Frontiers in Public Health (Jun 2023)

Auxiliary screening COVID-19 by computed tomography

  • Xiongfeng Pan,
  • Yuyao Chen,
  • Atipatsa C. Kaminga,
  • Atipatsa C. Kaminga,
  • Shi Wu Wen,
  • Shi Wu Wen,
  • Shi Wu Wen,
  • Hongying Liu,
  • Peng Jia,
  • Peng Jia,
  • Peng Jia,
  • Peng Jia,
  • Aizhong Liu

DOI
https://doi.org/10.3389/fpubh.2023.974542
Journal volume & issue
Vol. 11

Abstract

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BackgroundThe 2019 novel coronavirus (COVID-19) pandemic remains rampant in many countries/regions. Improving the positive detection rate of COVID-19 infection is an important measure for the control and prevention of this pandemic. This meta-analysis aims to systematically summarize the current characteristics of the computed tomography (CT) auxiliary screening methods for COVID-19 infection in the real world.MethodsWeb of Science, Cochrane Library, Embase, PubMed, CNKI, and Wanfang databases were searched for relevant articles published prior to 1 September 2022. Data on specificity, sensitivity, positive/negative likelihood ratio, area under curve (AUC), and diagnostic odds ratio (dOR) were calculated purposefully.ResultsOne hundred and fifteen studies were included with 51,500 participants in the meta-analysis. Among these studies, the pooled estimates for AUC of CT in confirmed cases, and CT in suspected cases to predict COVID-19 diagnosis were 0.76 and 0.85, respectively. The CT in confirmed cases dOR was 5.51 (95% CI: 3.78–8.02). The CT in suspected cases dOR was 13.12 (95% CI: 11.07–15.55).ConclusionOur findings support that CT detection may be the main auxiliary screening method for COVID-19 infection in the real world.

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