Abstrakt

Radiological examinations constitute an essential part in the diagnosis of respiratory tract disorders in the scope of occupational preventive examinations as well as medical expert opinions. In the guidelines published in 2010 AWMF S2 “Diagnosis and evaluation of asbestos-induced occupational diseases” and in the “Falkenstein Recommendations” of 2011 of the DGUV the importance of the radiologic contribution became clear. The chest X-ray is still the basic test, today usually done digitally and evaluated on monitors certified for evaluation. And it is coded according to the ILO classification. However, as chest X-rays are prone to a high ratio of misinterpretations and pitfalls (between 20% and 50%), low-dose volume HR-CT is used for an earlier and more exact assessment of asbestos-induced findings concerning the lung parenchyma and the pleura, and it permits the imaging of lung and parenchyma with a slice thickness of ≤ 1 mm in all reformatted images with a radiation dose of ≤ 1 mSv (BMI ≤ 25) as a rule. For reasons of reproducibility and comparability a standardized examination protocol is required as well as standardized evaluation of the CT-examination according to the ICOERD classification (ICOERD = International Classification of Occupational and Environmental Respiratory Diseases) which allows a structured and reproducible evaluation of the images.

Autoreninformation

Autoren

• K.G. Hering¹
• K. Hofmann-Preiß²

Abteilungen

• ¹ Klinikum Westfalen, Dortmund,
• ² Institut für bildgebende Diagnostik und Therapie, Erlangen

Adresse

Dr. med. K.G. Hering
Klinikum Westfalen – Knappschaftskrankenhaus
Am Knappschaftskrankenhaus 1
D–44309 Dortmund
Email: [email protected]

Citation