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<meta name="HW.identifier" content="/ajnr/early/2021/02/04/ajnr.A7032.atom" />
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<meta name="DC.Title" content="Severity of Chest Imaging is Correlated with Risk of Acute Neuroimaging Findings among Patients with COVID-19" />
<meta name="DC.Identifier" content="10.3174/ajnr.A7032" />
<meta name="DC.Date" content="2021-02-04" />
<meta name="DC.Publisher" content="American Journal of Neuroradiology" />
<meta name="DC.Rights" content="© 2021 by American Journal of Neuroradiology. Indicates open access to non-subscribers at www.ajnr.org" />
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<meta name="DC.Description" content="BACKGROUND AND PURPOSE: Severe respiratory distress in patients with COVID-19 has been associated with higher rate of neurologic manifestations. Our aim was to investigate whether the severity of chest imaging findings among patients with coronavirus disease 2019 (COVID-19) correlates with the risk of acute neuroimaging findings.

MATERIALS AND METHODS: This retrospective study included all patients with COVID-19 who received care at our hospital between March 3, 2020, and May 6, 2020, and underwent chest imaging within 10 days of neuroimaging. Chest radiographs were assessed using a previously validated automated neural network algorithm for COVID-19 (Pulmonary X-ray Severity score). Chest CTs were graded using a Chest CT Severity scoring system based on involvement of each lobe. Associations between chest imaging severity scores and acute neuroimaging findings were assessed using multivariable logistic regression.

RESULTS: Twenty-four of 93 patients (26%) included in the study had positive acute neuroimaging findings, including intracranial hemorrhage ( n = 7), infarction ( n = 7), leukoencephalopathy ( n = 6), or a combination of findings ( n = 4). The average length of hospitalization, prevalence of intensive care unit admission, and proportion of patients requiring intubation were significantly greater in patients with acute neuroimaging findings than in patients without them ( P &lt; .05 for all). Compared with patients without acute neuroimaging findings, patients with acute neuroimaging findings had significantly higher mean Pulmonary X-ray Severity scores (5.0 [SD, 2.9] versus 9.2 [SD, 3.4], P &lt; .001) and mean Chest CT Severity scores (9.0 [SD, 5.1] versus 12.1 [SD, 5.0], P = .041). The pulmonary x-ray severity score was a significant predictor of acute neuroimaging findings in patients with COVID-19.

CONCLUSIONS: Patients with COVID-19 and acute neuroimaging findings had more severe findings on chest imaging on both radiographs and CT compared with patients with COVID-19 without acute neuroimaging findings. The severity of findings on chest radiography was a strong predictor of acute neuroimaging findings in patients with COVID-19.

