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实时逆转录聚合酶链反应检测严重急性呼吸综合征冠状病毒 2 的假阴性结果:基于深度学习的 CT 诊断作用及两例分析

False-Negative Results of Real-Time Reverse-Transcriptase Polymerase Chain Reaction for Severe Acute Respiratory Syndrome Coronavirus 2: Role of Deep-Learning-Based CT Diagnosis and Insights from Two Cases.

机构信息

Department of Radiology, Beijing Haidian Section of Peking University Third Hospital (Beijing Haidian Hospital), Beijing, China.

Institute of Advanced Research, Infervision, Beijing, China.

出版信息

Korean J Radiol. 2020 Apr;21(4):505-508. doi: 10.3348/kjr.2020.0146. Epub 2020 Mar 5.

Abstract

The epidemic of 2019 novel coronavirus, later named as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is still gradually spreading worldwide. The nucleic acid test or genetic sequencing serves as the gold standard method for confirmation of infection, yet several recent studies have reported false-negative results of real-time reverse-transcriptase polymerase chain reaction (rRT-PCR). Here, we report two representative false-negative cases and discuss the supplementary role of clinical data with rRT-PCR, including laboratory examination results and computed tomography features. Coinfection with SARS-COV-2 and other viruses has been discussed as well.

摘要

2019 年新型冠状病毒疫情(后被命名为严重急性呼吸综合征冠状病毒 2 型,SARS-CoV-2)仍在全球范围内逐步蔓延。核酸检测或基因测序是感染确认的金标准方法,但最近有几项研究报告了实时逆转录聚合酶链反应(rRT-PCR)的假阴性结果。在此,我们报告了两例有代表性的假阴性病例,并讨论了 rRT-PCR 与临床数据(包括实验室检查结果和计算机断层扫描特征)的补充作用。还讨论了 SARS-CoV-2 与其他病毒的合并感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51f0/7082661/4dc81215abf9/kjr-21-505-g001.jpg

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