ACR Appropriateness Criteria® Occupational Lung Diseases

Imaging, Expert Panel on Thoracic; Cox, Christian W.; Chung, Jonathan H.; Ackman, Jeanne B.; Berry, Mark F.; Carter, Brett W.; Groot, Patricia M. de; Hobbs, Stephen B.; Johnson, Geoffrey B.; Maldonado, Fabien; McComb, Barbara L.; Tong, Betty C.; Walker, Christopher M.; Kanne, Jeffrey P.

doi:10.1016/j.jacr.2020.01.022

Cited by 8 publications

(3 citation statements)

References 122 publications

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“…We reviewed relevant recommendations related to the 24 clinical/diagnostic scenarios previously published by radiology and specialty societies, including: the Canadian Association of Radiologists, 9 the American College of Radiology, [10][11][12][13][14][15][16][17][18][19] the American Thoracic Society and Infectious Diseases Society of America, 20 the CHEST Expert Panel, [21][22][23] the Emergency Medicine Association of Turkey/Turkish Thoracic Society, 24 the European Respiratory Society, 25 the Fleischner Society, 26,27 the French Language Pulmonology Society, 28 the German S3 guideline, 29 the Indian Chest Society National College of Chest Physicians, 30 the Indian Society of Anesthaesiologists, 31 the Italian intersociety consensus, 32,33 the Korean guideline, 34 the National Institute for Health and Clinical Excellence, 35 the Polish recommendations for lung ultrasound in internal medicine, 36 the S2K guideline, 37 the combined guideline by the Société Française de Médecine d'Urgence, the Société de Réanimation de Langue Française and the French Group for Pediatric Intensive Care and Emergencies, 38 the Spanish Society of Medical Oncology, 39 and the Royal College of Radiologists. 40 Recommendations are presented in 3 tables: Non-specific chest pain, long-term care, and hospital-based scenarios (Table 2), Upper respiratory tract infections, asthma, chronic obstructive pulmonary disease (COPD), pneumonia, and chronic cough scenarios (Table 3), Pneumothorax, pleural effusion, hemoptysis, chronic dyspnea, interstitial lung disease, lung nodule, mediastinal lesion, mediastinal lymphadenopathy, and elevated diaphragm scenarios (...…”

Section: Recommendations Additional Details Of the Included Guideline...mentioning

confidence: 99%

Canadian Association of Radiologists Thoracic Imaging Referral Guideline

Hamel,

Avard,

Belanger

et al. 2023

Can Assoc Radiol J

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The Canadian Association of Radiologists (CAR) Thoracic Expert Panel consists of radiologists, respirologists, emergency and family physicians, a patient advisor, and an epidemiologist/guideline methodologist. After developing a list of 24 clinical/diagnostic scenarios, a rapid scoping review was undertaken to identify systematically produced referral guidelines that provide recommendations for one or more of these clinical/diagnostic scenarios. Recommendations from 30 guidelines and contextualization criteria in the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) for guidelines framework were used to develop 48 recommendation statements across the 24 scenarios. This guideline presents the methods of development and the referral recommendations for screening/asymptomatic individuals, non-specific chest pain, hospital admission for non-thoracic conditions, long-term care admission, routine pre-operative imaging, post-interventional chest procedure, upper respiratory tract infection, acute exacerbation of asthma, acute exacerbation of chronic obstructive pulmonary disease, suspect pneumonia, pneumonia follow-up, immunosuppressed patient with respiratory symptoms/febrile neutropenia, chronic cough, suspected pneumothorax (non-traumatic), clinically suspected pleural effusion, hemoptysis, chronic dyspnea of non-cardiovascular origin, suspected interstitial lung disease, incidental lung nodule, suspected mediastinal lesion, suspected mediastinal lymphadenopathy, and elevated diaphragm on chest radiograph.

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Section: Recommendations Additional Details Of the Included Guideline...mentioning

confidence: 99%

Canadian Association of Radiologists Thoracic Imaging Referral Guideline

Hamel,

Avard,

Belanger

et al. 2023

Can Assoc Radiol J

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“…본 지침은 직업성 폐질환 영상 검사 관련 ACR 지침( 14 )을 선택하여 권고등급과 근거수준을 검토하여 수용 여부를 결정하였다. Hekimoğlu 등( 15 )은 20개의 조직학적으로 확인된 진행성거대섬유화 22예의 CT 및 MRI 결과를 비교하여 CT에서 발견된 모든 병변이 MRI 비교 연구에서 확인되었으며, 위양성 또는 위음성 결과를 나타내지 않음을 보고하였다.…”

