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343207

Diagnostic Utility of Chest CT versus Radiography in COVID-19

Article

Last updated: 24 Dec 2024

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Tags

Clinical Research (Medical)

Abstract

Background: Coronavirus Disease-2019 (COVID-19) is considered an acute infectious disease mainly involving the respiratory system. The diagnosis depends on a reverse transcription-polymerase chain reaction. However, these methods are time-consuming do not allow assessing the disease severity and may give false negative results. Aim: The present study was conducted to identify the role of CT chest findings and chest radiography in the diagnosis, severity, and prognosis of the disease. Patients and Methods: This cross-sectional study included 105 patients with PCR-confirmed COVID-19 infection from Suez Canal University Hospital, Ismailia City, Egypt. All patients were subjected to history taking, chest X-ray, and CT. Results: A review of the chest X-ray of the study subjects revealed that 21.9% of the study patients had positive chest X-ray findings and 78.1% had negative findings. Those chest x-ray findings were unilateral in 13.0% and bilateral in 87.0% of the 23 positive patients. About 18.1% of the study patients had subtle CT findings, 15.2% had mild-moderate findings, 18.1% had extensive findings, 8.6% had very severe findings, and 40.0% had negative findings. This is compared to only 21.9% positive cases by the chest X-ray. Compared to the 63 subjects with positive findings in the CT scan (60 %), the chest X-ray imaging interpretation findings were much less (only 23 subjects comprising 21.9 % of all subjects). Conclusion: CT is the modality of choice while X-Ray has a very limited role in COVID Imaging. Further larger longitudinal studies are needed to confirm the results of our study.
 

DOI

10.21608/scumj.2024.343207

Keywords

Chest CT, COVID-19

Authors

First Name

Gamil A.

Last Name

Gamil

MiddleName

-

Affiliation

Department of Diagnostic Radiology, Faculty of Medicine, Suez Canal University, Egypt.

Email

gamilamer30@gmail.com

City

Ismailia

Orcid

-

First Name

Tarek H.

Last Name

Khalil

MiddleName

-

Affiliation

Department of Diagnostic Radiology, Faculty of Medicine, Suez Canal University, Egypt.

Email

-

City

-

Orcid

-

First Name

Ahmed T.

Last Name

Ahmed

MiddleName

-

Affiliation

Department of Diagnostic Radiology, Faculty of Medicine, Suez Canal University, Egypt.

Email

-

City

-

Orcid

-

First Name

Walid M.

Last Name

Huissen

MiddleName

-

Affiliation

Department of Diagnostic Radiology, Faculty of Medicine, Suez Canal University, Egypt.

Email

-

City

-

Orcid

-

Volume

27

Article Issue

2

Related Issue

46317

Issue Date

2024-02-01

Receive Date

2024-02-26

Publish Date

2024-02-01

Page Start

8

Page End

15

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 27_Issue 2_Pages 8-15.pdf

PDF . 316.2kB

Link

https://scumj.journals.ekb.eg/article_343207.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=343207

Order

2

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Diagnostic Utility of Chest CT versus Radiography in COVID-19

Details

Type

Article

Created At

24 Dec 2024