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胸部 CT 与冠状病毒病(COVID-19):对现有文献的批判性综述。

Chest CT and Coronavirus Disease (COVID-19): A Critical Review of the Literature to Date.

机构信息

Mallinckrodt Institute of Radiology, Washington University School of Medicine in Saint Louis, 510 S Kingshighway Blvd, Saint Louis, MO 63110.

Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

出版信息

AJR Am J Roentgenol. 2020 Oct;215(4):839-842. doi: 10.2214/AJR.20.23202. Epub 2020 Apr 16.

Abstract

Coronavirus disease (COVID-19) is a global pandemic. Studies in the radiology literature have suggested that CT might be sufficiently sensitive and specific in diagnosing COVID-19 when used in lieu of a reverse transcription-polymerase chain reaction test; however, this suggestion runs counter to current society guidelines. The purpose of this article is to critically review some of the most frequently cited studies on the use of CT for detecting COVID-19. To date, the radiology literature on COVID-19 has consisted of limited retrospective studies that do not substantiate the use of CT as a diagnostic test for COVID-19.

摘要

冠状病毒病(COVID-19)是一种全球性大流行病。放射学文献中的研究表明,当替代逆转录-聚合酶链反应检测时,CT 可能在诊断 COVID-19 方面具有足够的敏感性和特异性;然而,这一建议与当前的社会指南相悖。本文的目的是批判性地回顾一些关于使用 CT 检测 COVID-19 的最常被引用的研究。迄今为止,COVID-19 的放射学文献主要由有限的回顾性研究组成,这些研究并不能证明 CT 可作为 COVID-19 的诊断检测手段。

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