A preliminary case series comparison of chest computerized tomography scan and Polymerase Chain Reaction (PCR) for COVID-19 contact tracing in developing countries with limited resources

Background: Imaging and PCR each have a role in detecting and implementing precautionary measures in isolating individuals with a history of close contact, which helps limit the COVID-19 pandemic. Due to developing countries' difficulties, PCR is limited in Iran. This study seeks to determine t...

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Main Authors: Hooman Bahrami-Motlagh, Amir Mohammad Papan, Zahra Sahraei, Babak Salevatipour, Maryam Haghighimorad, Alireza Karami, Mana Zaman, Rastin Radfar, Minoosh Shabani
Format: Article
Language:English
Published: Shahid Beheshti University of Medical Sciences 2022-12-01
Series:Novelty in Biomedicine
Subjects:
Online Access:https://journals.sbmu.ac.ir/nbm/article/view/37938
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author Hooman Bahrami-Motlagh
Amir Mohammad Papan
Zahra Sahraei
Babak Salevatipour
Maryam Haghighimorad
Alireza Karami
Mana Zaman
Rastin Radfar
Minoosh Shabani
author_facet Hooman Bahrami-Motlagh
Amir Mohammad Papan
Zahra Sahraei
Babak Salevatipour
Maryam Haghighimorad
Alireza Karami
Mana Zaman
Rastin Radfar
Minoosh Shabani
author_sort Hooman Bahrami-Motlagh
collection DOAJ
description Background: Imaging and PCR each have a role in detecting and implementing precautionary measures in isolating individuals with a history of close contact, which helps limit the COVID-19 pandemic. Due to developing countries' difficulties, PCR is limited in Iran. This study seeks to determine the feasibility of early low-dose chest computed tomography (CT) scans substitution with PCR. Materials and Methods: Asymptomatic participants with a history of close contact with a confirmed case of COVID-19 were enrolled and followed for one week, receiving 2 PCR tests within one week. Initially, a chest CT scan was performed. The second CT scan was performed within one week on two participants. Participants with an initially negative CT scan and participants with a first CT scan compatible with COVID-19 who became symptomatic. Results: All Participants had an RT-PCR and at least one CT scan. Positive RT-PCR results were reported in 6 and 9 participants initially and within one week, respectively. Chest CT scans favoring COVID-19 infection were initially reported in 4 and 6 participants within one week, respectively. Seventeen participants showed neither symptoms nor positive RT-PCR or chested CT scans favoring COVID-19. Thirteen participants either had positive RT-PCR, a COVID-19 chest CT scan or became symptomatic. Conclusion: Rapid detection of COVID-19 and subsequent quarantining is crucial in the global fight against this pandemic. Our results showed lower sensitivity for chest CT scans compared to COVID-19 PCR, suggesting that chest CT scans are unsuitable for COVID-19 PCR tests.
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spelling doaj.art-48a09f65c9af4dd3ae8440dcb3e4f1c92023-04-15T17:57:39ZengShahid Beheshti University of Medical SciencesNovelty in Biomedicine2345-39072022-12-0110420721210.22037/nbm.v10i4.3793837938A preliminary case series comparison of chest computerized tomography scan and Polymerase Chain Reaction (PCR) for COVID-19 contact tracing in developing countries with limited resourcesHooman Bahrami-Motlaghhttps://orcid.org/0000-0002-0593-8511Amir Mohammad Papanhttps://orcid.org/0000-0002-6121-7137Zahra Sahraeihttps://orcid.org/0000-0002-0178-8624Babak Salevatipourhttps://orcid.org/0000-0002-0304-2914Maryam Haghighimoradhttps://orcid.org/0000-0003-0086-9446Alireza KaramiMana ZamanRastin RadfarMinoosh Shabanihttps://orcid.org/0000-0002-4064-8325Background: Imaging and PCR each have a role in detecting and implementing precautionary measures in isolating individuals with a history of close contact, which helps limit the COVID-19 pandemic. Due to developing countries' difficulties, PCR is limited in Iran. This study seeks to determine the feasibility of early low-dose chest computed tomography (CT) scans substitution with PCR. Materials and Methods: Asymptomatic participants with a history of close contact with a confirmed case of COVID-19 were enrolled and followed for one week, receiving 2 PCR tests within one week. Initially, a chest CT scan was performed. The second CT scan was performed within one week on two participants. Participants with an initially negative CT scan and participants with a first CT scan compatible with COVID-19 who became symptomatic. Results: All Participants had an RT-PCR and at least one CT scan. Positive RT-PCR results were reported in 6 and 9 participants initially and within one week, respectively. Chest CT scans favoring COVID-19 infection were initially reported in 4 and 6 participants within one week, respectively. Seventeen participants showed neither symptoms nor positive RT-PCR or chested CT scans favoring COVID-19. Thirteen participants either had positive RT-PCR, a COVID-19 chest CT scan or became symptomatic. Conclusion: Rapid detection of COVID-19 and subsequent quarantining is crucial in the global fight against this pandemic. Our results showed lower sensitivity for chest CT scans compared to COVID-19 PCR, suggesting that chest CT scans are unsuitable for COVID-19 PCR tests.https://journals.sbmu.ac.ir/nbm/article/view/37938covid-19, ct scan, polymerase chain reaction, contact tracing
spellingShingle Hooman Bahrami-Motlagh
Amir Mohammad Papan
Zahra Sahraei
Babak Salevatipour
Maryam Haghighimorad
Alireza Karami
Mana Zaman
Rastin Radfar
Minoosh Shabani
A preliminary case series comparison of chest computerized tomography scan and Polymerase Chain Reaction (PCR) for COVID-19 contact tracing in developing countries with limited resources
Novelty in Biomedicine
covid-19, ct scan, polymerase chain reaction, contact tracing
title A preliminary case series comparison of chest computerized tomography scan and Polymerase Chain Reaction (PCR) for COVID-19 contact tracing in developing countries with limited resources
title_full A preliminary case series comparison of chest computerized tomography scan and Polymerase Chain Reaction (PCR) for COVID-19 contact tracing in developing countries with limited resources
title_fullStr A preliminary case series comparison of chest computerized tomography scan and Polymerase Chain Reaction (PCR) for COVID-19 contact tracing in developing countries with limited resources
title_full_unstemmed A preliminary case series comparison of chest computerized tomography scan and Polymerase Chain Reaction (PCR) for COVID-19 contact tracing in developing countries with limited resources
title_short A preliminary case series comparison of chest computerized tomography scan and Polymerase Chain Reaction (PCR) for COVID-19 contact tracing in developing countries with limited resources
title_sort preliminary case series comparison of chest computerized tomography scan and polymerase chain reaction pcr for covid 19 contact tracing in developing countries with limited resources
topic covid-19, ct scan, polymerase chain reaction, contact tracing
url https://journals.sbmu.ac.ir/nbm/article/view/37938
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