(1) Background: Time-consuming SARS-CoV-2 RT-PCR suffers from limited sensitivity in early infection stages whereas fast available chest CT can already raise COVID-19 suspicion Nevertheless, radiologists&rsquo;performance to differentiate COVID-19, especially from influenza pneumonia, is not sufficiently characterized (2) Methods: A total of 201 pneumonia CTs were identified and divided into subgroups based on RT-PCR: 78 COVID-19 CTs, 65 influenza CTs and 62 Non-COVID-19-Non-influenza (NCNI) CTs Three radiology experts (blinded from RT-PCR results) raised pathogen-specific suspicion (separately for COVID-19, influenza, bacterial pneumonia and fungal pneumonia) according to the following reading scores: 0&mdash;not typical/1&mdash;possible/2&mdash;highly suspected Diagnostic performances were calculated with RT-PCR as a reference standard Dependencies of radiologists&rsquo;pathogen suspicion scores were characterized by Pearson&rsquo;s Chi2 Test for Independence (3) Results: Depending on whether the intermediate reading score 1 was considered as positive or negative, radiologists correctly classified 83&ndash;85% (vs NCNI)/79&ndash;82% (vs influenza) of COVID-19 cases (sensitivity up to 94%) Contrarily, radiologists correctly classified only 52&ndash;56% (vs NCNI)/50&ndash;60% (vs COVID-19) of influenza cases The COVID-19 scoring was more specific than the influenza scoring compared with suspected bacterial or fungal infection (4) Conclusions: High-accuracy COVID-19 detection by CT might expedite patient management even during the upcoming influenza season
COVID-19 Pandemic and Upcoming Influenza Season—Does an Expert’s Computed Tomography Assessment Differentially Identify COVID-19, Influenza and Pneumonias of Other Origin?