CO-RADS · Tórax
CO-RADS COVID-19 Reporting and Data System
vigenteLevel of suspicion for pulmonary involvement of COVID-19 on chest CT.
Índice de referência, não é suporte à decisão clínica. O RadCommons apresenta conteúdo de referência reescrito a partir de critérios publicados e com link para a fonte primária. Confira sempre a publicação primária vigente. Não é um dispositivo médico nem substitui o julgamento clínico. O radiologista responsável pelo laudo permanece o autor e o responsável.
Escala de categorias
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Procedência e vigência
- Órgão emissor
- Dutch Radiological Society
- Versão
- 2020
- Ano
- 2020
- Família
- léxico
- Tipo de lógica
- flat
- Modalidade
- CT
- Fonte primária
- CO-RADS: A Categorical CT Assessment Scheme for Patients Suspected of Having COVID-19 · doi:10.1148/radiol.2020201473
- Última verificação
- 2026-06-22
- Última checagem
- 2026-06-22
Lógica de decisão
Forma estruturada (flat). Uma futura calculadora a lê; as categorias abaixo são a superfície legível.
Mostrar a lógica estruturada (JSON)
{
"categories": [
"1",
"2",
"3",
"4",
"5",
"6"
]
}Categorias num relance
| Cat. | Significado | Conduta | Risco | Fonte |
|---|---|---|---|---|
| 1 | Very low suspicion Very low level of suspicion for pulmonary involvement of COVID-19: either a normal CT or CT findings of an unequivocally non-infectious cause. Concomitant findings such as mild or severe emphysema, perifissural nodules, lung tumours or fibrosis are placed here. Equivalent to the RSNA 'negative for pneumonia' category. | — | Very low suspicion of COVID-19 pulmonary involvement. | okfonte Section 'CO-RADS 1' under 'CO-RADS, the COVID-19 Reporting and Data System' |
| 2 | Low suspicion Low level of suspicion: lung findings typical of an infectious cause considered not compatible with COVID-19 (e.g. bronchitis, infectious bronchiolitis, bronchopneumonia, lobar pneumonia, pulmonary abscess), with features such as tree-in-bud sign, centrilobular nodular pattern, lobar or segmental consolidation, and cavitation. Overlaps with the RSNA 'atypical appearance' category. | — | Low suspicion of COVID-19 pulmonary involvement. | okfonte Section 'CO-RADS 2' |
| 3 | Equivocal Equivocal/indeterminate level of suspicion: features that can also occur in other viral pneumonias or non-infectious causes, e.g. perihilar ground-glass, homogeneous extensive ground-glass (with or without sparing of some secondary lobules), ground-glass with smooth interlobular septal thickening with/without pleural effusion, small non-centrilobular ground-glass opacities not abutting the visceral pleura, and consolidation patterns compatible with organizing pneumonia, in the absence of other typical COVID-19 findings. | — | Equivocal/indeterminate suspicion of COVID-19 pulmonary involvement. | okfonte Section 'CO-RADS 3' |
| 4 | High suspicion High level of suspicion: findings typical for COVID-19 but with some overlap with other (viral) pneumonias. Findings resemble CO-RADS 5 but are not in contact with the visceral pleura, are strictly unilateral, are in a predominantly peribronchovascular distribution, or are superimposed on severe diffuse pre-existing lung abnormalities. Corresponds to the higher-likelihood part of the RSNA 'indeterminate appearance' category. | — | High suspicion of COVID-19 pulmonary involvement. | okfonte Section 'CO-RADS 4' |
| 5 | Very high suspicion Very high level of suspicion: typical CT findings, namely ground-glass opacities (with or without consolidation) located in lung regions close to the visceral pleural surfaces including the fissures, with a multifocal bilateral distribution; subpleural sparing may be present. At least one of the typical confirmatory features must be present (e.g. multifocal ground-glass with rounded/unsharp demarcation, crazy-paving with intralobular lines, increasing consolidation, reverse halo/organizing-pneumonia-like changes, subpleural curvilinear bands, thickened vessels within abnormalities). Largely identical to the RSNA 'typical appearance' category. | — | Very high suspicion of COVID-19 pulmonary involvement. | okfonte Section 'CO-RADS 5' and Table 2 ('Features typical for COVID-19') |
| 6 | PCR proven Proven COVID-19, indicated by a positive RT-PCR test for SARS-CoV-2 specific nucleic acid at the time of examination. Introduced analogously to BI-RADS 6. | — | Proven COVID-19 (RT-PCR positive). | okfonte Section 'CO-RADS 6' |
Histórico de versões
| Data | Evento | Detalhe | Situação |
|---|---|---|---|
| 2020-04-27 | published | CO-RADS published in Radiology. | confirmado |
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