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Comparison of digital direct readout radiography with conventional film-screen radiography for the recognition of pneumoconiosis in dust-exposed Chinese workers.

Mao-L; Laney-AS; Wang-ML; Sun-XW; Zhou-SW; Shi-J; Shi-H
J Occup Health 2011 Sep; 53(5):320-326
Comparison of Digital Direct Readout Radiography with Conventional Film-screen Radiography for the Recognition of Pneumoconiosis in Dust-exposed Chinese Workers: Ling MAO, et al. Department of Pneumoconiosis, Shanghai Pulmonary Hospital, Tongji University School of Medicine, China-Objectives: Pneumoconiosis in China remains a disease with substantial public health significance. Diagnostic standards for the pneumoconioses are based on traditional film-screen radiography (FSR). However, FSR is increasingly being replaced with digital radiographic imaging, which has become the predominant technology available in Chinese clinical practice. To evaluate the applicability of digital direct readout radiography (DR) images in the recognition of pneumoconioses, we compared the profusion of small opacities and large opacities between FSR and DR radiographs. Methods: We enrolled 161 pneumoconioses patients and 31 dust-exposed workers during the course of the study, with FSR and DR images obtained from all participants. Each chest film was interpreted by five readers using the Chinese Diagnostic Criteria classification of radiographs of pneumoconiosis, as were DR images displayed on medical-grade computer monitors. Results: No statistically significant differences were observed when the data were analyzed by small opacity profusion subcategory except for 1/1. The overall intermodality agreement of small opacities was good, with a weighted kappa (kappa) of 0.77. Conclusions: DR images with soft copy display are recognition and classification of small parenchymal lung opacities. Additionally, we observed likeness between modalities with respect to the classification of large opacities. Overall, our study findings demonstrate that in a population of Chinese workers with pneumoconiosis, direct readout digital systems are equivalent to traditional film-screen radiography in the recognition and classification of small pneumoconiotic opacities.
Exposure-assessment; Lung-disease; Lung-disorders; Lung-irritants; Pulmonary-disorders; Pulmonary-system-disorders; Radiographic-analysis; Respiratory-system-disorders; X-ray-diagnosis; Surveillance; Author Keywords: Chest radiograph; Digital radiography; Physician; Pneumoconiosis; Radiography; Small opacity
Ling Mao, Deptartment of Pneumoconiosis,Shanghai Pulmonary Hospital, Tongji University School of Medicine, 507 Zhengmin Rd, Shanghai, China
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Construction; Mining
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Journal of Occupational Health