CCS
:   Chest CT Severity
COVID-19
:   coronavirus disease 2019
ICU
:   intensive care unit
PXS
:   Pulmonary X-ray Severity
ROC
:   receiver operating characteristic
SARS-CoV-2
:   Severe Acute Respiratory Syndrome coronavirus 2" />
<meta name="DC.Contributor" content="M. Lang" />
<meta name="DC.Contributor" content="M.D. Li" />
<meta name="DC.Contributor" content="K.Z. Jiang" />
<meta name="DC.Contributor" content="B.C. Yoon" />
<meta name="DC.Contributor" content="D.P. Mendoza" />
<meta name="DC.Contributor" content="E.J. Flores" />
<meta name="DC.Contributor" content="S.P. Rincon" />
<meta name="DC.Contributor" content="W.A. Mehan" />
<meta name="DC.Contributor" content="J. Conklin" />
<meta name="DC.Contributor" content="S.Y. Huang" />
<meta name="DC.Contributor" content="A.L. Lang" />
<meta name="DC.Contributor" content="D.M. Giao" />
<meta name="DC.Contributor" content="T.M. Leslie-Mazwi" />
<meta name="DC.Contributor" content="J. Kalpathy-Cramer" />
<meta name="DC.Contributor" content="B.P. Little" />
<meta name="DC.Contributor" content="K. Buch" />
<meta name="article:published_time" content="2021-02-04" />
<meta name="article:section" content="ADULT BRAIN" />
<meta name="citation_title" content="Severity of Chest Imaging is Correlated with Risk of Acute Neuroimaging Findings among Patients with COVID-19" />
<meta name="citation_abstract" lang="en" content="&lt;h3&gt;BACKGROUND AND PURPOSE:&lt;/h3&gt;
&lt;p&gt;Severe respiratory distress in patients with COVID-19 has been associated with higher rate of neurologic manifestations. Our aim was to investigate whether the severity of chest imaging findings among patients with coronavirus disease 2019 (COVID-19) correlates with the risk of acute neuroimaging findings.&lt;/p&gt;&lt;h3&gt;MATERIALS AND METHODS:&lt;/h3&gt;
&lt;p&gt;This retrospective study included all patients with COVID-19 who received care at our hospital between March 3, 2020, and May 6, 2020, and underwent chest imaging within 10 days of neuroimaging. Chest radiographs were assessed using a previously validated automated neural network algorithm for COVID-19 (Pulmonary X-ray Severity score). Chest CTs were graded using a Chest CT Severity scoring system based on involvement of each lobe. Associations between chest imaging severity scores and acute neuroimaging findings were assessed using multivariable logistic regression.&lt;/p&gt;&lt;h3&gt;RESULTS:&lt;/h3&gt;
&lt;p&gt;Twenty-four of 93 patients (26%) included in the study had positive acute neuroimaging findings, including intracranial hemorrhage (&lt;i&gt;n&lt;/i&gt; = 7), infarction (&lt;i&gt;n&lt;/i&gt; = 7), leukoencephalopathy (&lt;i&gt;n&lt;/i&gt; = 6), or a combination of findings (&lt;i&gt;n&lt;/i&gt; = 4). The average length of hospitalization, prevalence of intensive care unit admission, and proportion of patients requiring intubation were significantly greater in patients with acute neuroimaging findings than in patients without them (&lt;i&gt;P&lt;/i&gt; &amp;lt; .05 for all). Compared with patients without acute neuroimaging findings, patients with acute neuroimaging findings had significantly higher mean Pulmonary X-ray Severity scores (5.0 [SD, 2.9] versus 9.2 [SD, 3.4], &lt;i&gt;P&lt;/i&gt; &amp;lt; .001) and mean Chest CT Severity scores (9.0 [SD, 5.1] versus 12.1 [SD, 5.0], &lt;i&gt;P&lt;/i&gt; = .041). The pulmonary x-ray severity score was a significant predictor of acute neuroimaging findings in patients with COVID-19.&lt;/p&gt;&lt;h3&gt;CONCLUSIONS:&lt;/h3&gt;
&lt;p&gt;Patients with COVID-19 and acute neuroimaging findings had more severe findings on chest imaging on both radiographs and CT compared with patients with COVID-19 without acute neuroimaging findings. The severity of findings on chest radiography was a strong predictor of acute neuroimaging findings in patients with COVID-19.&lt;/p&gt;" />
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<meta name="twitter:title" content="Severity of Chest Imaging is Correlated with Risk of Acute Neuroimaging Findings among Patients with COVID-19" />
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<meta name="twitter:description" content="BACKGROUND AND PURPOSE: Severe respiratory distress in patients with COVID-19 has been associated with higher rate of neurologic manifestations. Our aim was to investigate whether the severity of chest imaging findings among patients with coronavirus disease 2019 (COVID-19) correlates with the risk of acute neuroimaging findings.

MATERIALS AND METHODS: This retrospective study included all patients with COVID-19 who received care at our hospital between March 3, 2020, and May 6, 2020, and underwent chest imaging within 10 days of neuroimaging. Chest radiographs were assessed using a previously validated automated neural network algorithm for COVID-19 (Pulmonary X-ray Severity score). Chest CTs were graded using a Chest CT Severity scoring system based on involvement of each lobe. Associations between chest imaging severity scores and acute neuroimaging findings were assessed using multivariable logistic regression.

