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No Inclusion potentiel
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To date there is no brain imaging and olfactory data available in COVID-19 positive patients with anosmia. By describing the pathophysiological characteristics underlying the olfactory symptoms and clinical characteristics of COVID-19 infection, the study investigators wish to compare the MRI aspects obtained in COVID-19 patients with and without anosmia, in the absence of other underlying neurological disorders.
Brain mapping of COVID-19 patients with or without anosmia will allow better understanding of the mechanisms leading to the onset of these symptoms and will provide a pathophysiological basis for the therapeutic interventions to improve the clinical prognosis of affected patients.
The study investigators hypothesize that in COVID-19 patients witch anosmia the brain mapping objectified by an MRI examination is modified and that there are functional abnormalities in the brain in these patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| COVID-19 patients with anosmia | Patients reporting loss of smell and scoring < 30 on a VAS 0-100 for ability to detect n-Butanol diluted 1/1000 |
| |
| COVID-19 patients without anosmia | Patients reporting no loss of smell and scoring > 80 on a VAS 0-100 for ability to detect n-Butanol diluted 1/16000 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brain MRI scan | Other | Resting state, functional, structural and morphometric MRI; diffusion tensor imaging on a 3-Tesla MRI scanner |
|
| Measure | Description | Time Frame |
|---|---|---|
| Brain regional homogeneity between COVID-19 patients with and without anosmia | MRI; Voxels | Day 0 |
| Measure | Description | Time Frame |
|---|---|---|
| Brain regional homogeneity between COVID-19 patients with and without anosmia | MRI; Voxels | Month 3 |
| Topography of supra- or sub-tentorial lesions between COVID-19 patients with and without anosmia |
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Inclusion Criteria:
Exclusion Criteria:
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Consecutive adult patients consulting the CAREB or hospitalized at the Nîmes teaching hospital due to COVID-19 infection confirmed by RT-PCR and / or chest CT or clinical characteristics (i.e an epidemic history and 2 clinical manifestations or at least 3 clinical manifestations) with or without anosmia.
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| Name | Affiliation | Role |
|---|---|---|
| Benjamin Lallemant | CHU Nimes | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nimes | Nîmes | France |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D000086582 | Anosmia |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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MRI; Voxels
| Day 0 |
| Fractional anisotropy between COVID-19 patients with and without anosmia | MRI; voxels, value between 0-1 | Day 0 |
| Fractional anisotropy between COVID-19 patients with and without anosmia | MRI; voxels, value between 0-1 | Month 3 |
| Mean diffusivity between COVID-19 patients with and without anosmia | MRI; mm2/s | Day 0 |
| Mean diffusivity between COVID-19 patients with and without anosmia | MRI; mm2/s | Month 3 |
| Radial diffusivity between COVID-19 patients with and without anosmia | MRI; mm2/s | Day 0 |
| Radial diffusivity between COVID-19 patients with and without anosmia | MRI; mm2/s | Month 3 |
| Self-assessed olfactory and gustatory test | Four questions measured by 0-100 visual analogue scale: how do you rate the quality of your sense of smell/taste normally/today | Day 0 |
| Self-assessed olfactory and gustatory test | Four questions measured by 0-100 visual analogue scale: how do you rate the quality of your sense of smell/taste normally/today | Day 8 |
| Self-assessed olfactory and gustatory test | Four questions measured by 0-100 visual analogue scale: how do you rate the quality of your sense of smell/taste normally/today | Month 1 |
| Self-assessed olfactory and gustatory test | Four questions measured by 0-100 visual analogue scale: how do you rate the quality of your sense of smell/taste normally/today | Month 2 |
| Ability to detect odor | Ability to smell 1.5ml air freshner on a 0-100 VAS scale (cut-offs: strang (>80), moderate (40-80), attenuated (<40) | Day 0 |
| Ability to taste a pinch of sugar | Patient asked to describe whether a pinch of sugar on their tongue taste sweet or salty | Day 0 |
| Presence of thrombotic and hemorrhagic lesions | MRI: absence/presence | Day 0 |
| Presence of thrombotic and hemorrhagic lesions | MRI: absence/presence | Month 3 |
| Presence of lesions with hyperintensity | Short Ti Inversion Recovery (STIR); presence/absence | Day 0 |
| Presence of lesions with hyperintensity | Short Ti Inversion Recovery (STIR); presence/absence | Month 3 |
| Projection network analysis of all patients | beta voxels | Day 0 |
| Projection network analysis of all patients | beta voxels | Month 3 |
| Blinded independent component analysis of all patients | beta voxels | Day 0 |
| Blinded independent component analysis of all patients | beta voxels | Month 3 |
| default mode network analysis of all patients | beta voxels | Day 0 |
| default mode network analysis of all patients | beta voxels | Month 3 |
| executive control network analysis of all patients | beta voxels | Day 0 |
| executive control network analysis of all patients | beta voxels | Month 3 |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D000857 | Olfaction Disorders |
| D012678 | Sensation Disorders |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |