Relationships (I) of International Classification of High-resolution Computed Tomography for Occupational and Environmental Respiratory Diseases with the ILO International Classification of Radiographs of Pneumoconioses for parenchymal abnormalities.

Relationships (I) of International Classification of High-resolution Computed Tomography for Occupational and Environmental Respiratory Diseases with the ILO International Classification of Radiographs of Pneumoconioses for parenchymal abnormalities.
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DOI:
10.2486/indhealth.2014-0073
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发表时间:
2015
期刊:
影响因子:
2
通讯作者:
Kusaka Y
Kusaka Y
中科院分区:
医学4区
文献类型:
--
作者:
Tamura T;Suganuma N;Hering KG;Vehmas T;Itoh H;Akira M;Takashima Y;Hirano H;Kusaka Y

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国际高分辨率计算机断层扫描(HRCT)职业和环境呼吸系统疾病分类(ICOERD)是为筛查、诊断和报告由职业危害引起的呼吸系统疾病而制定的。本研究旨在建立HRCT读数(根据ICOERD)和胸部X线片(CXR)肺实质混浊读数(根据国际劳工组织分类/国际尘肺病放射学分类[ILO/ICRP])之间的相关性。46例有矿物粉尘接触的患者和28例无矿物粉尘接触的对照组进行了后路CXR和HRCT检查。我们记录了所有受试者的暴露和吸烟史。专家独立阅读CXRs(使用劳工组织/ICRP)。专家使用ICOERD实质异常分级对明确的圆形阴影(RO)、线状和/或不规则阴影(IR)和肺气肿(EM)进行独立的HRCT评估。采用Spearman等级顺序相关法评价ICOERD总分与国际劳工组织/ICRP融合的相关性。23例患者在CXR上有小阴影。HRCT显示RO 21例,IR混浊20例,EM 23例。对于圆形浑浊,国际劳工组织/国际放射治疗中心植入与ICOERD分级之间的相关性为0.844(p<来自HRCT扫描的ICOERD读数与先前验证的劳工组织/ICRP标准具有很好的相关性。ICOERD能充分检测尘肺微小结节,可用于尘肺的诊断。
The International Classification of High-resolution Computed Tomography (HRCT) for Occupational and Environmental Respiratory Diseases (ICOERD) has been developed for the screening, diagnosis, and epidemiological reporting of respiratory diseases caused by occupational hazards. This study aimed to establish a correlation between readings of HRCT (according to the ICOERD) and those of chest radiography (CXR) pneumoconiotic parenchymal opacities (according to the International Labor Organization Classification/International Classification of Radiographs of Pneumoconioses [ILO/ICRP]). Forty-six patients with and 28 controls without mineral dust exposure underwent posterior-anterior CXR and HRCT. We recorded all subjects’ exposure and smoking history. Experts independently read CXRs (using ILO/ICRP). Experts independently assessed HRCT using the ICOERD parenchymal abnormalities grades for well-defined rounded opacities (RO), linear and/or irregular opacities (IR), and emphysema (EM). The correlation between the ICOERD summed grades and ILO/ICRP profusions was evaluated using Spearman’s rank-order correlation. Twenty-three patients had small opacities on CXR. HRCT showed that 21 patients had RO; 20 patients, IR opacities; and 23 patients, EM. The correlation between ILO/ICRP profusions and the ICOERD grades was 0.844 for rounded opacities (p<0.01). ICOERD readings from HRCT scans correlated well with previously validated ILO/ICRP criteria. The ICOERD adequately detects pneumoconiotic micronodules and can be used for the interpretation of pneumoconiosis.
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