RESULTS: Twenty-four of 93 patients (26%) included in the study had positive acute neuroimaging findings, including intracranial hemorrhage ( n = 7), infarction ( n = 7), leukoencephalopathy ( n = 6), or a combination of findings ( n = 4). The average length of hospitalization, prevalence of intensive care unit admission, and proportion of patients requiring intubation were significantly greater in patients with acute neuroimaging findings than in patients without them ( P &lt; .05 for all). Compared with patients without acute neuroimaging findings, patients with acute neuroimaging findings had significantly higher mean Pulmonary X-ray Severity scores (5.0 [SD, 2.9] versus 9.2 [SD, 3.4], P &lt; .001) and mean Chest CT Severity scores (9.0 [SD, 5.1] versus 12.1 [SD, 5.0], P = .041). The pulmonary x-ray severity score was a significant predictor of acute neuroimaging findings in patients with COVID-19.

CONCLUSIONS: Patients with COVID-19 and acute neuroimaging findings had more severe findings on chest imaging on both radiographs and CT compared with patients with COVID-19 without acute neuroimaging findings. The severity of findings on chest radiography was a strong predictor of acute neuroimaging findings in patients with COVID-19.

CCS
:   Chest CT Severity
COVID-19
:   coronavirus disease 2019
ICU
:   intensive care unit
PXS
:   Pulmonary X-ray Severity
ROC
:   receiver operating characteristic
SARS-CoV-2
:   Severe Acute Respiratory Syndrome coronavirus 2" />
<meta name="og-title" property="og:title" content="Severity of Chest Imaging is Correlated with Risk of Acute Neuroimaging Findings among Patients with COVID-19" />
<meta name="og-url" property="og:url" content="http://ajnr-stage2.stage.highwire.org/content/early/2021/02/04/ajnr.A7032" />
<meta name="og-site-name" property="og:site_name" content="American Journal of Neuroradiology" />
<meta name="og-description" property="og:description" content="BACKGROUND AND PURPOSE: Severe respiratory distress in patients with COVID-19 has been associated with higher rate of neurologic manifestations. Our aim was to investigate whether the severity of chest imaging findings among patients with coronavirus disease 2019 (COVID-19) correlates with the risk of acute neuroimaging findings.

MATERIALS AND METHODS: This retrospective study included all patients with COVID-19 who received care at our hospital between March 3, 2020, and May 6, 2020, and underwent chest imaging within 10 days of neuroimaging. Chest radiographs were assessed using a previously validated automated neural network algorithm for COVID-19 (Pulmonary X-ray Severity score). Chest CTs were graded using a Chest CT Severity scoring system based on involvement of each lobe. Associations between chest imaging severity scores and acute neuroimaging findings were assessed using multivariable logistic regression.

RESULTS: Twenty-four of 93 patients (26%) included in the study had positive acute neuroimaging findings, including intracranial hemorrhage ( n = 7), infarction ( n = 7), leukoencephalopathy ( n = 6), or a combination of findings ( n = 4). The average length of hospitalization, prevalence of intensive care unit admission, and proportion of patients requiring intubation were significantly greater in patients with acute neuroimaging findings than in patients without them ( P &lt; .05 for all). Compared with patients without acute neuroimaging findings, patients with acute neuroimaging findings had significantly higher mean Pulmonary X-ray Severity scores (5.0 [SD, 2.9] versus 9.2 [SD, 3.4], P &lt; .001) and mean Chest CT Severity scores (9.0 [SD, 5.1] versus 12.1 [SD, 5.0], P = .041). The pulmonary x-ray severity score was a significant predictor of acute neuroimaging findings in patients with COVID-19.

CONCLUSIONS: Patients with COVID-19 and acute neuroimaging findings had more severe findings on chest imaging on both radiographs and CT compared with patients with COVID-19 without acute neuroimaging findings. The severity of findings on chest radiography was a strong predictor of acute neuroimaging findings in patients with COVID-19.

