Roentgenologic manifestations
Public Domain
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1971/01/01
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Personal Author:
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Description:In conclusion, it seems important and appropriate to again emphasize a few observations that have been recorded elsewhere. They are: Coal workers' pneumoconiosis cannot be diagnosed in the living in the absence of radiographic changes. There is no characteristic physiological derangement which is indicative of dust in the lungs. The most desirable chest radiograph for the study of pneumoconiosis or other pulmonary disease is one in which the lung is shown in greatest detail. The conventional chest roentgenogram has no value in establishing the presence or severity of chronic bronchitis. A mechanism should be developed for distribution in the United States of standard ILO films to any interested physician, radiology department, or investigator in pneumoconiosis, and all men in the coal industry should have a preemployment medical examination including chest radiographs and pulmonary function studies. These examinations should be repeated at least at 5-year intervals. This material should be collected in a manner suitable for scientific examination as well as clinical use. Prospective studies of the natural history of coal workers' pneumoconiosis are needed, and they should be correlated with all environmental factors. One goal of these studies should be to determine the relationship between the exposure and the risk of disease, resulting in a determination of guidelines for permissible safe exposure for the miners' working lifetime. Proper correlation of pathological findings with clinical, X-ray, and physiological studies have been seriously impaired by the lack of autopsy material. Effective mechanisms must be developed which will provide access to autopsy material in conjunction with other studies. An adequate central facility should be available for the study of that material. This chapter includes critical comments on the essentials of chest radiography as it concerns equipment and technique; roentgenographic patterns of coal workers' pneumoconiosis in the United States; the aims, principles, and details of the U/C Classification of the radiographic appearances of pneumoconioses; and the radiologic considerations of the interpretation and evaluation of the shadow patterns as they obtain to the occupational history and the physical examination. [Description provided by NIOSH]
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ISBN:9780124059504
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Pages in Document:111-152
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NIOSHTIC Number:nn:20047233
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Citation:Pulmonary reactions to coal dust: a review of U.S. experience. Key MM, Kerr LE, Bundy M, eds. New York: Academic Press, Inc., 1971 Jan; :111-152
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Federal Fiscal Year:1971
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Peer Reviewed:False
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Source Full Name:Pulmonary reactions to coal dust: a review of U.S. experience
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Main Document Checksum:urn:sha-512:243c9d3f06e38ec062bc17841df94a4d22467271ff58abb079b43295168a13cac4ef0b53df74f654b0b0c54d12b4a9962375eacb25dc3068e2513053d0269994
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