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10.1148/ryct.2020200337

http://scihub22266oqcxt.onion/10.1148/ryct.2020200337
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C7605075!7605075!33778628
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suck abstract from ncbi


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pmid33778628      Radiol+Cardiothorac+Imaging 2020 ; 2 (5): ä
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  • Determinants of Chest X-Ray Sensitivity for COVID- 19: A Multi-Institutional Study in the United States #MMPMID33778628
  • Stephanie S; Shum T; Cleveland H; Challa SR; Herring A; Jacobson FL; Hatabu H; Byrne SC; Shashi K; Araki T; Hernandez JA; White CS; Hossain R; Hunsaker AR; Hammer MM
  • Radiol Cardiothorac Imaging 2020[Oct]; 2 (5): ä PMID33778628show ga
  • Purpose: To evaluate the sensitivity, specificity, and severity of chest x-rays (CXR) and chest CTs over time in confirmed COVID-19+ and COVID-19- patients and to evaluate determinants of false negatives. Methods: In a retrospective multi-institutional study, 254 RT-PCR verified COVID-19+ patients with at least one CXR or chest CT were compared with 254 age- and gender-matched COVID-19- controls. CXR severity, sensitivity, and specificity were determined with respect to time after onset of symptoms; sensitivity and specificity for chest CTs without time stratification. Performance of serial CXRs against CTs was determined by comparing area under the receiver operating characteristic curves (AUC). A multivariable logistic regression analysis was performed to assess factors related to false negative CXR. Results: COVID-19+ CXR severity and sensitivity increased with time (from sensitivity of 55% at ?2 days to 79% at >11 days; p<0.001 for trends of both severity and sensitivity) whereas CXR specificity decreased over time (from 83% to 70%, p=0.02). Serial CXR demonstrated increase in AUC (first CXR AUC=0.79, second CXR=0.87, p=0.02), and second CXR approached the accuracy of CT (AUC=0.92, p=0.11). COVID-19 sensitivity of first CXR, second CXR, and CT was 73%, 83%, and 88%, whereas specificity was 80%, 73%, and 77%, respectively. Normal and mild severity CXR findings were the largest factor behind false-negative CXRs (40% normal and 87% combined normal/mild). Young age and African-American ethnicity increased false negative rates. Conclusion: CXR sensitivity in COVID-19 detection increases with time, and serial CXRs of COVID-19+ patients has accuracy approaching that of chest CT.
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