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The value of chest X-ray and CT severity scoring systems in the diagnosis of COVID-19: A review

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Coronavirus disease 2019 (COVID-19) is caused by a coronavirus family member known as severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). The main laboratory test to confirm the quick diagnosis of COVID-19… Click to show full abstract

Coronavirus disease 2019 (COVID-19) is caused by a coronavirus family member known as severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). The main laboratory test to confirm the quick diagnosis of COVID-19 infection is reverse transcription-polymerase chain reaction (RT-PCR) based on nasal or throat swab sampling. A small percentage of false-negative RT-PCR results have been reported. The RT-PCR test has a sensitivity of 50–72%, which could be attributed to a low viral load in test specimens or laboratory errors. In contrast, chest CT has shown 56–98% of sensitivity in diagnosing COVID-19 at initial presentation and has been suggested to be useful in correcting false negatives from RT-PCR. Chest X-rays and CT scans have been proposed to predict COVID-19 disease severity by displaying the score of lung involvement and thus providing information about the diagnosis and prognosis of COVID-19 infection. As a result, the current study provides a comprehensive overview of the utility of the severity score index using X-rays and CT scans in diagnosing patients with COVID-19 when compared to RT-PCR.

Keywords: diagnosis; value chest; covid; diagnosis covid; severity; chest ray

Journal Title: Frontiers in Medicine
Year Published: 2023

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