Section: 권고 및 근거요약unclassified

Korean Clinical Imaging Guidelines for the Appropriate Use of Chest MRI

송

남

윤

et al. 2021

J Korean Soc Radiol

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MRI는 방사선 위험이 없으며, 높은 연조직 대조도 및 기능 정보 획득의 장점을 가지고 있다. 과거 기술적 한계로 흉부 분야에서 MRI의 사용이 제한되었으나, 최근 기술 발전 및 흉부 MRI의 보험 적용 확대로 흉부 MRI의 적응증과 수요가 급증할 것으로 예상된다. 이에 대한 영상의학회는 한국의 의료 실정에 맞는 흉부 MRI의 적절한 활용과 관련된 지침의 개발이 필요하다고 보고 개발위원회, 실무위원회 및 자문위원회의 의견을 모아 한국형 흉부 MRI 정당성 가이드라인을 개발하였다. 5가지 문장형 핵심질문을 선정하고, 근거기반 임상영상 가이드라인 수용개작 방법론에 의거하여 권고안을 작성하였다. 권고 내용은 다음과 같다. 우연히 발견된 전종격동 병변 환자에서 비종양성 질환 진단을 위하여 흉부 MRI를 권장한다. 폐 종괴가 발견된 진폐증 환자에서 악성 종양과 진행성거대섬유증의 감별 진단을 위하여 흉부 MRI를 권장한다. 악성 흉막 중피종 또는 비소세포 폐암 환자에서 흉벽, 척추, 횡격막 또는 혈관 침범이 의심되는 경우 흉부 MRI를 권장한다. 임산부에서 임상적으로 폐색전증이 의심되나, 다른 검사가 불충분할 경우 비조영 흉부 MRI 혹은 중등도 또는 저위험군 조영제를 가능한 최소한의 용량으로 사용하여 조영증강 흉부 MRI를 고려할 수 있다. 폐첨부 폐암 환자에서 근치적 절제술을 고려할 경우 혈관 및 경막 외 공간의 종양 침범을 확인하기 위해 흉부 MRI를 권고한다.

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“…The American College of Radiology has recommended the use of tomography when silicosis is suspected in the chest X-ray and/or compatible symptoms 14. However, there are insufficient data to determine the effectiveness of CT screening for improving individual outcomes through the early diagnosis of individuals exposed to silica with normal radiographs 7…”

Section: Introductionmentioning

confidence: 99%

Volume-based tomography for the diagnosis of incipient silicosis in former gold miners

Carneiro¹,

Silva

et al. 2022

Occup Environ Med

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ObjectiveTo evaluate silicosis diagnosed through CT, with integration of clinical-occupational data, in silica-exposed workers presenting chest X-rays within International Labor Organization (ILO) category 0.MethodsCross-sectional study with 339 former gold miners, with comparable exposures and X-rays classified as ILO subcategory 0/0 (n=285) and 0/1 (n=54) were submitted to volume-based CT. The findings were classified according to the International Classification of HRCT CT for Occupational and Environmental Respiratory Diseases.ResultsA profusion degree of round opacities (RO)>1 was found in 22.4% (76/339) of the CT exams. After integrating the CT findings with clinical and occupational data, silicosis was diagnosed as follows: 43/285 (15.1%) and 14/54 (25.9%) in workers whose X-rays had been classified as 0/0 and 0/1, respectively. There was an upward trend towards longer exposures, reaching 38.9% when working more than 10 years underground and classified as 0/1 (p=0019). Those with presence of RO whose final diagnosis was not silicosis were mainly cases of tuberculosis or ‘indeterminate nodules’. Emphysema was found in 65/339 (19.1%), only 5 being detected in the X-ray.ConclusionVolume-based CT proved to be useful in the investigation of silicosis among individuals with a relevant exposure to silica, capturing diagnoses that had not been identified on X-rays. A response gradient of silicosis was showed by CT even in this population with ILO category 0 radiographs. It can be indicated based on quantitative and/or qualitative criteria of occupational exposure, especially considering the possibilities of low CT dosage.

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ACR Appropriateness Criteria® Occupational Lung Diseases

Cited by 8 publications

References 122 publications

Canadian Association of Radiologists Thoracic Imaging Referral Guideline

Canadian Association of Radiologists Thoracic Imaging Referral Guideline

Korean Clinical Imaging Guidelines for the Appropriate Use of Chest MRI

Volume-based tomography for the diagnosis of incipient silicosis in former gold miners

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