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10.1016/j.crad.2020.06.005

http://scihub22266oqcxt.onion/10.1016/j.crad.2020.06.005
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32631626!7298474!32631626
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suck abstract from ncbi


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pmid32631626      Clin+Radiol 2020 ; 75 (9): 710.e9-710.e14
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  • Validation of the British Society of Thoracic Imaging guidelines for COVID-19 chest radiograph reporting #MMPMID32631626
  • Hare SS; Tavare AN; Dattani V; Musaddaq B; Beal I; Cleverley J; Cash C; Lemoniati E; Barnett J
  • Clin Radiol 2020[Sep]; 75 (9): 710.e9-710.e14 PMID32631626show ga
  • AIM: To validate the British Society of Thoracic Imaging issued guidelines for the categorisation of chest radiographs for coronavirus disease 2019 (COVID-19) reporting regarding reproducibility amongst radiologists and diagnostic performance. MATERIALS AND METHODS: Chest radiographs from 50 patients with COVID-19, and 50 control patients with symptoms consistent with COVID-19 from prior to the emergence of the novel coronavirus were assessed by seven consultant radiologists with regards to the British Society of Thoracic Imaging guidelines. RESULTS: The findings show excellent specificity (100%) and moderate sensitivity (44%) for guideline-defined Classic/Probable COVID-19, and substantial interobserver agreement (Fleiss' k=0.61). Fair agreement was observed for the "Indeterminate for COVID-19" (k=0.23), and "Non-COVID-19" (k=0.37) categories; furthermore, the sensitivity (0.26 and 0.14 respectively) and specificity (0.76, 0.80) of these categories for COVID-19 were not significantly different (McNemar's test p=0.18 and p=0.67). CONCLUSION: An amalgamation of the categories of "Indeterminate for COVID-19" and "Non-COVID-19" into a single "not classic of COVID-19" classification would improve interobserver agreement, encompass patients with a similar probability of COVID-19, and remove the possibility of labelling patients with COVID-19 as "Non-COVID-19", which is the presenting radiographic appearance in a significant minority (14%) of patients.
  • |*Betacoronavirus[MESH]
  • |*Practice Guidelines as Topic[MESH]
  • |Aged[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*diagnostic imaging[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Lung/diagnostic imaging[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Observer Variation[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnostic imaging[MESH]
  • |Polymerase Chain Reaction[MESH]
  • |Radiography, Thoracic/*methods[MESH]
  • |Reproducibility of Results[MESH]
  • |SARS-CoV-2[MESH]
  • |Sensitivity and Specificity[MESH]


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