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Coronavirus disease 2019 (COVID-19): Role of chest CT in diagnosis and management

American Journal of Roentgenology Mar 11, 2020

Li Y, et al. - This study sought to ascertain the misdiagnosis rate of radiologists for coronavirus disease 2019 (COVID-19) and estimate the performance of chest CT in the diagnosis and management of COVID-19. Researchers recruited the first 51 individuals with a diagnosis of COVID-19 infection confirmed by nucleic acid testing (23 women and 28 men; age range, 26–83 years) and two individuals with adenovirus (one woman and one man; ages, 58 and 66 years). The clinical information, CT images, and corresponding image reports of these 53 patients were examined. The image reports of the initial CT study with the laboratory test results and distinguished CT patterns suggestive of viral infection were compared. The outcomes obtained that chest CT had a low rate of missed diagnosis of COVID-19 (3.9%, 2/51) and may be useful as a standard method for the rapid diagnosis of COVID-19 to optimize the management of individuals. Nevertheless, CT is still limited to distinguishing specific viruses and identifying between viruses.
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