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題 名 | Use of Radiographic Features in COVID-19 Diagnosis: Challenges and Perspectives |
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作 者 | Chen, Sin-guang; Chen, Ju-yu; Yang, Yi-ping; Chien, Chian-shiu; Wang, Mong-lien; Lin, Liang-ting; | 書刊名 | Journal of the Chinese Medical Association |
卷 期 | 83:7 2020.07[民109.07] |
頁 次 | 頁644-647 |
分類號 | 415.239 |
關鍵詞 | Chest X-ray; Computed tomography; Coronavirus disease-2019; Radiographic technologies; |
語 文 | 英文(English) |
英文摘要 | The rapid surge and wide spread of the coronavirus disease-2019 (COVID-19) overshadows the entire medical industries worldwide. The stringent medical resources hinder the diagnostic capacity globally, while 84000 of new cases confirmed within a single day of April 14, 2020. Real-time reverse-transcription polymerase chain reaction (RT-PCR) with is the current first-line diagnosis, but the false-negative rate remains concerned. Radiographic technologies and tools, including computed tomography (CT) and chest X-ray, were applied for initial screening and follow-up, from which the tools provide detail diagnosis with specific pathologic features for staging and treatment arrangement. Although the radiographic imaging is found less sensitive, numerous CT-positive patients were not screened out by RT-PCR initially and later confirmed as COVID-19 positive. Besides, the shortage of sampling kits and the longer turn-over time of PCR examinations in some areas were noticed due to logistic issues and healthcare burden. In this review, we will discuss the challenges and the future perspectives of using radiographic modalities for COVID-19 diagnosis in view of securing human lives amid the crisis. |
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