CCS
:   Chest CT Severity
COVID-19
:   coronavirus disease 2019
ICU
:   intensive care unit
PXS
:   Pulmonary X-ray Severity
ROC
:   receiver operating characteristic
SARS-CoV-2
:   Severe Acute Respiratory Syndrome coronavirus 2" />
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    <div class="highwire-article-citation highwire-citation-type-highwire-article node89097--5" data-node-nid="89097" id="top-node-89097--6361644687" data-pisa="ajnr;ajnr.A7032v1" data-pisa-master="ajnr;ajnr.A7032" data-apath="/ajnr/early/2021/02/04/ajnr.A7032.atom" data-hw-author-tooltip-instance="highwire_author_tooltip"><div class="highwire-cite highwire-cite-highwire-article highwire-citation-jcore-article-title-complete clearfix has-author-tooltip highwire-citation-highwire-article-top-a">
  
  
      <div class="highwire-cite-overline"><span  class="highwire-cite-metadata-article-type highwire-cite-metadata">Research Article</span><span class="separator-pipe"></span><span  class="highwire-cite-metadata-art-cat highwire-cite-metadata"><span class="wrapper">ADULT BRAIN</span></span></div>
  
      <div class="highwire-cite-access"><span class="highwire-citation-access"><i class="highwire-access-icon highwire-access-icon-open-access open-access hw-icon-open-access" title="Open Access" aria-hidden="true"></i><span  class="element-invisible highwire-access-icon highwire-access-icon-open-access" style="">Open Access</span></span></div>
  
      <h1 class="highwire-cite-title" id="page-title">Severity of Chest Imaging is Correlated with Risk of Acute Neuroimaging Findings among Patients with COVID-19</h1>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">M. Lang</span>, <span class="highwire-citation-author" data-delta="1">M.D. Li</span>, <span class="highwire-citation-author" data-delta="2">K.Z. Jiang</span>, <span class="highwire-citation-author" data-delta="3">B.C. Yoon</span>, <span class="highwire-citation-author" data-delta="4">D.P. Mendoza</span>, <span class="highwire-citation-author" data-delta="5">E.J. Flores</span>, <span class="highwire-citation-author" data-delta="6">S.P. Rincon</span>, <span class="highwire-citation-author" data-delta="7">W.A. Mehan</span>, <span class="highwire-citation-author" data-delta="8">J. Conklin</span>, <span class="highwire-citation-author" data-delta="9">S.Y. Huang</span>, <span class="highwire-citation-author" data-delta="10">A.L. Lang</span>, <span class="highwire-citation-author" data-delta="11">D.M. Giao</span>, <span class="highwire-citation-author" data-delta="12">T.M. Leslie-Mazwi</span>, <span class="highwire-citation-author" data-delta="13">J. Kalpathy-Cramer</span>, <span class="highwire-citation-author" data-delta="14">B.P. Little</span> and <span class="highwire-citation-author" data-delta="15">K. Buch</span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">February 2021,  </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata">DOI: https://doi.org/10.3174/ajnr.A7032 </span></div>
  
  
  
