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

  • TAMURA Taro
    Department of Environmental Health, University of Fukui School of Medicine, Japan
  • SUGANUMA Narufumi
    Department of Environmental Medicine, Kochi University School of Medicine, Japan
  • HERING Kurt G.
    Department of Diagnostic Radiology, Radiology and Nuclear Medicine, Radiological Clinic, Miner’s Hospital, Germany
  • VEHMAS Tapio
    Department of Radiology, Finnish Institute of Occupational Health, Finland
  • ITOH Harumi
    Department of Radiology, University of Fukui School of Medicine, Japan
  • AKIRA Masanori
    Department of Radiology, National Hospital Organization Kinki-Chuo Chest Medical Center, Japan
  • TAKASHIMA Yoshihiro
    Department of Surgery, Fukui Saiseikai Hospital, Japan
  • HIRANO Harukazu
    Koyo Seikyo Hospital, Japan
  • KUSAKA Yukinori
    Department of Environmental Health, University of Fukui School of Medicine, Japan

Bibliographic Information

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

Search this article

Abstract

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.

Journal

  • Industrial Health

    Industrial Health 53 (3), 260-270, 2015

    National Institute of Occupational Safety and Health

Citations (2)*help

See more

References(18)*help

See more

Related Projects

See more

Details 詳細情報について

Report a problem

Back to top