Indications for imaging studies in SARS-CoV-2 infected patients – recommendations of the Polish Medical Society of Radiology

Cieszanowski, Andrzej; Czekajska, E.; Giżycka, Barbara; Gruszczyńska, Katarzyna; Oronowicz-Jaśkowiak, Agnieszka; Podgórska, Joanna; Serafin, Zbigniew; Szurowska, Edyta; Walecki, J

doi:10.5114/pjr.2022.113263

Cited by 2 publications

(2 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Chest X-ray has been proven to have no predictive value in patients with COVID-19, as it can give false negatives in patients with mild symptoms [3]. However, in patients admitted to an intensive care unit (ICU), who require oxygen support, mechanical ventilation, sedation, and are in severe clinical conditions, a portable chest X-ray remains an indispensable basic imaging tool [4]. Computed tomography (CT) shows high sensitivity in the diagnosis of suspected COVID-19 and is used to guide patient management [5].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of Computed Tomography Scoring Systems in Patients with COVID-19 and Hematological Malignancies

Hałaburda-Rola

Drozd-Sokołowska

Januszewicz

et al. 2023

Cancers

View full text Add to dashboard Cite

Background: Numerous computed tomography (CT) scales have been proposed to assess lung involvement in COVID-19 pneumonia as well as correlate radiological findings with patient outcomes. Objective: Comparison of different CT scoring systems in terms of time consumption and diagnostic performance in patients with hematological malignancies and COVID-19 infection. Materials and methods: Retrospective analysis included hematological patients with COVID-19 and CT performed within 10 days of diagnosis of infection. CT scans were analyzed in three different semi-quantitative scoring systems, Chest CT Severity Score (CT-SS), Chest CT Score(CT-S), amd Total Severity Score (TSS), as well as qualitative modified Total Severity Score (m-TSS). Time consumption and diagnostic performance were analyzed. Results: Fifty hematological patients were included. Based on the ICC values, excellent inter-observer reliability was found among the three semi-quantitative methods with ICC > 0.9 (p < 0.001). The inter-observer concordance was at the level of perfect agreement (kappa value = 1) for the mTSS method (p < 0.001). The three-receiver operating characteristic (ROC) curves revealed excellent and very good diagnostic accuracy for the three quantitative scoring systems. The AUC values were excellent (0.902), very good (0.899), and very good (0.881) in the CT-SS, CT-S and TSS scoring systems, respectively. Sensitivity showed high levels at 72.7%, 75%, and 65.9%, respectively, and specificity was recorded at 98.2%, 100%, 94.6% for the CT-SS, CT-S, and TSS scoring systems, respectively. Time consumption was the same for Chest CT Severity Score and TSS and was longer for Chest CT Score (p < 0.001). Conclusions: Chest CT score and chest CT severity score have very high sensitivity and specificity in terms of diagnostic accuracy. The highest AUC values and the shortest median time of analysis in chest CT severity score indicate this method as preferred for semi-quantitative assessment of chest CT in hematological patients with COVID-19.

show abstract

Section: Introductionmentioning

confidence: 99%

“…According to the Polish Medical Society of Radiology, the main indications for chest CT are a high risk of progression of COVID-19 or development of its complications. As long as the pulmonary embolism is not suspected, contrast administration is not routinely recommended [4].…”

Section: Introductionmentioning

confidence: 99%