Diagnostic Performance of the Radiological Society of North America Consensus Statement for Reporting COVID-19 Chest CT Findings: A Revisit
Coronavirus disease 2019 (COVID-19) is a highly contagious respiratory disease that leads to variable degrees of illness, and which may be fatal. We evaluated the diagnostic performance of each chest computed tomography (CT) reporting category recommended by the Expert Consensus of the Radiological...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-08-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/12/16/5180 |
| _version_ | 1797584338860113920 |
|---|---|
| author | Mohammed Hazem Sayed Ibrahim Ali Qasem M. AlAlwan Ibrahim Khalid Al Jabr Sarah Abdulrahman F. Alshehri Mohammed Q. AlAlwan Mohammed Ibrahim Alsaeed Mohammed Aldawood Jamela A. Turkistani Yasser Abdelkarim Amin |
| author_facet | Mohammed Hazem Sayed Ibrahim Ali Qasem M. AlAlwan Ibrahim Khalid Al Jabr Sarah Abdulrahman F. Alshehri Mohammed Q. AlAlwan Mohammed Ibrahim Alsaeed Mohammed Aldawood Jamela A. Turkistani Yasser Abdelkarim Amin |
| author_sort | Mohammed Hazem |
| collection | DOAJ |
| description | Coronavirus disease 2019 (COVID-19) is a highly contagious respiratory disease that leads to variable degrees of illness, and which may be fatal. We evaluated the diagnostic performance of each chest computed tomography (CT) reporting category recommended by the Expert Consensus of the Radiological Society of North America (RSNA) in comparison with that of reverse transcription polymerase chain reaction (RT-PCR). We aimed to add an analysis of this form of reporting in the Middle East, as few studies have been performed there. Between July 2021 and February 2022, 184 patients with a mean age of 55.56 ± 16.71 years and probable COVID-19 infections were included in this retrospective study. Approximately 64.67% (119 patients) were male, while 35.33% (65 patients) were female. Within 7 days, all patients underwent CT and RT-PCR examinations. According to a statement by the RSNA, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of each CT reporting category were calculated, and the RT-PCR results were used as a standard reference. The RT-PCR results confirmed a final diagnosis of COVID-19 infection in 60.33% of the patients. For COVID-19 diagnoses, the typical category (<i>n</i> = 88) had a sensitivity, specificity, PPV, and accuracy of 74.8%, 93.2%, 94.3%, and 92.5%, respectively. For non-COVID-19 diagnoses, the PPVs for the atypical (<i>n</i> = 22) and negative (<i>n</i> = 46) categories were 81.8% and 89.1%, respectively. The PPV for the indeterminate (<i>n</i> = 28) category was 67.9%, with a low sensitivity of 17.1%. However, the RSNA’s four chest CT reporting categories provide a strong diagnostic foundation and are highly correlated with the RT-PCR results for the typical, atypical, and negative categories, but they are weaker for the indeterminate category. |
| first_indexed | 2024-03-10T23:50:28Z |
| format | Article |
| id | doaj.art-6a279506d62c4d9eac6d69996ecc9dcd |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T23:50:28Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-6a279506d62c4d9eac6d69996ecc9dcd2023-11-19T01:39:00ZengMDPI AGJournal of Clinical Medicine2077-03832023-08-011216518010.3390/jcm12165180Diagnostic Performance of the Radiological Society of North America Consensus Statement for Reporting COVID-19 Chest CT Findings: A RevisitMohammed Hazem0Sayed Ibrahim Ali1Qasem M. AlAlwan2Ibrahim Khalid Al Jabr3Sarah Abdulrahman F. Alshehri4Mohammed Q. AlAlwan5Mohammed Ibrahim Alsaeed6Mohammed Aldawood7Jamela A. Turkistani8Yasser Abdelkarim Amin9Department of Surgery, Collage of Medicine, King Faisal University, P.O. Box 400, Al-Ahsa 31982, Saudi ArabiaDepartment of Family and Community Medicine, Collage of Medicine, King Faisal University, P.O. Box 400, Al-Ahsa 31982, Saudi ArabiaDepartment of Radiology, King Fahd Hospital Hofuf, Al-Ahsa 36441, Saudi ArabiaDepartment of Surgery, Collage of Medicine, King Faisal University, P.O. Box 400, Al-Ahsa 31982, Saudi ArabiaDepartment of Surgery, Collage of Medicine, King Faisal University, P.O. Box 400, Al-Ahsa 31982, Saudi ArabiaDepartment of Radiology, King Fahd Hospital Hofuf, Al-Ahsa 36441, Saudi ArabiaKing Abdulaziz Military Hospital, Al-Ahsa 36428, Saudi ArabiaCollage of Medicine, King Faisal University, P.O. Box 400, Al-Ahsa 31982, Saudi ArabiaDepartment of Family and Community Medicine, Collage of Medicine, King Faisal University, P.O. Box 400, Al-Ahsa 31982, Saudi ArabiaDiagnostic and Interventional Radiology Department, Faculty of Medicine, Sohag University, Sohag 82524, EgyptCoronavirus disease 2019 (COVID-19) is a highly contagious respiratory disease that leads to variable degrees of illness, and which may be fatal. We evaluated the diagnostic