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<div id="hw-article-author-popups-top-node-89097--6361644687" style="display: none;"><div class="author-tooltip-0"><div class="author-tooltip-name">M. Lang </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (M.L., M.D.L., B.C.Y., D.P.M., E.J.F., S.P.R., W.A.M., J.C., S.Y.H., J.K.-C., B.P.L., K.B.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=M.%2BLang%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Lang%20M&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AM.%2BLang%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-3895-5342" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for M. Lang</a></li></ul></div><div class="author-tooltip-1"><div class="author-tooltip-name">M.D. Li </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (M.L., M.D.L., B.C.Y., D.P.M., E.J.F., S.P.R., W.A.M., J.C., S.Y.H., J.K.-C., B.P.L., K.B.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=M.D.%2BLi%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Li%20M&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AM.D.%2BLi%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-6207-4940" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for M.D. Li</a></li></ul></div><div class="author-tooltip-2"><div class="author-tooltip-name">K.Z. Jiang </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>e</span>School of Medicine (K.Z.J.), Baylor College of Medicine, Houston, Texas</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=K.Z.%2BJiang%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Jiang%20K&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AK.Z.%2BJiang%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0001-7644-6752" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for K.Z. Jiang</a></li></ul></div><div class="author-tooltip-3"><div class="author-tooltip-name">B.C. Yoon </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (M.L., M.D.L., B.C.Y., D.P.M., E.J.F., S.P.R., W.A.M., J.C., S.Y.H., J.K.-C., B.P.L., K.B.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=B.C.%2BYoon%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Yoon%20B&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AB.C.%2BYoon%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0003-2929-5677" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for B.C. Yoon</a></li></ul></div><div class="author-tooltip-4"><div class="author-tooltip-name">D.P. Mendoza </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (M.L., M.D.L., B.C.Y., D.P.M., E.J.F., S.P.R., W.A.M., J.C., S.Y.H., J.K.-C., B.P.L., K.B.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=D.P.%2BMendoza%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Mendoza%20D&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AD.P.%2BMendoza%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0001-7571-740X" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for D.P. Mendoza</a></li></ul></div><div class="author-tooltip-5"><div class="author-tooltip-name">E.J. Flores </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (M.L., M.D.L., B.C.Y., D.P.M., E.J.F., S.P.R., W.A.M., J.C., S.Y.H., J.K.-C., B.P.L., K.B.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=E.J.%2BFlores%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Flores%20E&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AE.J.%2BFlores%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0003-1398-0426" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for E.J. Flores</a></li></ul></div><div class="author-tooltip-6"><div class="author-tooltip-name">S.P. Rincon </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (M.L., M.D.L., B.C.Y., D.P.M., E.J.F., S.P.R., W.A.M., J.C., S.Y.H., J.K.-C., B.P.L., K.B.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=S.P.%2BRincon%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Rincon%20S&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AS.P.%2BRincon%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0001-7210-0711" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for S.P. Rincon</a></li></ul></div><div class="author-tooltip-7"><div class="author-tooltip-name">W.A. Mehan <span class="nlm-suffix">Jr</span></div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (M.L., M.D.L., B.C.Y., D.P.M., E.J.F., S.P.R., W.A.M., J.C., S.Y.H., J.K.-C., B.P.L., K.B.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=W.A.%2BMehan%2B%3Cspan%2Bclass%3D%22nlm-suffix%22%3EJr%3C/span%3E" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Mehan%20W&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AW.A.%2BMehan%2BJr" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0003-4655-7165" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for W.A. Mehan <span class="nlm-suffix">Jr</span></a></li></ul></div><div class="author-tooltip-8"><div class="author-tooltip-name">J. Conklin </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (M.L., M.D.L., B.C.Y., D.P.M., E.J.F., S.P.R., W.A.M., J.C., S.Y.H., J.K.-C., B.P.L., K.B.)</div><div class='author-affiliation'><span class='nlm-sup'>d</span>Athinoula A. Martinos Center for Biomedical Imaging (J.C., S.Y.H., J.K.-C.), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=J.%2BConklin%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Conklin%20J&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AJ.%2BConklin%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0001-9921-2086" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for J. Conklin</a></li></ul></div><div class="author-tooltip-9"><div class="author-tooltip-name">S.Y. Huang </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (M.L., M.D.L., B.C.Y., D.P.M., E.J.F., S.P.R., W.A.M., J.C., S.Y.H., J.K.-C., B.P.L., K.B.)</div><div class='author-affiliation'><span class='nlm-sup'>d</span>Athinoula A. Martinos Center for Biomedical Imaging (J.C., S.Y.H., J.K.-C.), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=S.Y.%2BHuang%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Huang%20S&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AS.Y.%2BHuang%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0003-2950-7254" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for S.Y. Huang</a></li></ul></div><div class="author-tooltip-10"><div class="author-tooltip-name">A.L. Lang </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>b</span>Anesthesia, Critical Care, and Pain Medicine (A.L.L.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=A.L.%2BLang%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Lang%20A&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AA.L.%2BLang%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-2355-0414" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for A.L. Lang</a></li></ul></div><div class="author-tooltip-11"><div class="author-tooltip-name">D.M. Giao </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>f</span>Harvard Medical School (D.M.G.), Boston, Massachusetts</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=D.M.%2BGiao%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Giao%20D&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AD.M.%2BGiao%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-4053-7692" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for D.M. Giao</a></li></ul></div><div class="author-tooltip-12"><div class="author-tooltip-name">T.M. Leslie-Mazwi </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>c</span>Neurosurgery and Neurology (T.M.L.-M.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=T.M.%2BLeslie-Mazwi%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Leslie-Mazwi%20T&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AT.M.%2BLeslie-Mazwi%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-4191-2466" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for T.M. Leslie-Mazwi</a></li></ul></div><div class="author-tooltip-13"><div class="author-tooltip-name">J. Kalpathy-Cramer </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (M.L., M.D.L., B.C.Y., D.P.M., E.J.F., S.P.R., W.A.M., J.C., S.Y.H., J.K.-C., B.P.L., K.B.)</div><div class='author-affiliation'><span class='nlm-sup'>d</span>Athinoula A. Martinos Center for Biomedical Imaging (J.C., S.Y.H., J.K.-C.), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=J.%2BKalpathy-Cramer%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Kalpathy-Cramer%20J&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AJ.%2BKalpathy-Cramer%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0001-8906-9618" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for J. Kalpathy-Cramer</a></li></ul></div><div class="author-tooltip-14"><div class="author-tooltip-name">B.P. Little </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (M.L., M.D.L., B.C.Y., D.P.M., E.J.F., S.P.R., W.A.M., J.C., S.Y.H., J.K.-C., B.P.L., K.B.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=B.P.%2BLittle%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Little%20B&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AB.P.%2BLittle%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0001-6657-8241" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for B.P. Little</a></li></ul></div><div class="author-tooltip-15"><div class="author-tooltip-name">K. Buch </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (M.L., M.D.L., B.C.Y., D.P.M., E.J.F., S.P.R., W.A.M., J.C., S.Y.H., J.K.-C., B.P.L., K.B.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=K.%2BBuch%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Buch%20K&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AK.%2BBuch%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0001-9579-8921" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for K. Buch</a></li></ul></div></div></div>  </div>

