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Performance of radiologists in differentiating COVID-19 from viral pneumonia on chest CT
Bai Harrison X..
Hsieh Ben.
Xiong Zeng.
Halsey Kasey.
Choi Ji Whae.
Tran Thi My Linh.
Pan Ian.
Shi Lin-Bo.
Wang Dong-Cui.
Mei Ji.
Jiang Xiao-Long.
Zeng Qiu-Hua.
Egglin Thomas K..
Hu Ping-Feng.
Agarwal Saurabh.
Xie Fangfang.
Li Sha.
Healey Terrance.
Atalay Michael K..
Liao Wei-Hua.
Acceso Abierto
Atribución-NoComercial-SinDerivadas
10.1148/radiol.2020200823
Background Despite its high sensitivity in diagnosing COVID-19 in a screening population, chest CT appearances of COVID 19 pneumonia are thought to be non-specific. Purpose To assess the performance of United States (U.S.) and Chinese radiologists in differentiating COVID-19 from viral pneumonia on chest CT. Methods A total of 219 patients with both positive COVID-19 by RT-PCR and abnormal chest CT findings were retrospectively identified from 7 Chinese hospitals in Hunan Providence, China from January 6 to February 20, 2020. A total of 205 patients with positive Respiratory Pathogen Panel for viral pneumonia and CT findings consistent with or highly suspicious for pneumonia by original radiology interpretation within 7 days of each other were identified from Rhode Island Hospital in Providence, RI. Three Chinese radiologists blindly reviewed all chest CTs (n=424) to differentiate COVID-19 from viral pneumonia. A sample of 58 age-matched cases was randomly selected and evaluated by 4 U.S. radiologists in a similar fashion. Different CT features were recorded and compared between the two groups. Results For all chest CTs, three Chinese radiologists correctly differentiated COVID-19 from non-COVID-19 pneumonia 83% (350/424), 80% (338/424), and 60% (255/424) of the time, respectively. The seven radiologists had sensitivities of 80%, 67%, 97%, 93%, 83%, 73% and 70% and specificities of 100%, 93%, 7%, 100%, 93%, 93%, 100%. Compared to non-COVID-19 pneumonia, COVID-19 pneumonia was more likely to have a peripheral distribution (80% vs. 57%, p
Radiology
2020
Artículo
https://pubs.rsna.org/doi/pdf/10.1148/radiol.2020200823
Inglés
VIRUS RESPIRATORIOS
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