Why not detect and identify SARS-CoV2 using Electron microscopy?

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Discussion Overview

The discussion revolves around the feasibility of using electron microscopy (EM) for the detection and identification of SARS-CoV2, contrasting it with the current RT-PCR testing method. Participants explore the theoretical and practical challenges of implementing EM in this context.

Discussion Character

  • Debate/contested
  • Technical explanation
  • Conceptual clarification

Main Points Raised

  • Some participants note that RT-PCR testing is not infallible and question why EM, which can achieve high resolution, is not utilized for SARS-CoV2 detection.
  • Others raise concerns about the limitations of EM, including its ability to miss viruses due to the small sample size and the potential difficulty in distinguishing SARS-CoV2 from other coronaviruses.
  • It is mentioned that EM requires complex sample preparation, specialized training, and is associated with high costs and equipment size.
  • One participant points out that EM has been used to verify PCR test results and suggests that full sequencing is an alternative verification method.
  • Concerns are raised about the overall impracticality and cost of using EM, particularly regarding the need for technical expertise to interpret results and the involvement of medical experts.

Areas of Agreement / Disagreement

Participants express a range of views on the practicality and effectiveness of using EM for SARS-CoV2 detection, with no consensus reached on its viability compared to RT-PCR testing.

Contextual Notes

Limitations include the unresolved nature of distinguishing SARS-CoV2 from other coronaviruses, the dependence on specific sample preparation techniques, and the high costs associated with EM equipment and expertise.

mktsgm
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TL;DR
While the question of the reliability of the RT-PCR test in the detection of SARS-CoV2 is real, why not we use any type of Electron microscopy in detecting the novel coronavirus?
We know the RT-PCR test method currently employed to detect SARS-CoV2 viruses from the sample is not 100% foolproof in detection.

If the current electron microscopy can reach a resolution of up to 50pm, why not use this time-tested technology in the detection of this virus?

Are there any issues in doing so?
 
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Samples of blood samples might be fairly easy to do in large numbers, however...

Possible problems with using EM to screen patients:
  • Electron Microscopy (EM) looks at only very small samples, it might miss a virus even though it is very near by.
  • I'm not sure that Covid-19 is distinct enough from other corona viruses to be distinguished from them.
  • EM often requires sophisticated sample prep (time and labor).
  • EM requires special training.
  • EM's are often big, heavy, expensive machines requiring special set-ups.
 
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between running the machine, a technical sme to interpret the results, and a medical expert to interpret the sme's analysis, that sounds pretty expensive.
 

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