Managing high clinical suspicion COVID-19 inpatients with negative RT-PCR: a pragmatic and limited role for thoracic CT

doi:10.1136/thoraxjnl-2020-214916

. 2020 Jul;75(7):537-538.

doi: 10.1136/thoraxjnl-2020-214916. Epub 2020 Apr 21.

Managing high clinical suspicion COVID-19 inpatients with negative RT-PCR: a pragmatic and limited role for thoracic CT

Aniket N Tavare¹, Aaron Braddy², Simon Brill², Hannah Jarvis², Anand Sivaramakrishnan³, Joseph Barnett¹, Dean D Creer², Samanjit S Hare⁴

Affiliations

¹ Department of Radiology, Royal Free London NHS Foundation Trust, London, UK.
² Department of Respiratory Medicine, Royal Free London NHS FoundationTrust, London, UK.
³ Department of Microbiology, Royal Free London NHS Foundation Trust, London, UK.
⁴ Department of Radiology, Royal Free London NHS Foundation Trust, London, UK samhare@nhs.net.

PMID: 32317269
PMCID: PMC7361024
DOI: 10.1136/thoraxjnl-2020-214916

Managing high clinical suspicion COVID-19 inpatients with negative RT-PCR: a pragmatic and limited role for thoracic CT

Aniket N Tavare et al. Thorax. 2020 Jul.

. 2020 Jul;75(7):537-538.

doi: 10.1136/thoraxjnl-2020-214916. Epub 2020 Apr 21.

Authors

Aniket N Tavare¹, Aaron Braddy², Simon Brill², Hannah Jarvis², Anand Sivaramakrishnan³, Joseph Barnett¹, Dean D Creer², Samanjit S Hare⁴

Affiliations

¹ Department of Radiology, Royal Free London NHS Foundation Trust, London, UK.
² Department of Respiratory Medicine, Royal Free London NHS FoundationTrust, London, UK.
³ Department of Microbiology, Royal Free London NHS Foundation Trust, London, UK.
⁴ Department of Radiology, Royal Free London NHS Foundation Trust, London, UK samhare@nhs.net.

PMID: 32317269
PMCID: PMC7361024
DOI: 10.1136/thoraxjnl-2020-214916

No abstract available

Keywords: imaging/CT MRI etc; infection control; viral infection.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

**Figure 1**
Proposed infection control management of inpatients with a negative initial COVID-19 nose/throat swab RT-PCR.

See this image and copyright information in PMC

Cited by

Clinical, laboratory and high-resolution computed tomography (HRCT) thorax profile of reverse transcription polymerase chain reaction (RT-PCR) negative COVID-19 suspects with moderate to severe disease.
Banerjee A, Mukhopadhyay O, Santra R, Bhadury A, Chaudhuri S. Banerjee A, et al. J Educ Health Promot. 2022 Oct 31;11:333. doi: 10.4103/jehp.jehp_287_22. eCollection 2022. J Educ Health Promot. 2022. PMID: 36568002 Free PMC article.
Point-of-care contrast enhanced lung ultrasound and COVID-19.
Tee A, Yusuf GT, Wong A, Rao D, Tran S, Sidhu PS. Tee A, et al. Ultrasound. 2022 Aug;30(3):201-208. doi: 10.1177/1742271X211047945. Epub 2021 Oct 18. Ultrasound. 2022. PMID: 35936970 Free PMC article.
Validation of the British Society of Thoracic Imaging guidelines for COVID-19 chest radiograph reporting.
Hare SS, Tavare AN, Dattani V, Musaddaq B, Beal I, Cleverley J, Cash C, Lemoniati E, Barnett J. Hare SS, et al. Clin Radiol. 2020 Sep;75(9):710.e9-710.e14. doi: 10.1016/j.crad.2020.06.005. Epub 2020 Jun 17. Clin Radiol. 2020. PMID: 32631626 Free PMC article.
HIV testing during the COVID-19 pandemic.
Filson SA, Rahim A, Parris V, McGregor A, Papineni P. Filson SA, et al. Clin Med (Lond). 2021 Jan;21(1):e118-e119. doi: 10.7861/clinmed.Let.21.1.6. Clin Med (Lond). 2021. PMID: 33479099 Free PMC article. No abstract available.
COVID-19 and Adenovirus Multi-Lobar Pneumonia on CT Scan in a Patient with Repeatedly Normal Chest X-Rays Despite Severe Hypoxia and the Need for Non-Invasive Ventilation.
Sreh AA, Jameel I, Musleh H, Shankaran V, Meghjee SP. Sreh AA, et al. Cureus. 2021 Jan 28;13(1):e12955. doi: 10.7759/cureus.12955. Cureus. 2021. PMID: 33654626 Free PMC article.

