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The comparison of chest CT and RT-PCR during the diagnosis of COVID-19

Avni Uygar Seyhan, Rohat Ak, Erdal Yılmaz and 3 more

Ķazaķstannyṇ Klinikalyķ Medicinasy · 2021

doi:10.23950/jcmk/9656 (opens in a new tab)

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Abstract

<b>Objective: </b>Our aim in this study is to compare the diagnostic accuracy of chest computed tomography and Real-time Reverse Transcriptase Polymerase Chain Reaction in a population with suspected Coronavirus Disease 2019 (COVID-19) presenting at the emergency department.<br /> <b>Material and methods</b><b>: </b>The study included 257 patients presented to the emergency department with suspected COVID-19. We included all symptomatic patients who received a chest computed tomography and at least one Polymerase Chain Reaction test for detection of COVID-19. The detection rate of COVID-19 infection based on the initial chest computed tomography and Real-time Reverse Transcriptase Polymerase Chain Reaction was compared.<br /> <b>Results: </b>A total of 257 patients, 130 women and 127 men, were included in the study. &nbsp;The average age of all patients was 41,12±15,77. Sensitivity of Real-time Reverse Transcriptase Polymerase Chain Reaction test was 71% while that of computed tomography was found to be 49%. The ground glass appearance and/or peripheral distribution findings in 126 patients can be said to be the representative of computed tomography findings for COVID-19.<br /> <b>Conclusion: </b>Chest computed tomography should not be used routinely as a screening or diagnostic tool for COVID-19, and additional risks that may arise due to computed tomography imaging should be considered.

Abstract licence: CC BY

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