Preoperative Computerized Tomography Screening for COVID-19 Pneumonia in Asymptomatic Patients: experiences from two centers

Abstract BACKGROUND: Chest CT screening for COVID-19 in preoperative patients is recommended in selected patients. The aim of this retrospective study is to evaluate the preoperative screening performance of chest CT (computerized tomography) examination to detect COVID-19 positive individuals. STUDY DESIGN: In this retrospective study 218 adult patients who had preoperative chest CT and RT-PCR were enrolled. CT imaging results, which have been reported according to the Radiological Society of North America (RSNA) expert consensus on COVID-19, were collected from the picture archiving and communicating system (PACS). Demographic data, planned surgeries, and postoperative outcomes were collected from the electronic patient records.RESULTS: One patient (0.5%) showed typical CT features for COVID-19 pneumonia; 12 patients (5.5%) were reported as indeterminate, and eight (3.7%) were reported as atypical for COVID-19 pneumonia. Only one of the three patients with positive RT-PCR had abnormalities on CT. When RT-PCR tests were taken as reference, the sensitivity, specificity, and accuracy of chest CT in showing COVID-19 infection in asymptomatic patients were 33.3%, 90.7%, and 90.0% respectively.CONCLUSION: Chest CT screening for COVID-19 has a very low yield in asymptomatic preoperative patients and shows false positive findings in 9.2% of cases, potentially leading to unnecessary postponing of the surgery.