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10.1097/RCT.0000000000001162

http://scihub22266oqcxt.onion/10.1097/RCT.0000000000001162
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33797444!ä!33797444

suck abstract from ncbi


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pmid33797444      J+Comput+Assist+Tomogr 2021 ; 45 (3): 485-489
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  • RSNA-STR-ACR Consensus Statement for COVID-19 CT Patterns: Interreader Agreement in 240 Consecutive Patients and Association With RT-PCR Status #MMPMID33797444
  • Silva CF; Alegria J; Ramos C; Verdugo J; Diaz JC; Varela C; Barbe M
  • J Comput Assist Tomogr 2021[May]; 45 (3): 485-489 PMID33797444show ga
  • PURPOSE: The aim of this study was to study interreader agreement of the RSNA-STR-ACR (Radiological Society of North America/Society of Thoracic Radiology/American College of Radiology) consensus statement on reporting chest computed tomography (CT) findings related to COVID-19 on a sample of consecutive patients confirmed with reverse transcriptase-polymerase chain reaction (RT-PCR) for severe acute respiratory syndrome coronavirus 2. MATERIALS AND METHODS: This institutional review board-approved retrospective study included 240 cases with a mean age of 47.6 +/- 15.9 years, ranging from 20 to 90 years, who had a chest CT and RT-PCR performed. Computed tomography images were independently analyzed by 2 thoracic radiologists to identify patterns defined by the RSNA-STR-ACR consensus statement, and concordance was determined with weighted kappa tests. Also, CT findings and CT severity scores were tabulated and compared. RESULTS: Of the 240 cases, 118 had findings on CT. The most frequent on the RT-PCR-positive group were areas of ground-glass opacities (80.5%), crazy-paving pattern (32.2%), and rounded pseudonodular ground-glass opacities (22.9%). Regarding the CT patterns, the most frequent in the RT-PCR-positive group was typical in 75.9%, followed by negative in 17.1%. The interreader agreement was 0.90 (95% confidence interval, 0.80-0.96) in this group. The CT severity score had a mean difference of -0.07 (95% confidence interval, -0.48 to 0.34) among the readers, showing no significant differences regarding visual estimation. CONCLUSIONS: The RSNA-STR-ACR consensus statement on reporting chest CT patterns for COVID-19 presents a high interreader agreement, with the typical pattern being more frequently associated with RT-PCR-positive examinations.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/*diagnosis[MESH]
  • |Consensus[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Observer Variation[MESH]
  • |Radiographic Image Interpretation, Computer-Assisted/*standards[MESH]
  • |Retrospective Studies[MESH]
  • |Reverse Transcriptase Polymerase Chain Reaction/*standards[MESH]
  • |Severity of Illness Index[MESH]
  • |Tomography, X-Ray Computed/*standards[MESH]


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