Comparison of x-ray films and low-dose computed tomographic scans: demonstration of asbestos-related changes in 2760 nuclear weapons workers screened for lung cancer
Miller, A; Widman, SA; Miller, JA; Manowitz, A; Markowitz, SB
HERO ID
1807989
Reference Type
Journal Article
Year
2013
Language
English
PMID
| HERO ID | 1807989 |
|---|---|
| In Press | No |
| Year | 2013 |
| Title | Comparison of x-ray films and low-dose computed tomographic scans: demonstration of asbestos-related changes in 2760 nuclear weapons workers screened for lung cancer |
| Authors | Miller, A; Widman, SA; Miller, JA; Manowitz, A; Markowitz, SB |
| Journal | Journal of Occupational and Environmental Medicine |
| Volume | 55 |
| Issue | 7 |
| Page Numbers | 741-745 |
| Abstract | <strong>OBJECTIVE: </strong>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).<br /><br /><strong>METHODS: </strong>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.<br /><br /><strong>RESULTS: </strong>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.<br /><br /><strong>CONCLUSIONS: </strong>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. |
| Doi | 10.1097/JOM.0b013e3182954067 |
| Pmid | 23787562 |
| Wosid | WOS:000330447900004 |
| Is Certified Translation | No |
| Dupe Override | No |
| Is Public | Yes |
| Language Text | English |
| Keyword | Occupational Health And Safety; Radiography; Tomography; Nuclear weapons; Lung cancer; Comparative analysis; Medical screening |