaches to the diagnosis and treatment of infectious diseases, but also required a reassessment of the role of imaging methods in detecting COVID-19 and its complications, evaluating the effectiveness of treatment and verifying the manifestations of post-covid  syndrome. Of course, special attention is paid to the condition of the lungs in the initial diagnosis of the disease, while more and more data indicates the involvement of the organs of the gastrointestinal tract and other target organs in the process. It is obvious that computer tomography (CT) is the basis of diagnostics of COVID-19. However, the need to control the radiation dose on patients, the relative focus when evaluating the results of chest CT only on changes in the lungs, the insufficient use of quantitative criteria for  studying the condition of the lungs and abdominal organs serve as the basis  for optimizing the algorithms for diagnosing the disease, the methods of performing CT and evaluating the results obtained. 

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The authors declare that there are no conflicts of interest present.