New Insight Into Laboratory Tests and Imaging Modalities for Fast and Accurate Diagnosis of Covid-19: Alternative Suggestions for Routine Rt-Pcr and Ct—A Literature Review Publisher Pubmed



Khorasani A¹ ; Chegini A² ; Mirzaei A³
Source: Canadian Respiratory Journal Published:2020

Abstract

The globally inimitable and unremitting outbreak of COVID-19 infection confirmed the emergency need for critical detection of human coronavirus infections. Laboratory diagnostic tests and imaging modalities are two test groups used for the detection of COVID-19. Nowadays, real-time polymerase chain reaction (RT-PCR) and computed tomography (CT) have been frequently utilized in the clinic. Some limitations that confront with these tests are false-negative results, tests redone for follow-up procedure, high cost, and unable to do for all patients. To overcome these limitations, modified and alternative tests must be considered. Among these tests, RdRp/Hel RT-PCR assay had the lowest diagnostic limitation and highest sensitivity and specificity for the detection of SARS-CoV-2 RNA in both respiratory tract and nonrespiratory tract clinical specimens. On the other hand, lung ultrasound (LUS) and magnetic resonance imaging (MRI) are CT-alternative imaging modalities for the management, screening, and follow-up of COVID-19 patients. Copyright © 2020 Amir Khorasani et al.