Article ; Online: A Systematic Review of Imaging Studies in Olfactory Dysfunction Secondary to COVID-19.
2021 Volume 28, Issue 11, Page(s) 1530–1540
Abstract: Rationale and objectives: Hyposmia/anosmia is common among patients with coronavirus disease-2019 (COVID-19). Various imaging modalities have been used to assess olfactory dysfunction in COVID-19. In this systematic review, we sought to categorize and ... ...
Abstract | Rationale and objectives: Hyposmia/anosmia is common among patients with coronavirus disease-2019 (COVID-19). Various imaging modalities have been used to assess olfactory dysfunction in COVID-19. In this systematic review, we sought to categorize and summarize the imaging data in COVID-19-induced anosmia. Material and methods: Eligible articles were included after a comprehensive review using online databases including Google scholar, Scopus, PubMed, Web of science and Elsevier. Duplicate results, conference abstracts, reviews, and studies in languages other than English were excluded. Results: In total, 305 patients undergoing MRI/functional MRI (177), CT of paranasal sinuses (129), and PET/CT or PET/MRI scans (14) were included. Out of a total of 218 findings reported on MRI, 80 were reported on early (≤ 1 month) and 85 on late (>1 month) imaging in relation to the onset of anosmia. Overall, OB morphology and T2-weighted or FLAIR signal intensity were normal in 68/218 (31.2%), while partial or complete opacification of OC was observed in 60/218 (27.5%). T2 hyperintensity in OB was detected in 11/80 (13.75%) and 18/85 (21.17%) on early and late imaging, respectively. Moreover, OB atrophy was reported in 1/80 (1.25%) on early and in 9/85 (10.58%) on late imaging. Last, among a total of 129 CT scans included, paranasal sinuses were evalualted in 88 (68.21%), which were reported as normal in most cases (77/88, [87.5%]). Conclusion: In this systematic review, normal morphology and T2/FLAIR signal intensity in OB and OC obstruction were the most common findings in COVID-19-induced anosmia, while paranasal sinuses were normal in most cases. OC obstruction is the likely mechanism for olfactory dysfunction in COVID-19. Abnormalities in OB signal intensity and OB atrophy suggest that central mechanisms may also play a role in late stage in COVID-19-induced anosmia. |
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MeSH term(s) | COVID-19 ; Humans ; Magnetic Resonance Imaging ; Olfaction Disorders/diagnostic imaging ; Positron Emission Tomography Computed Tomography ; SARS-CoV-2 |
Language | English |
Publishing date | 2021-08-30 |
Publishing country | United States |
Document type | Journal Article ; Systematic Review |
ZDB-ID | 1355509-1 |
ISSN | 1878-4046 ; 1076-6332 |
ISSN (online) | 1878-4046 |
ISSN | 1076-6332 |
DOI | 10.1016/j.acra.2021.08.010 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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