Immune

identification technology

Serological methods such as serological ICG strip assay

­ Sensitive and consistent.

­ An excellent supplementary approach in clinical application.

­ Showing how many people have had the disease, including those whose symptoms were minor or who were asymptomatic (Pan et al., 2020) .

­ It can be widely adopted in the areas where the diagnostic capacity is limited.

­ No finding antibodies in someone with a current COVID-19 infection since antibodies may not show up for weeks.

POCT

­ Unlike nucleic acid samples, with the advantages of identification following recovery.

­ This helps physicians to track patients who are both ill and recovered, offering a greater estimation of SARS-CoV-2 overall infections.

­ Simple cassette-based test that works with just 10 - 20 µl of serum, plasma, or whole blood.

­ Cost-effective, rapid, hand-held devices used to diagnose patients outside of centralized facilities.

­ It can reduce the burden on clinical labs in locations such as community centres.

­ To diagnosis patients without submitting samples to centralized hospitals, point-of-care tests are used to allow communities without laboratory resources to identify infected patients.

­ Rapid antigen lateral flow assays would theoretically provide the advantage of fast time to 165 results and low-cost detection of SARS-CoV-2.

­ Miniaturization, limited sample length, fast detection times and portability are the main benefits of using microfluidics.

­ It does not necessarily require a trained technician to operate.

­ Poor sensitivity with lateral flow for influenza (Flu) viruses.

­ It is always a challenge to balance between maximizing the sensitivity/specificity of each pathogen and the multiplexing capabilities.

­ Probability of cross-reactivity (Pang, Chia, Lye, & Leo, 2017) .

Protein Testing

­ Useful for surveillance of COVID-19 (Udugama et al., 2020) .

­ Change of viral load over the course of the infection can make viral proteins challenging to detect.

­ Developing theoretical cross-reactivity of SARS-CoV-2 antibodies against other coronaviruses with antibodies.

ELISA and GICA

­ Higher detection rates than nucleic acid detection.

­ Simple, fast, and safe.

­ The results can be used for clinical reference, and the huge clinical diagnosis and treatment pressure can be greatly relieved.

­ Its confirmation still depends on qRT-PCR (Xiang et al., 2020) .

Computed tomography

CT scan

­ It is essential for early diagnosis and differential diagnosis and disease severity assessment, especially in the high prevalence area of SARS-CoV-2 Infection.

­ Timely and rapid to detect lung lesions and has a high positive rate.

­ Irreplaceable in the preliminary screening of COVID-19.

­ Simple to perform and readily available

­ Non-invasive and it involves taking many

­ X-ray measurements at different angles across a patient’s chest to produce cross-sectional images (Dai et al., 2020) .

­ Low specificity due to false-negative rate because of the severe consequences of missed diagnosis from other viral pneumonia caused by influenza A virus, influenza B virus, Cytomegalovirus, Adenovirus, respiratory syncytial virus, MERS Coronavirus, and different viral types of pneumonia as well as bacterial pneumonia.

­ Expensive.

­ Require technical expertise.