10.1148/ryct.2020200213 http://scihub22266oqcxt.onion/10.1148/ryct.2020200213 C7294823!7294823
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Radiol+Cardiothorac+Imaging
2020 ; 2
(3
): e200213
Nephropedia Template TP gab.com Text Twit Text FOAVip Twit Text # English Wikipedia
Radiological Society of North America Chest CT Classification System for
Reporting COVID-19 Pneumonia: Interobserver Variability and Correlation with
Reverse-Transcription Polymerase Chain Reaction
#MMPMID33778589
de Jaegere TMH
; Krdzalic J
; Fasen BACM
; Kwee RM
Radiol Cardiothorac Imaging
2020[Jun]; 2
(3
): e200213
PMID33778589
show ga
PURPOSE: To evaluate the Radiological Society of North America (RSNA) chest CT
classification system for reporting coronavirus disease 2019 (COVID-19)
pneumonia. MATERIALS AND METHODS: Chest CT scans of consecutive patients
suspected of having COVID-19 were retrospectively and independently evaluated by
two chest radiologists and a 5th-year radiology resident using the RSNA chest CT
classification system for reporting COVID-19 pneumonia. Interobserver agreement
was evaluated by calculating weighted ? coefficients. The proportion of patients
with real-time reverse-transcription polymerase chain reaction (RT-PCR)-confirmed
COVID-19 in each of the four chest CT categories (typical, indeterminate,
atypical, and negative features for COVID-19) was calculated. RESULTS: In total,
96 patients (61 men; median age, 70 years [range, 29-94]) were included, of whom
45 had RT-PCR-confirmed COVID-19. The number of patients assigned to chest CT
categories typical, indeterminate, atypical, and negative by the three readers
ranged from 18 to 29, 26 to 43, 19 to 31, and 5 to 8, respectively. The ?
coefficient among the chest radiologists was 0.663 (95% confidence interval [CI]:
0.565, 0.761). ? coefficients among the chest radiologists and the 5th-year
radiology resident were 0.570 (95% CI: 0.443, 0.696) and 0.564 (95% CI: 0.451,
0.678), respectively. The proportion of patients with RT-PCR-confirmed COVID-19
in the chest CT categories typical, indeterminate, atypical, and negative for the
three readers ranged from 76.9% to 96.6%, 51.2% to 64.1%, 2.8% to 5.3%, and 20%
to 25%, respectively. CONCLUSION: The RSNA chest CT classification system for
reporting COVID-19 pneumonia has moderate-to-substantial interobserver agreement.
However, the proportion of RT-PCR-confirmed COVID-19 cases in the categories
atypical appearance and negative for pneumonia is nonnegligible.Supplemental
material is available for this article.© RSNA, 2020.
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