The Efficacy of Chest Computed Tomography in Pediatric Patients With Suspected COVID-19

J Comput Assist Tomogr. 2021 Mar-Apr;45(2):337-341. doi: 10.1097/RCT.0000000000001127.

Abstract

Objective: The aim of the study was to investigate chest computed tomography (CT) findings and the value of CT in the diagnosis in children with suspected coronavirus disease 2019 (COVID-19).

Materials and methods: Chest CT images of pediatric patients with suspected COVID-19 were retrospectively evaluated. Computed tomography findings were divided into 3 groups: normal, consistent, and inconsistent with COVID-19. The sensitivity and specificity of CT were calculated by reference to reverse transcriptase polymerase chain reaction.

Results: The study included patients with a mean age of 11.1 years (1 month-17 years). Of the patients, 43 (40.19%) had normal CT, 34 (31.77%) had CT findings consistent with COVID-19, and 30 (28.04%) had CT findings inconsistent with COVID-19. The sensitivity, specificity, positive predictive value, and negative predictive value of CT were 47.92%, 81.36%, 67.65%, and 65.75%, respectively.

Conclusions: Because the sensitivity of CT in the pediatric age group is low, it should be used cautiously for the evaluation of COVID-19 in the pediatric age group.

MeSH terms

  • Adolescent
  • COVID-19 / diagnostic imaging*
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Lung / diagnostic imaging*
  • Male
  • Reproducibility of Results
  • SARS-CoV-2
  • Sensitivity and Specificity
  • Tomography, X-Ray Computed / methods*