Farewell to an old friend: chest X-ray vs high-resolution computed tomography in welders' lung disease

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dc.contributor.authorTutkun, Engin
dc.contributor.authorAbuşoğlu, Sedat
dc.contributor.authorYılmaz, Ömer Hınç
dc.contributor.authorGündüzöz, Meside
dc.contributor.authorEvcik, Ender
dc.contributor.authorÖziş, Türkan Nadir
dc.contributor.authorKeskinkılıç, Bekir
dc.date.accessioned2020-03-26T18:50:46Z
dc.date.available2020-03-26T18:50:46Z
dc.date.issued2014
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractIntroduction Welder's lung disease originated from a mixed exposure to different kinds of metals and chemicals from welding fumes. Because of these various harmful effects, irreversible morphological changes may occur in all parts of the respiratory tract, airways and lung parenchyma. Parenchymal changes are the main lesions that define the severity of exposure. The grade of these lesions is the main criteria for compensation claims and the clinical threshold for the occupational health physician's decision making of work change in order to protect the worker's health. In this study, our aim was to compare the diagnostic performance of chest X-ray (CXR) and high-resolution computed tomography (HRCT) for welders' lung disease. Objectives Seventy-four male welders aged between 25 and 55 years were enrolled to this study. Methods Clinical diagnoses were compared by CXR and HRCT. Same radiologists evaluated the scans without any knowledge about the medical history of the patient (double-blinded evaluation). The agreement between radiologists was compared with Cohen's kappa statistics. Results The mean age for 74 welders was 40.7 years. The mean duration of exposure was 18.9 years. Although all were found to be nonpathological on the CXR, 27 mild nodular and nine mild linear opacities, five emphysematous changes, three ground glass infiltrates and one pleural thickening were detected by HRCT. Conclusions HRCT provides better diagnostic performance compared to CXR for the diagnosis of welders' lung disease.en_US
dc.identifier.doi10.1111/crj.12063en_US
dc.identifier.endpage224en_US
dc.identifier.issn1752-6981en_US
dc.identifier.issn1752-699Xen_US
dc.identifier.issue2en_US
dc.identifier.pmid24131487en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage220en_US
dc.identifier.urihttps://dx.doi.org/10.1111/crj.12063
dc.identifier.urihttps://hdl.handle.net/20.500.12395/30869
dc.identifier.volume8en_US
dc.identifier.wosWOS:000333692300012en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWILEY-BLACKWELLen_US
dc.relation.ispartofCLINICAL RESPIRATORY JOURNALen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectchest X-rayen_US
dc.subjecthigh-resolution computed tomographyen_US
dc.subjectlung diseaseen_US
dc.subjectwelderen_US
dc.titleFarewell to an old friend: chest X-ray vs high-resolution computed tomography in welders' lung diseaseen_US
dc.typeArticleen_US

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