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10.1016/j.bjid.2021.101665

http://scihub22266oqcxt.onion/10.1016/j.bjid.2021.101665
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suck abstract from ncbi


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pmid34958741      Braz+J+Infect+Dis 2022 ; 26 (1): 101665
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  • Diagnostic performance of the RSNA-proposed classification for COVID-19 pneumonia versus pre-pandemic controls #MMPMID34958741
  • Rocha CO; Prioste TAD; Faccin CS; Folador L; Tonetto MS; Knijnik PG; Mainardi NB; Borges RB; Garcia TS
  • Braz J Infect Dis 2022[Jan]; 26 (1): 101665 PMID34958741show ga
  • OBJECTIVE: To evaluate the diagnostic accuracy of the Radiological Society of North America (RSNA) classification system for coronavirus disease 2019 (COVID-19) pneumonia compared to pre-pandemic chest computed tomography (CT) scan images to mitigate the risk of bias regarding the reference standard. MATERIALS AND METHODS: This was a retrospective, cross-sectional, diagnostic test accuracy study. Chest CT scans, carried out from May 1 to June 30, 2020, and from May 1 to July 17, 2017, were consecutively selected for the COVID-19 (positive reverse transcription-polymerase chain reaction [RT-PCR] for severe acute respiratory syndrome coronavirus 2 result) and control (pre-pandemic) groups, respectively. Four expert thoracic radiologists blindly interpreted each CT scan image. Sensitivity and specificity were calculated. RESULTS: A total of 160 chest CT scan images were included: 79 in the COVID-19 group (56 [43.5-67] years old, 41 men) and 81 in the control group (62 [52-72] years old, 44 men). Typically, an estimated specificity of 98.5% (95% confidence interval [CI] 98.1%-98.4%) was obtained. For the indeterminate classification as a diagnostic threshold, an estimated sensitivity of 88.3% (95% CI 84.7%-91.7%) and a specificity of 79.0% (95% CI 74.5%-83.4%), with an area under the curve of 0.865 (95% CI 0.838-0.895), were obtained. CONCLUSION: The RSNA classification system shows strong diagnostic accuracy for COVID-19 pneumonia, even against pre-pandemic controls. It can be an important aid in clinical decision-making, especially when a typical or indeterminate pattern is found, possibly advising retesting following an initial negative RT-PCR result and streamlining early management and isolation.
  • |*COVID-19[MESH]
  • |*Pneumonia[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Humans[MESH]
  • |Lung[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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