Investigating the Compatibility of Lung CT Scan Findings and Molecular Diagnosis Test of Patients With COVID-19 in Shahid Beheshti Hospital in Hamedan

Background: This study aimed to investigate the diagnostic value of computed tomography (CT) scan based on the results of reverse transcription polymerase chain reaction (RT-PCR) molecular diagnosis test in the diagnosis of COVID-19 diseases. Methods: In this study, 451 files related to hospitalized patients with initial diagnosis of COVID-19 were examined. Demographic information, symptoms, and results of both tests were extracted from the files. After collecting information by sampling method, the data were analyzed by SPSS software. In order to describe the data, mean and standard deviation statistics were used for qualitative data. Moreover, the Kappa test was used to measure the compatibility of the three methods. Results: The concordance rate of PCR and CT scan was calculated at 66%, of which 55.3% were positive, and 10.7% were negative. The results were obtained with an accuracy of 68.9%, a precision of 91.5%, a sensitivity of 69.1%, a specificity of 68%, and an F1-score of 95.10%. In general, based on the statistical criteria, the calculated percentage is an acceptable value. Conclusion: According to the appropriate matching percentage of CT scan and RT-PCR molecular diagnosis test, both techniques can be used as a diagnosis criterion according to the patient’s symptoms.