Comparing the Sensitivity and Specificity of Lung CT-scan with RT-PCR for Diagnosis of COVID-19

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BACKGROUND: The lung is one of the major organs affected by the SARS-CoV-2 virus. Lung CT scan and RT-PCR are the most valuable diagnostic methods in the early diagnosis and management of COVID-19. Due to the possible inconsistency of the false-negative results for the RT-PCR test, in our study, we aimed to evaluate the sensitivity and specificity of lung CT-scan as an accurate diagnostic method of COVID-19.

METHODS: In this cross-sectional study, patients suspected of COVID-19 and referred to Shahid Beheshti Hospital in Qom city from February 26 to April 13, 2020, were enrolled. For a definitive diagnosis of COVID-19, chest CT scan and RT-PCR testing was performed for 644 patients, and both sensitivity and specificity of lung CT scan were evaluated.

RESULTS: According to the findings, and comparing to the RT-PCR test as the gold standard, sensitivity, specificity as well as, positive predictive and negative predictive values of lung CT-scan were found as follow; 94.47% (95% CI: 90.73 - 97.02%), 24.71% (95% CI: 20.70 - 29.07%), 40.73% (95% CI: 36.58 - 44.99%), 89.08% (95% CI: 82.4 - 94.05%), respectively.

CONCLUSION: According to the findings, the lung CT scan has a better diagnostic value than RTPCR in symptomatic patients who were referred to the hospital for COVID-19 diagnosis. Performing lung CT-scan in patients with negative RT-PCR tests should be assessed.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

Current medical imaging - 19(2023), 4 vom: 01., Seite 327-332

Sprache:

Englisch

Beteiligte Personen:

Asghari, Akram [VerfasserIn]
Adeli, Seyed-Hasan [VerfasserIn]
Parham, Mahmoud [VerfasserIn]
Bagherzade, Mohammad [VerfasserIn]
Ahmadpour, Sajjad [VerfasserIn]
Shajari, Rasoul [VerfasserIn]
Tabarrai, Reihane [VerfasserIn]
Shakeri, Masoumeh [VerfasserIn]
Habibi, Mohammad Amin [VerfasserIn]
Jabbari, Amir [VerfasserIn]
Jafari, Saeede [VerfasserIn]
Razavinia, Fatemesadat [VerfasserIn]
Foroghi Ghomi, Seyed Yaser [VerfasserIn]
Ebrazeh, Ali [VerfasserIn]
Vafaeimanesh, Jamshid [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
CT scan
Diagnosis
Journal Article
RT-PCR
Sensitivity
Specificity

Anmerkungen:

Date Completed 12.04.2023

Date Revised 13.04.2023

published: Print

Citation Status MEDLINE

doi:

10.2174/1573405618666220620141012

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM342476297