performance of each chest computed tomography (CT) reporting category recommended by the Expert Consensus of the Radiological Society of North America (RSNA) in comparison with that of reverse transcription polymerase chain reaction (RT-PCR). We aimed to add an analysis of this form of reporting in the Middle East, as few studies have been performed there. Between July 2021 and February 2022, 184 patients with a mean age of 55.56 ± 16.71 years and probable COVID-19 infections were included in this retrospective study. Approximately 64.67% (119 patients) were male, while 35.33% (65 patients) were female. Within 7 days, all patients underwent CT and RT-PCR examinations. According to a statement by the RSNA, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of each CT reporting category were calculated, and the RT-PCR results were used as a standard reference. The RT-PCR results confirmed a final diagnosis of COVID-19 infection in 60.33% of the patients. For COVID-19 diagnoses, the typical category (<i>n</i> = 88) had a sensitivity, specificity, PPV, and accuracy of 74.8%, 93.2%, 94.3%, and 92.5%, respectively. For non-COVID-19 diagnoses, the PPVs for the atypical (<i>n</i> = 22) and negative (<i>n</i> = 46) categories were 81.8% and 89.1%, respectively. The PPV for the indeterminate (<i>n</i> = 28) category was 67.9%, with a low sensitivity of 17.1%. However, the RSNA’s four chest CT reporting categories provide a strong diagnostic foundation and are highly correlated with the RT-PCR results for the typical, atypical, and negative categories, but they are weaker for the indeterminate category.https://www.mdpi.com/2077-0383/12/16/5180COVID-19RSNA consensustypical categoryatypical categoryindeterminate categorynegative category |
| spellingShingle | Mohammed Hazem Sayed Ibrahim Ali Qasem M. AlAlwan Ibrahim Khalid Al Jabr Sarah Abdulrahman F. Alshehri Mohammed Q. AlAlwan Mohammed Ibrahim Alsaeed Mohammed Aldawood Jamela A. Turkistani Yasser Abdelkarim Amin Diagnostic Performance of the Radiological Society of North America Consensus Statement for Reporting COVID-19 Chest CT Findings: A Revisit Journal of Clinical Medicine COVID-19 RSNA consensus typical category atypical category indeterminate category negative category |
| title | Diagnostic Performance of the Radiological Society of North America Consensus Statement for Reporting COVID-19 Chest CT Findings: A Revisit |
| title_full | Diagnostic Performance of the Radiological Society of North America Consensus Statement for Reporting COVID-19 Chest CT Findings: A Revisit |
| title_fullStr | Diagnostic Performance of the Radiological Society of North America Consensus Statement for Reporting COVID-19 Chest CT Findings: A Revisit |
| title_full_unstemmed | Diagnostic Performance of the Radiological Society of North America Consensus Statement for Reporting COVID-19 Chest CT Findings: A Revisit |
| title_short | Diagnostic Performance of the Radiological Society of North America Consensus Statement for Reporting COVID-19 Chest CT Findings: A Revisit |
| title_sort | diagnostic performance of the radiological society of north america consensus statement for reporting covid 19 chest ct findings a revisit |
| topic | COVID-19 RSNA consensus typical category atypical category indeterminate category negative category |
| url | https://www.mdpi.com/2077-0383/12/16/5180 |
| work_keys_str_mv | AT mohammedhazem diagnosticperformanceoftheradiologicalsocietyofnorthamericaconsensusstatementforreportingcovid19chestctfindingsarevisit AT sayedibrahimali diagnosticperformanceoftheradiologicalsocietyofnorthamericaconsensusstatementforreportingcovid19chestctfindingsarevisit AT qasemmalalwan diagnosticperformanceoftheradiologicalsocietyofnorthamericaconsensusstatementforreportingcovid19chestctfindingsarevisit AT ibrahimkhalidaljabr diagnosticperformanceoftheradiologicalsocietyofnorthamericaconsensusstatementforreportingcovid19chestctfindingsarevisit AT sarahabdulrahmanfalshehri diagnosticperformanceoftheradiologicalsocietyofnorthamericaconsensusstatementforreportingcovid19chestctfindingsarevisit AT mohammedqalalwan diagnosticperformanceoftheradiologicalsocietyofnorthamericaconsensusstatementforreportingcovid19chestctfindingsarevisit AT mohammedibrahimalsaeed diagnosticperformanceoftheradiologicalsocietyofnorthamericaconsensusstatementforreportingcovid19chestctfindingsarevisit AT mohammedaldawood diagnosticperformanceoftheradiologicalsocietyofnorthamericaconsensusstatementforreportingcovid19chestctfindingsarevisit AT jamelaaturkistani diagnosticperformanceoftheradiologicalsocietyofnorthamericaconsensusstatementforreportingcovid19chestctfindingsarevisit AT yasserabdelkarimamin diagnosticperformanceoftheradiologicalsocietyofnorthamericaconsensusstatementforreportingcovid19chestctfindingsarevisit |