Comparison of X-Ray Films and Low-Dose Computed Tomographic Scans
| Autor: | Steven B. Markowitz, Albert Miller, Shannon A. Widman, Jeffrey A. Miller, Amy Manowitz |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Lung Neoplasms Radiography medicine.disease_cause Pleural thickening Sensitivity and Specificity Asbestos Computed tomographic Multidetector Computed Tomography medicine Humans Industry Lung cancer Early Detection of Cancer Aged Aged 80 and over Nuclear Weapons business.industry Low dose Public Health Environmental and Occupational Health Interstitial lung disease Middle Aged respiratory system medicine.disease United States respiratory tract diseases Asbestosis Female Radiology business Nuclear medicine X-ray films |
| Zdroj: | Journal of Occupational & Environmental Medicine. 55:741-745 |
| ISSN: | 1076-2752 |
| DOI: | 10.1097/jom.0b013e3182954067 |
| Popis: | OBJECTIVE Increased availability and technical improvements of computed tomographic (CT) scanning encourages its use for detecting asbestos-related disease. We compared low-dose scans and x-ray films in 2760 workers potentially exposed to asbestos, to assess their ability to detect interstitial lung disease (ILD) and pleural thickening (PT). METHODS A total of 2760 nuclear workers received radiography and CT scanning (2006 to 2009). X-ray films were read by a B reader for ILD and PT and CT scans by a thoracic radiologist, using a protocol for nodules, ILD, and PT. RESULTS Of the 2760 workers, 271 showed circumscribed PT on CT scans, and 73 on x-ray films, 54 (74%) of which were confirmed on CT scans; 76 showed ILD on CT scans, and 15 on x-ray film, 10 (67%) of which were confirmed on CT scans. CONCLUSIONS Radiographic readings of PT and ILD were generally confirmed on CT scans. Computed tomographic scans detected three to five times more cases; the majority were minor. |
| Databáze: | OpenAIRE |
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