Departamento de Radiología e Imagen, Hospital General Regional 110, Instituto Mexicano del Seguro Social, Guadalajara 44716, Mexico.
Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán 46200, Mexico.
Tomography. 2023 Aug 24;9(5):1617-1628. doi: 10.3390/tomography9050129.
To compare the diagnostic effectiveness of chest computed tomography (CT) utilizing a single- versus a dual-reviewer approach in patients with pneumonia secondary to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), we conducted a retrospective observational study of data from a cross-section of 4809 patients with probable SARS-CoV-2 from March to November 2020. All patients had a CT radiological report and reverse-transcription polymerase chain reaction (PCR) results. A dual-reviewer approach was applied to two groups while conducting a comparative examination of the data. Reviewer 1 reported 108 patients negative and 374 patients positive for coronavirus disease 2019 (COVID-19) in group A, and 266 negative and 142 positive in group B. Reviewer 2 reported 150 patients negative and 332 patients positive for COVID-19 in group A, and 277 negative and 131 positive in group B. The consensus result reported 87 patients negative and 395 positive for COVID-19 in group A and 274 negative and 134 positive in group B. These findings suggest that a dual-reviewer approach improves chest CT diagnosis compared to a conventional single-reviewer approach.
为了比较在继发于严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）的肺炎患者中，采用单一和双审核员方法进行胸部计算机断层扫描（CT）的诊断效果，我们对 2020 年 3 月至 11 月间来自 4809 例可能 SARS-CoV-2 患者的数据进行了回顾性观察研究。所有患者均有 CT 放射学报告和逆转录聚合酶链反应（PCR）结果。在进行数据分析的对比检查时，采用双审核员方法对两组进行了检查。审核员 1 在组 A 中报告 108 例阴性和 374 例阳性的 2019 年冠状病毒病（COVID-19），在组 B 中报告 266 例阴性和 142 例阳性。审核员 2 在组 A 中报告 150 例阴性和 332 例阳性的 COVID-19，在组 B 中报告 277 例阴性和 131 例阳性。共识结果报告组 A 中 87 例阴性和 395 例阳性，组 B 中 274 例阴性和 134 例阳性。这些发现表明，与传统的单一审核员方法相比，双审核员方法可提高胸部 CT 诊断的准确性。
