Meta-analysis: COVID-19 diagnosis in chest CT—master key for radiologists

Abstract Background COVID-19 was discovered in February in China. Due to the high prevalence of the disease, early detection and rapid isolation of patients are the vital points for controlling the outbreak. The purpose of this study was to determine the correct location of chest CT scan in the diag...

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Main Authors: Soheil Hassanipour, Omid Azadbakht, Zari Dehnavi, Mohsen Shafiee, Ahmad Badeenezhad, Hossein-Ali Nikbakht, Parsa Faghani Scandarkolaei, Hassan Bostan
Format: Article
Language:English
Published: SpringerOpen 2021-03-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43055-021-00457-6
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author Soheil Hassanipour
Omid Azadbakht
Zari Dehnavi
Mohsen Shafiee
Ahmad Badeenezhad
Hossein-Ali Nikbakht
Parsa Faghani Scandarkolaei
Hassan Bostan
author_facet Soheil Hassanipour
Omid Azadbakht
Zari Dehnavi
Mohsen Shafiee
Ahmad Badeenezhad
Hossein-Ali Nikbakht
Parsa Faghani Scandarkolaei
Hassan Bostan
author_sort Soheil Hassanipour
collection DOAJ
description Abstract Background COVID-19 was discovered in February in China. Due to the high prevalence of the disease, early detection and rapid isolation of patients are the vital points for controlling the outbreak. The purpose of this study was to determine the correct location of chest CT scan in the diagnosis of COVID-19. Main text The current study is a systematic review and meta-analysis. 2959 papers were found in all national and international databases. The study has been reported based on the PRISMA checklist. All analyses were done by CMA Ver. 2 software. The statistical analysis results show that the GGO observation level in the available shape was 46% in CT scan results, and the consolidation observation level in the general form was 33% in CT scan results. Pleural effusion was 7%, and linear opacity observation level was 24% in CT scan results in the general form. The CT scan test sensitivity level was gained 94.7%, and PCR test sensitivity level was achieved as 94.8%. This level was 89% in the early stage. Conclusion The chest CT has about 24% higher diagnostic sensitivity than the PCR test, in the early stage. GGO revealed a declining process and also indicates that GGO is an early symptom of the disease in CT scan. Linear opacity is the reason behind the initial dyspnea in coronavirus suffering patients referring to the medical centers. The extra-pulmonary lesions increase in the last stage of the disease that makes the patient’s worse.
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spelling doaj.art-c3594472ffd5442eb3c9bb1ef3d64bb82022-12-21T23:02:58ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622021-03-0152111310.1186/s43055-021-00457-6Meta-analysis: COVID-19 diagnosis in chest CT—master key for radiologistsSoheil Hassanipour0Omid Azadbakht1Zari Dehnavi2Mohsen Shafiee3Ahmad Badeenezhad4Hossein-Ali Nikbakht5Parsa Faghani Scandarkolaei6Hassan Bostan7Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical SciencesDepartment of Radiology Technology, Behbahan Faculty of Medical SciencesSchool of Health Management & Information Science, Iran University of Medical ScienceAbadan Faculty of Medical ScienceDepartment of Environmental Health Engineering, Paramedical School, Behbahan Faculty of Medical SciencesSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical SciencesBehbahan Faculty of Medical SciencesAbadan Faculty of Medical ScienceAbstract Background COVID-19 was discovered in February in China. Due to the high prevalence of the disease, early detection and rapid isolation of patients are the vital points for controlling the outbreak. The purpose of this study was to determine the correct location of chest CT scan in the diagnosis of COVID-19. Main text The current study is a systematic review and meta-analysis. 2959 papers were found in all national and international databases. The study has been reported based on the PRISMA checklist. All analyses were done by CMA Ver. 2 software. The statistical analysis results show that the GGO observation level in the available shape was 46% in CT scan results, and the consolidation observation level in the general form was 33% in CT scan results. Pleural effusion was 7%, and linear opacity observation level was 24% in CT scan results in the general form. The CT scan test sensitivity level was gained 94.7%, and PCR test sensitivity level was achieved as 94.8%. This level was 89% in the early stage. Conclusion The chest CT has about 24% higher diagnostic sensitivity than the PCR test, in the early stage. GGO revealed a declining process and also indicates that GGO is an early symptom of the disease in CT scan. Linear opacity is the reason behind the initial dyspnea in coronavirus suffering patients referring to the medical centers. The extra-pulmonary lesions increase in the last stage of the disease that makes the patient’s worse.https://doi.org/10.1186/s43055-021-00457-6Chest CTCoronavirusRT-PCRSARS-CoV-2
spellingShingle Soheil Hassanipour
Omid Azadbakht
Zari Dehnavi
Mohsen Shafiee
Ahmad Badeenezhad
Hossein-Ali Nikbakht
Parsa Faghani Scandarkolaei
Hassan Bostan
Meta-analysis: COVID-19 diagnosis in chest CT—master key for radiologists
The Egyptian Journal of Radiology and Nuclear Medicine
Chest CT
Coronavirus
RT-PCR
SARS-CoV-2
title Meta-analysis: COVID-19 diagnosis in chest CT—master key for radiologists
title_full Meta-analysis: COVID-19 diagnosis in chest CT—master key for radiologists
title_fullStr Meta-analysis: COVID-19 diagnosis in chest CT—master key for radiologists
title_full_unstemmed Meta-analysis: COVID-19 diagnosis in chest CT—master key for radiologists
title_short Meta-analysis: COVID-19 diagnosis in chest CT—master key for radiologists
title_sort meta analysis covid 19 diagnosis in chest ct master key for radiologists
topic Chest CT
Coronavirus
RT-PCR
SARS-CoV-2
url https://doi.org/10.1186/s43055-021-00457-6
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