Chest CT in the Emergency Department for Diagnosis of COVID-19 Pneumonia: Dutch Experience.

Radiology
Steven SchalekampMathias Prokop

Abstract

Background Clinicians need to rapidly and reliably diagnose coronavirus disease 2019 (COVID-19) for proper risk stratification, isolation strategies, and treatment decisions. Purpose To assess the real-life performance of radiologist emergency department chest CT interpretation for diagnosing COVID-19 during the acute phase of the pandemic, using the COVID-19 Reporting and Data System (CO-RADS). Materials and Methods This retrospective multicenter study included consecutive patients who presented to emergency departments in six medical centers between March and April 2020 with moderate to severe upper respiratory symptoms suspicious for COVID-19. As part of clinical practice, chest CT scans were obtained for primary work-up and scored using the five-point CO-RADS scheme for suspicion of COVID-19. CT was compared with severe acute respiratory syndrome coronavirus 2 reverse-transcription polymerase chain reaction (RT-PCR) assay and a clinical reference standard established by a multidisciplinary group of clinicians based on RT-PCR, COVID-19 contact history, oxygen therapy, timing of RT-PCR testing, and likely alternative diagnosis. Performance of CT was estimated using area under the receiver operating characteristic curve (AUC) ...Continue Reading

References

Feb 11, 2015·Annals of Internal Medicine·Paul F PinskyElla Kazerooni
Jan 30, 2020·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Victor M CormanChristian Drosten
Feb 20, 2020·Radiology·Yicheng FangWenbin Ji
Feb 20, 2020·The New England Journal of Medicine·Lirong ZouJie Wu
Feb 29, 2020·The New England Journal of Medicine·Wei-Jie GuanUNKNOWN China Medical Treatment Expert Group for Covid-19
Apr 1, 2020·Lancet·Michael D HopeUNKNOWN six signatories
Apr 4, 2020·Radiology·Damiano CarusoAndrea Laghi
Apr 17, 2020·Expert Review of Molecular Diagnostics·Alireza Tahamtan, Abdollah Ardebili
Apr 28, 2020·Radiology·Mathias ProkopUNKNOWN COVID-19 Standardized Reporting Working Group of the Dutch Radiological Society
May 16, 2020·AJR. American Journal of Roentgenology·Joseph V WallerMichael Hope
Jun 6, 2020·The New England Journal of Medicine·Steven WoloshinAaron S Kesselheim

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Citations

Mar 28, 2021·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·Marwin-Jonathan SähnMaximilian Franz Schulze-Hagen
Jul 13, 2021·World Journal of Radiology·Georgios Antonios SiderisLucy Modahl
Apr 15, 2021·AJR. American Journal of Roentgenology·Sherief H GarranaBrent P Little
Oct 15, 2021·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·Alexander Gross, Thomas Albrecht

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Methods Mentioned

BETA
bronchoalveolar lavage
PCR
bronchoalveolar
lavage

Software Mentioned

CO
RADS
SPSS
PI
COVID reporting and data system (
- RADS
LUNG
CORADS
MedCalc

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