  
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    <div class="highwire-markup"><div xmlns="http://www.w3.org/1999/xhtml" xmlns:xhtml="http://www.w3.org/1999/xhtml" class="section ref-list" id="ref-list-1"><h2 class="">References</h2><ol class="cit-list ref-use-labels"><li><span class="ref-label">1.</span><a class="rev-xref-ref" href="#xref-ref-1-1" title="View reference 1. in text" id="ref-1">↵</a><div class="cit ref-cit ref-web" id="cit-ajnr.A7032v1.1"><div class="cit-metadata"><cite><span class="cit-auth cit-collab">Johns Hopkins University</span>. <span class="cit-article-title">COVID-19 Dashboard by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU)</span>. <span class="cit-month">January</span> <span class="cit-day">7</span>, <span class="cit-pub-date">2021</span>. <a href="https://coronavirus.jhu.edu/map.html">https://coronavirus.jhu.edu/map.html</a>. <span class="cit-date-in-citation">Accessed November 4, 2020</span></cite></div><div class="cit-extra"></div></div></li><li><span 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      <div class="highwire-cite-title">Severity of Chest Imaging is Correlated with Risk of Acute Neuroimaging Findings among Patients with COVID-19</div>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">M.</span> <span class="nlm-surname">Lang</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">M.D.</span> <span class="nlm-surname">Li</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">K.Z.</span> <span class="nlm-surname">Jiang</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">B.C.</span> <span class="nlm-surname">Yoon</span></span>, <span class="highwire-citation-author" data-delta="4"><span class="nlm-given-names">D.P.</span> <span class="nlm-surname">Mendoza</span></span>, <span class="highwire-citation-author" data-delta="5"><span class="nlm-given-names">E.J.</span> <span class="nlm-surname">Flores</span></span>, <span class="highwire-citation-author" data-delta="6"><span class="nlm-given-names">S.P.</span> <span class="nlm-surname">Rincon</span></span>, <span class="highwire-citation-author" data-delta="7"><span class="nlm-given-names">W.A.</span> <span class="nlm-surname">Mehan</span></span>, <span class="highwire-citation-author" data-delta="8"><span class="nlm-given-names">J.</span> <span class="nlm-surname">Conklin</span></span>, <span class="highwire-citation-author" data-delta="9"><span class="nlm-given-names">S.Y.</span> <span class="nlm-surname">Huang</span></span>, <span class="highwire-citation-author" data-delta="10"><span class="nlm-given-names">A.L.</span> <span class="nlm-surname">Lang</span></span>, <span class="highwire-citation-author" data-delta="11"><span class="nlm-given-names">D.M.</span> <span class="nlm-surname">Giao</span></span>, <span class="highwire-citation-author" data-delta="12"><span class="nlm-given-names">T.M.</span> <span class="nlm-surname">Leslie-Mazwi</span></span>, <span class="highwire-citation-author" data-delta="13"><span class="nlm-given-names">J.</span> <span class="nlm-surname">Kalpathy-Cramer</span></span>, <span class="highwire-citation-author" data-delta="14"><span class="nlm-given-names">B.P.</span> <span class="nlm-surname">Little</span></span>, <span class="highwire-citation-author" data-delta="15"><span class="nlm-given-names">K.</span> <span class="nlm-surname">Buch</span></span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-oa-ind highwire-cite-metadata"><i class="highwire-oa-indicator"></i> </span><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Feb 2021, </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata"><span class="label">DOI:</span> 10.3174/ajnr.A7032 </span></div>
  
