2020, Number 4
Role of chest CT in SARS-CoV-2 pneumonia patients. Experience of Hospital Angeles Lomas
Language: Spanish
References: 10
Page: 390-394
PDF size: 253.33 Kb.
ABSTRACT
Objective: To clarify the role of CT in the management of patients with SARS-CoV-2 pneumonia and to generate standardized radiological reports. Material and methods: 108 simple chest tomography scans were evaluated, of patients with suspected SARS-CoV-2 pneumonia who also underwent RT-PCR. Results: 68 patients had tomographic findings suggestive of SARS-CoV-2 pneumonia (consensus of the RSNA and CO-RADS), of which 51 had additionally positive RT-PCR test. The other group of 40 patients had normal or negative tomographies, with 6 positive results for RT-PCR respectively. The sensitivity of the CT in our study was 89%, the specificity of 66% with an LR (+) of 2.61 and LR (-) of 0.16. Conclusion: CT lacks specificity to be considered a diagnostic test, however its use as a screening tool is justified in certain clinical contexts. A potential virtue of CT is its utility as a tool in prognosis and therefore patient management.REFERENCES
Simpson S, Kay FU, Abbara S, Bhalla S, Chung JH, Chung M et al. Radiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings Related to COVID-19. Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA. Radiol Cardiothorac Imaging. 2020; 2 (2): e200152. Available from: http://pubs.rsna.org/doi/10.1148/ryct.2020200152.
Prokop M, van Everdingen W, van Rees Vellinga T, Quarles van Ufford J, Stöger L, Beenen L et al. CO-RADS-A categorical CT assessment scheme for patients with suspected COVID-19: definition and evaluation. Radiology. 2020; 296 (2): E97-E104. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32339082.