See all "Cited by" articles

References

1. Fang Y, Zhang H, Xie J, et al. . Sensitivity of chest CT for COVID-19: comparison to RT-PCR. Radiology 2020;200432:200432 10.1148/radiol.2020200432 - DOI - PMC - PubMed
1. British Society of Thoracic Imaging COVID-19 BSTI reporting templates | the British Society of thoracic imaging. Available: https://www.bsti.org.uk/covid-19-resources/covid-19-bsti-reporting-templ... [Accessed 28 Mar 2020].
1. Ai T, Yang Z, Hou H, et al. . Correlation of chest CT and RT-PCR testing in coronavirus disease 2019 (COVID-19) in China: a report of 1014 cases. Radiology 2020;200642:200642 10.1148/radiol.2020200642 - DOI - PMC - PubMed
1. Xie X, Zhong Z, Zhao W, et al. . Chest CT for typical 2019-nCoV pneumonia: relationship to negative RT-PCR testing. Radiology 2020;200343:200343 10.1148/radiol.2020200343 - DOI - PMC - PubMed
1. Hope M, Raptis C, Shah A. Correspondence a role for CT in really tell us so far. Lancet 2020;6736:30728. - PMC - PubMed

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources
Medical
- MedlinePlus Consumer Health Information
- MedlinePlus Health Information

[1] Fang Y, Zhang H, Xie J, et al. . Sensitivity of chest CT for COVID-19: comparison to RT-PCR. Radiology 2020;200432:200432 10.1148/radiol.2020200432 - DOI - PMC - PubMed

[2] Fang Y, Zhang H, Xie J, et al. . Sensitivity of chest CT for COVID-19: comparison to RT-PCR. Radiology 2020;200432:200432 10.1148/radiol.2020200432 - DOI - PMC - PubMed

[3] British Society of Thoracic Imaging COVID-19 BSTI reporting templates | the British Society of thoracic imaging. Available: https://www.bsti.org.uk/covid-19-resources/covid-19-bsti-reporting-templ... [Accessed 28 Mar 2020].

[4] British Society of Thoracic Imaging COVID-19 BSTI reporting templates | the British Society of thoracic imaging. Available: https://www.bsti.org.uk/covid-19-resources/covid-19-bsti-reporting-templ... [Accessed 28 Mar 2020].

[5] Ai T, Yang Z, Hou H, et al. . Correlation of chest CT and RT-PCR testing in coronavirus disease 2019 (COVID-19) in China: a report of 1014 cases. Radiology 2020;200642:200642 10.1148/radiol.2020200642 - DOI - PMC - PubMed

[6] Ai T, Yang Z, Hou H, et al. . Correlation of chest CT and RT-PCR testing in coronavirus disease 2019 (COVID-19) in China: a report of 1014 cases. Radiology 2020;200642:200642 10.1148/radiol.2020200642 - DOI - PMC - PubMed

[7] Xie X, Zhong Z, Zhao W, et al. . Chest CT for typical 2019-nCoV pneumonia: relationship to negative RT-PCR testing. Radiology 2020;200343:200343 10.1148/radiol.2020200343 - DOI - PMC - PubMed

[8] Xie X, Zhong Z, Zhao W, et al. . Chest CT for typical 2019-nCoV pneumonia: relationship to negative RT-PCR testing. Radiology 2020;200343:200343 10.1148/radiol.2020200343 - DOI - PMC - PubMed

[9] Hope M, Raptis C, Shah A. Correspondence a role for CT in really tell us so far. Lancet 2020;6736:30728. - PMC - PubMed

[10] Hope M, Raptis C, Shah A. Correspondence a role for CT in really tell us so far. Lancet 2020;6736:30728. - PMC - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Managing high clinical suspicion COVID-19 inpatients with negative RT-PCR: a pragmatic and limited role for thoracic CT

Affiliations

Managing high clinical suspicion COVID-19 inpatients with negative RT-PCR: a pragmatic and limited role for thoracic CT

Authors

Affiliations

Conflict of interest statement

Figures

Similar articles

Cited by

References

MeSH terms

LinkOut - more resources

Full Text Sources

Medical