  
  
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      <div class="highwire-cite-title">Severity of Chest Imaging is Correlated with Risk of Acute Neuroimaging Findings among Patients with COVID-19</div>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">M.</span> <span class="nlm-surname">Lang</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">M.D.</span> <span class="nlm-surname">Li</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">K.Z.</span> <span class="nlm-surname">Jiang</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">B.C.</span> <span class="nlm-surname">Yoon</span></span>, <span class="highwire-citation-author" data-delta="4"><span class="nlm-given-names">D.P.</span> <span class="nlm-surname">Mendoza</span></span>, <span class="highwire-citation-author" data-delta="5"><span class="nlm-given-names">E.J.</span> <span class="nlm-surname">Flores</span></span>, <span class="highwire-citation-author" data-delta="6"><span class="nlm-given-names">S.P.</span> <span class="nlm-surname">Rincon</span></span>, <span class="highwire-citation-author" data-delta="7"><span class="nlm-given-names">W.A.</span> <span class="nlm-surname">Mehan</span></span>, <span class="highwire-citation-author" data-delta="8"><span class="nlm-given-names">J.</span> <span class="nlm-surname">Conklin</span></span>, <span class="highwire-citation-author" data-delta="9"><span class="nlm-given-names">S.Y.</span> <span class="nlm-surname">Huang</span></span>, <span class="highwire-citation-author" data-delta="10"><span class="nlm-given-names">A.L.</span> <span class="nlm-surname">Lang</span></span>, <span class="highwire-citation-author" data-delta="11"><span class="nlm-given-names">D.M.</span> <span class="nlm-surname">Giao</span></span>, <span class="highwire-citation-author" data-delta="12"><span class="nlm-given-names">T.M.</span> <span class="nlm-surname">Leslie-Mazwi</span></span>, <span class="highwire-citation-author" data-delta="13"><span class="nlm-given-names">J.</span> <span class="nlm-surname">Kalpathy-Cramer</span></span>, <span class="highwire-citation-author" data-delta="14"><span class="nlm-given-names">B.P.</span> <span class="nlm-surname">Little</span></span>, <span class="highwire-citation-author" data-delta="15"><span class="nlm-given-names">K.</span> <span class="nlm-surname">Buch</span></span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-oa-ind highwire-cite-metadata"><i class="highwire-oa-indicator"></i> </span><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Feb 2021, </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata"><span class="label">DOI:</span> 10.3174/ajnr.A7032 </span></div>
  
  
  
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