The role of chest tomography in the diagnosis of COVID-19

Yıl 2022, , 1 - 6, 24.03.2022

Mesut Demirköse , Tülay Ünver Ulusoy , Semiha Solak Grassie , Dilek Yapar , Hacer Demirköse , Mustafa Emre Akın , Semih Aydemir , Mehmet Raşit Ayte , Hilal Sazak , Ali Alagöz

https://doi.org/10.47582/jompac.1031340

Cited By: 1

Öz

Aim: We aimed to examine the diagnostic power of chest computerized tomography (CT) comparing with ‘Clinical Decision’ and RT-PCR results among the patients admitted to the hospital with COVID-19 disease suspicion.
Material and Method: This study included 162 patients who applied to the pandemic outpatient clinic between March 11 and April 11, 2020, suspected of new coronavirus infection, and had chest CT and RT-PCR tests at the same time. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), accuracy and positive odds ratio of RT-PCR and chest CT imaging are investigated for the diagnosis of COVID-19.
Results: It was found that 56.8% (92 patients) of chest CT scans taken at admission were compatible with viral pneumonia. With the ‘Clinical Decision’, which we accept as the gold standard diagnostic method, 61.1% of the patients (99 patients) were evaluated as COVID-19 positive and treatment was started. According to clinical decision, sensitivity of chest CT was 92.9%.
Conclusion: COVID-19 pneumonia is a serious life-threatening condition. Rapid diagnosis and early treatment are very important in terms of reducing mortality and morbidity. The chest CT might create an early diagnosis and treatment opportunity.

Anahtar Kelimeler

COVID-19, Coronavirus, pneumonia, chest, computerized tomography

Destekleyen Kurum

YOK

Proje Numarası

YOK

Teşekkür

Thank you to ‘Dilek Yapar’ from Department of Biostatistics and Medical informatics, Akdeniz University Faculty of Medicine, Antalya, Turkey and ‘Hacer DEMİRKÖSE’ from Department Of Public Health, Turkish Ministry of Public Health, Pursaklar District Health Directorate, Ankara, Turkey for their medical statistics support.

COVID-19 tanısında göğüs tomografisinin rolü

Öz

Amaç: COVID-19 hastalığı şüphesiyle hastaneye başvuran hastalarda göğüs bilgisayarlı tomografi (BT)’sinin ‘Klinik Karar’ ve RT-PCR sonuçları ile karşılaştırmalı olarak tanısal gücünü incelemeyi amaçladık.
Gereç ve Yöntem: Bu çalışmaya 11 Mart - 11 Nisan 2020 tarihleri ​​arasında pandemi polikliniğine başvuran, yeni koronavirüs enfeksiyonu şüphesi olan ve aynı anda göğüs BT ve RT-PCR tetkikleri yapılan 162 hasta dahil edildi. COVID-19 tanısı için RT-PCR ve göğüs BT görüntülemenin duyarlılığı, özgüllüğü, pozitif öngörü değeri (PPV), negatif öngörü değeri (NPV), doğruluğu ve pozitif olasılık oranı araştırılmaktadır.
Bulgular: Başvuru sırasında çekilen akciğer tomografilerinin %56,8’inin (92 hasta) viral pnömoni ile uyumlu olduğu bulundu. Altın standart tanı yöntemi olarak kabul ettiğimiz ‘Klinik Karar’ ile hastaların %61,1’i (99 hasta) COVID-19 pozitif olarak değerlendirildi ve tedaviye başlandı. Klinik karara göre göğüs BT’nin duyarlılığı %92,9 idi.
Sonuç: COVID-19 pnömonisi hayatı tehdit eden ciddi bir durumdur. Hızlı tanı ve erken tedavi, mortalite ve morbiditeyi azaltmak açısından çok önemlidir. Göğüs BT erken tanı ve tedavi fırsatı yaratabilir.

Anahtar Kelimeler

COVID-19, Coronavirüs, pnomoni, göğüs, Bilgisayarlı tomografi

Proje Numarası

YOK

Kaynakça

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