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. 2023 Jun 20;163:107191. doi: 10.1016/j.compbiomed.2023.107191

Table 1.

Comparative analysis of diverse diagnostic approaches for COVID-19: Unveiling the power of detection methods.

Techniques Procedure Advantages Disadvantages
CT scan
  • CT scans have proved to be an effective screening technique for COVID-19, particularly in regions of high incidence or during pandemics.

  • CT scans are non-confirmatory and suggestive techniques for pathogen identification in diagnosing COVID-19.

A chest CT scan is more sensitive thanRT-PCR, particularly in the early stages.
  • It takes costly equipment and technical expertise to operate.

  • Since the chest anomalies are similar to other viral pneumonia, it cannot identify COVID-19 precisely.

RT-PCR
  • RT-PCR measures for COVID-19 ordinarily utilize upper respiratory tract tests utilizing spreads

  • The molecular diagnostic technique RT-PCR is the gold standard for identifying Active Infections/viruses.

  • The procedure is minimally invasive and yields highly accurate findings.

  • RT-PCR test requires a costly, specialized laboratory setup with equipment and biosafety infrastructure.

  • In addition, qualified personnel is required to execute the test method.

Immune essay
  • Virus inactivated and immobilized on a slide

  • Addition of test sera with fluorescent antibody binding detection

  • Can be performed at PC2 facilities after slide preparation

  • Less complex technically than neutralisation assays

  • Preparing slides needs PC3 capabilities

  • Unspecific compared to neutralisation

  • Technically difficult

  • Subjective endpoint

CRISPR-Based Tests
  • CRISPR refers to a set of bacterial nucleic corrosive successions.

  • Cas9, Cas12, and Cas13 are CRISPR-related proteins that can cleave these combinations. Cas12 and Cas13 compounds may be changed to cleave viral RNA.

  • Possibly the most significant benefits of CRISPR/Cas9 over other genome editing methods are its ease of use and effectiveness.

  • CRISPR-based approaches do not need complicated apparatus and may be used with paper strips to detect the proximity of SARS-CoV-2 infection without sacrificing sensitivity or specificity.

  • These examinations are inexpensive and should take no more than 60 min.

  • CRISPR detection is likely only as sensitive as an RTK (105–106 copies/ml).

ELISA
  • ELISA (Enzyme-linked immunosorbent assay) is a screening test used to determine the presence of antigens and antibodies against a pathogen in Serum/Plasma from an inpatient.

  • Labs using an ELISA Reader and washer processing 90+ samples on a 96-microwell plate in 2–3 h. One ELISA Reader can run many tests concurrently, including infectious, biochemical, cardiac, and cancer markers, making it cost-effective and offering reliable and accurate test results.

  • ELISA tests are more sensitive and specific because they employ enzyme-substrate reactions and cleaning procedures to eliminate non-specific antibodies.

  • It can identify current and prior infections and has been used worldwide for over two decades.

  • Complex processes and costly culture mediums are needed.

  • Probability of erroneous positive and negative results

  • Insufficient immobilisation of antigens leads to erroneous findings.

Serological test
  • Serological tests study blood plasma or serum to detect immunoglobulin M (IgM) antibodies in sputum, spit and other body fluids.

  • Serology tests can identify those who have been previously infected and those who are now unwell; therefore, they would provide a clearer picture of the population's real COVID-19 infection rate.

  • Serology tests may be used to assess the phase of infection depending on the concentration of various antibodies in a patient's sample.

  • Serology tests do not reveal the virus but the antibodies against it.

  • Consequently, they have the problem of providing false-negative findings in the early stages of an infection, which is the primary limitation of PCR-based techniques.

Electrochemical biosensors ‘
  • Electrochemical sensors or biosensors give analytical information through a chemical or biochemical receptor as they can be connected directly to an electrical transducer element.

  • Electrochemical techniques may help diagnose coronavirus faster because of their cost-effectiveness, ease of use, point-of-care detection, and shortened sample analysis time.

  • Quick and precise COVID-19 and its variants (Alpha, beta, gamma, omicron) infection detection.

  • SERS and electrochemical biosensors are the most popular point-of-care platforms due to their compact size, ease of use, and low cost.

  • Most SARS-CoV-2 sensors are effective; however, some lack sensitivity, selectivity, sampling rate, and electrode manufacturing.