Correlation between Chest Computed Tomography and Lung Ultrasonography in Patients with Coronavirus Disease 2019 (COVID-19)

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Abstract

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  1. SciScore for 10.1101/2020.05.08.20095117: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board StatementIRB: The study was conducted in accordance with the Declaration of Helsinki, and was approved by the Research Ethics Committee of our University Hospital (PI-4089).
    Consent: Informed consent was obtained from each enrolled patient.
    Randomizationnot detected.
    BlindingTwo radiologist trainees with 2–4 years of experiences (S.A and R.A.) reviewed all images independently blinded to the clinical information, supervised by a senior radiologist with more than 10 years of experience (M.M.G).
    Power AnalysisThe sample size for correlation was calculated to detect a 20% of difference between LUS and CT findings, assuming a 95% confidence interval (CI) and power of 80%.
    Sex as a biological variablenot detected.

    Table 2: Resources

    Software and Algorithms
    SentencesResources
    Statistical analyses were conducted with IBM SPSS software v20.0
    SPSS
    suggested: (SPSS, RRID:SCR_002865)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    Due to its limitations, diagnostic imaging plays a key role in the management of these patients. A study of 1049 patients undergoing chest CT scan and RT-PCR testing determined that CT abnormalities had a highly sensitivity for diagnosis of COVID-19 patients (1), suggesting that CT scan should be considered as a screening tool, especially in epidemic areas with high pre-test probability. Therefore in many centers CT scans have been replaced for chest X-ray. However, the use of CT scan in the ED has many limitations, such as the radiation exposure, especially for mild illness, the low availability and the contraindication of its use in unstable patients. Also, we found a proportion of normal chest CT that is relatively high (27.4%), but similar to those previously reported (30.8%) (9). Preliminary reports in COVID-19 era, suggest there is a correlation of LUS findings to those of the CT scan (14-15). These reports have characterized LUS findings in COVID-19 patients. Moreover, Soldati et al (16) have proposed a standardized approach to performing LUS in these patients, including a 14-zone technique, and a scoring system to quantify severity of lung involvement. Although we agree there should be a consensus in the LUS exam method, the 12-zone is more extended and validated (12). There have been reports regarding the cardiac injury in COVID-19 patients that ranges from 7.2%-14% (17-18). In our study, we found one young patient that had a normal LUS exam, which prompted a sonogra...

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.