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Table 1 Statistical analysis for significant relation between morphologic/volumetric HRCT findings and clinical severity

From: COVID-19 clinico-radiological mismatch: a proposal for a novel combined morphologic/volumetric CT severity score with blinded validation

HRCT findings:

Mild

(observed and expected values)

Borderline-severe and severe/critical (observed and expected values)

Chi-square after Yates correction

P value

Volumetric analysis:

[S1]

0–15% of lung volume is involved:

271 (213.08)

0 (57.92)

258.4958

< 0.00001

[S2]

15–25% of lung volume is involved:

27 (40.10)

24 (10.90)

23.1384

0.000017

[S3]

25–50% of lung volume is involved:

0 (38.53)

49 (10.47)

216.8037

< 0.00001

[S4]

> 50% of lung volume is involved:

0 (6.29)

8 (1.71)

30.0667

< 0.00001

Morphologic pattern:

[M1]

Pure GGO or solid nodule with GG halo sign:

150 (121.09)

5 (32.91)

54.4123

< 0.00001

[M2]

GGOs with “Atoll sign”:

50 (42.46)

4 (11.54)

7.3078

0.00687

[M3]

GGOs mixed with consolidations:

70 (62.90)

10 (17.10)

4.7499

0.02930

[M4]

Homogeneous consolidations or “curvilinear” consolidations:

15 (22.80)

14 (6.20)

13.5262

0.00024

[M5]

GGOs with “air bubble sign”:

3 (5.50)

4 (1.50)

5.4304

0.0198

[M6]

GGOs with early secondary fibrosis and architectural distortion:

7 (20.44)

19 (5.56)

44.4097

< 0.00001

[M7]

Patchy GGOs with smooth septal thickening “focal crazy paving”:

7 (20.44)

19 (5.56)

44.4097

< 0.00001

[M8]

It refers to diffuse alveolar damage pattern (DAD);

- By definition, it is diffused (> 50%) of lung volume involvement [S4]

- By definition, it represents mixed GGOs with “crazy-paving pattern” and “air bubble sign.”

 

0 (5.5)

7 (1.5)

26.2377

< 0.00001

Other relevant signs:

Others

Pleural effusion (minimal):

8 (10.22)

5 (2.78)

2.3396

0.1261

Others

Pericardial effusion (minimal):

8 (7.08)

1 (1.92)

0.5776

0.4472

Others

Tree in bud nodules:

3 (3.15)

1 (0.85)

0.0317

0.8587

  1. *All P value are < 0.05, considered as statistically significant