Argument and Contention over the Use of Low-dose Irradiation toCOVID-19 Pneumonia: A Comprehensive Review

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Md. Mokhlesur Rahman, Tanny Bepari, Mehadi Hasan Nazmul, Md. Mazharul Islam Mobin, Md. Rezaul Alam, ShyamSundor Shaha, Masud Rana, A.K.M Fazle Hoque, Md .Jakir Hosen, Ropak Chandra Roy,Md. Kykobad Mohammad, Anupama H. A. , Zakaria G. A .

Abstract

Background: The concept of Low Dose Radiation Therapy (LDRT) as a viable treatment for COVID-19 pneumonia, caused by the highly contagious single-stranded RNA virus of the Coronaviridae family, is investigated through a review of current clinical trials. LDRT has anti-inflammatory effects on pneumonia inflammation. This study examines the efficacy, toxicity and finding output of delivering LDRT to severe pneumonia patients.


Methods: This review was compiled using Google Scholar, PubMed, Scopus, Embase, and CINAHL with the following search terms: LDRT for COVID-19 Pneumonia patients, Total lung irradiation for COVID patients, and SARS-CoV-2 from 2019 to 2022. Articles without data, duplicates, or irrelevant to the review were excluded. The focus of this paper is to review the past use of low-dose radiation in treating several types of pneumonia and the current arguments for the benefit of low-dose radiation in the treatment of COVID-19.


Results: After selecting relevant reports, this study selected 8 clinical trials and based on them conducted this paper and analyzed its feasibility.  According to an analysis, the treatment increase clinical recovery and outcome shows 80% recovery of anti-inflammatory response from lung inflammation. It reduces oxygen supplementation requirements by more than 60% within 48 hours of LDRT treatment.


Conclusions: Low-dose radiation therapy (LDRT) has been effective against pneumonia of diverse etiology, and cost-effective treatment for elderly dying patients with COVID-19. In this study all the case, we find a highly effective approach using LDRT. In addition, greater clarity can be derived prior to using LDRT against Covid-19 Pneumonia patient if large scale preclinical studies and clinical trials are conducted.

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