Reliability of the Proposed International Classification of High-Resolution Computed Tomography for Occupational and Environmental Respiratory Diseases

• Suganuma Narufumi

  Department of Environmental Medicine, Kochi Medical School

• Kusaka Yukinori

  Division of Environmental Health, Department of International and Social Medicine, School of Medicine, University of Fukui

• Hering Kurt G.

  Department of Diagnostic Radiology, Radiooncology and Nuclear Medicine, Knappschaftskrankenhaus

• Vehmas Tapio

  Department of Radiology, Finnish Institute of Occupational Health

• Kraus Thomas

  Institute and Outpatient Clinic for Occupational Medicine, Aachen University of Technology

• Arakawa Hiroaki

  Department of Radiology, Dokkyo Medical University

• Parker John E.

  West Virginia University School of Medicine

• Kivisaari Leena

  Department of Radiology, Helsinki University School of Medicine

• Letourneux Marc

  Service de Médicine du Travail et Pathologie Professionnelle

• Gevenois Pierre A.

  Department of Radiology, Hospital Erasme-Universite Libre de Bruxelles

• Tuengerthal Siegfreud

  The Clinic for Thoracic Diseases, Radiology and Nuclear Medicine

• Crane Michael D.

  Radiology Department, Llandough Hospital

• Shida Hisao

  Rosai Hospital for Silicosis

• Akira Masanori

  Department of Radiology, NHO-Kinki Chuo Chest Medical Center

• Henry Daniel A.

  Department of Radiology, Medical College of Virginia Hospitals, School of Medicine, Virginia Commonwealth University

• Nakajima Yasuo

  Department of Radiology, St. Marianna University School of Medicine

• Hiraga Yohmei

  Sapporo Railway Hospital

• Itoh Harumi

  University of Fukui

• Hosoda Yutaka

  Radiation Effects Research Foundation

Bibliographic Information

Other Title

• Reliability of the Proposed International Classification of High‐Resolution Computed Tomography for Occupational and Environmental Respiratory Diseases
• Reliability of the proposed international classification of high-resolution computed tomography for occupational and environmental disease

Abstract

Purpose: We have developed a classification of high-resolution computed tomography (HRCT) images for screening, surveillance and epidemiological studies of respiratory diseases caused by occupational and environmental factors. The proposed classification consists of three parts: a guideline explaining the elements of the classification scheme, a reading sheet, and reference films to aid in assessing thin-section CT films. We assessed the reliability of the proposed classification system by blinded, independent trial reading. Materials and Methods: Seven independent radiologists and pulmonologists performed a trial reading to measure the reliability of the classification system using HRCT films from 27 pneumoconiosis patients and 7 normal controls. Results: The agreement was moderate to good for rounded opacities (weighted κ=0.68 and 0.64), irregular opacities (0.59, 0.48), honeycombing (0.65, 0.47), emphysema (0.76, 0.62) and large opacities (0.48, 0.52). Ground glass opacities (0.16, 0.20) showed poor to fair agreement. Intra-reader agreement of each of the seven readers was moderate to good (mean: weighted κ=0.52-0.80) for parenchymal findings, but the agreement was relatively low (mean weighted κ=0.52) for ground glass opacities. Conclusion: The proposed classification is able to describe early dust-related fibrotic changes and provide a semi-quantitative description of the HRCT features of major fibrotic changes in the parenchyma and pleura. Reliability, as measured by inter-reader agreement, was satisfactory.<br>

Journal

• Journal of Occupational Health

  Journal of Occupational Health 51 (3), 210-222, 2009

  Japan Society for Occupational Health

Keywords

• Classification
• Computed tomography (CT)
• Lung diseases
• Occupational and environmental diseases
• Pleura diseases
• Thin section

Details

• CRID: 1390001204454737536
• NII Article ID: 10025965317
• NII Article ID: 130004447473
• NII Book ID: AA11090645
• DOI: 10.1539/joh.l8030
• ISSN: 13489585
• ISSN: 13419145
• NDL BIB ID: 10237721
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I10237721
• Web Site: https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1539%2Fjoh.L8030
• Web Site: https://onlinelibrary.wiley.com/doi/pdf/10.1539/joh.L8030
• Web Site: https://search.jamas.or.jp/link/ui/2010026865
• Text Lang: en
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed