Chest computed tomography in the diagnosis of COVID-19 in patients with false negative RT-PCR

• Autor(a) principal: Fonseca,Eduardo Kaiser Ururahy Nunes
• Data de Publicação: 2021
• Outros Autores: Ferreira,Lorena Carneiro, Loureiro,Bruna Melo Coelho, Strabelli,Daniel Giunchetti, Farias,Lucas de Pádua Gomes de, Queiroz,Gabriel Abrantes de, Garcia,José Vitor Rassi, Teixeira,Renato de Freitas, Gama,Victor Arcanjo Almeida, Chate,Rodrigo Caruso, Assunção Júnior,Antonildes Nascimento, Sawamura,Márcio Valente Yamada, Nomura,Cesar Higa
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Einstein (São Paulo)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082021000100245
• topic: COVID-19; Coronavirus; Coronavirus infections; Pneumonia, viral; Tomography, X-ray computed; Reverse transcriptase polymerase chain reaction

ABSTRACT Objective To evaluate the role of chest computed tomography in patients with COVID-19 who presented initial negative result in reverse transcriptase-polymerase chain reaction (RT-PCR). Methods A single-center, retrospective study that evaluated 39 patients with negative RT-PCR for COVID-19, who underwent chest computed tomography and had a final clinical or serological diagnosis of COVID-19. The visual tomographic classification was evaluated according to the Consensus of the Radiological Society of North America and software developed with artificial intelligence for automatic detection of findings and chance estimation of COVID-19. Results In the visual tomographic analysis, only one of them (3%) presented computed tomography classified as negative, 69% were classified as typical and 28% as indeterminate. In the evaluation using the software, only four (about 10%) had a probability of COVID-19 <25%. Conclusion Computed tomography can play an important role in management of suspected cases of COVID-19 with initial negative results in RT-PCR, especially considering those patients outside the ideal window for sample collection for RT-PCR.