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Imaging and Clinical Evaluation: References						Print
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										Clinical OverviewClinical Approach to the Diagnosis and Treatment of Occupational Lung DiseasesReferences
Aberle DR, Gamsu G, Ray CS [1988a]. High-resolution CT of benign asbestos-related diseases: Clinical and radiographic correlation. Am J Roentgenol *151*(5): 883–891.
Aberle DR, Gamsu G, Ray CS, Feuerstein IM [1988b]. Asbestos-related pleural and parenchymal fibrosis: Detection with high-resolution CT. Radiology *166*(3): 729–734.
Aberle DR, Adams AM, Berg CD, Black WC, Clapp JD, Fagerstrom RM, Gareen IF, Gatsonis C, Marcus PM, Sicks JD, National Lung Screening Trial Research Team [2011]. Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med *365*(5):395–409.
Akira M, Higashihara T, Yokoyama K, Yamamoto S, Kita N, Morimoto S, Ikezoe J, Kozuka T [1989]. Radiographic type p pneumoconiosis: High-resolution CT. Radiology *171*(1):117–123.
Ameille J, Brochard P, Brechot JM, Pascano T, Cherin A, Raix A, Fredy M, Bignon J [1993]. Pleural thickening: A comparison of oblique chest radiographs and high-resolution computed tomography in subjects exposed to low levels of asbestos pollution. Int Arch Occup Environ Health *64*(8):545–548.
Antao VC, Petsonk EL, Sokolow LZ, Wolfe AL, Pinheiro GA, Hale JM, Attfield MD [2005]. Rapidly progressive coal workers’ pneumoconiosis in the United States: Geographic clustering and other factors. Occup Environ Med *62*(10):670–674.
Balmes J, Becklake M, Blanc P, Henneberger P, Kreiss K, Mapp C, Milton D, Schwartz D, Toren K, Viegi G, Environmental, Occupational Health Assembly ATS [2003]. American Thoracic Society Statement: Occupational contribution to the burden of airway disease. Am J Respir Crit Care Med *167*(5):787–797.
Bergin CJ, Muller NL, Vedal S, Chan-Yeung M [1986]. CT in silicosis: Correlation with plain films and pulmonary function tests. Am J Roentgenol *146*(3):477–483.
Blackley DJ, Halldin CN, Laney AS [2014]. Resurgence of a debilitating and entirely preventable respiratory disease among working coal miners. Am J Respir Crit Care Med *190*(6):708–709.
Blackley DJ, Laney AS, Halldin CN, Cohen RA [2015]. Profusion of opacities in simple coal worker’s pneumoconiosis is associated with reduced lung function. CHEST *148*(5):1293–1299.
Brichet A, Wallaert B, Gosselin B, Remy-Jardin M, Voisin C, Lafitte JJ, Tonnel AB [1997]. [“primary” diffuse interstitial fibrosis in coal miners: A new entity? Study group on interstitial pathology of the society of thoracic pathology of the north]. In German. Rev Mal Respir *14*(4):277–285.
Centers for Disease Control and Prevention (CDC) [2007]. Fixed obstructive lung disease among workers in the flavor-manufacturing industry–California, 2004–2007. MMWR *56*(16):389.
Cockcroft A, Lyons JP, Andersson N, Saunders MJ [1983]. Prevalence and relation to underground exposure of radiological irregular opacities in South Wales coal workers with pneumoconiosis. Br J Ind Med *40*(2):169–172.
Cohen RA, Petsonk EL, Rose C, Young B, Regier M, Najmuddin A, Abraham JL, Churg A, Green FH [2016]. Lung pathology in U.S. coal workers with rapidly progressive pneumoconiosis implicates silica and silicates. Am J Respir Crit Care Med *193*(6):673–680.
Collins HP, Dick JA, Bennett JG, Pern PO, Rickards MA, Thomas DJ, Washington JS, Jacobsen M [1988]. Irregularly shaped small shadows on chest radiographs, dust exposure, and lung function in coal workers’ pneumoconiosis. Br J Ind Med *45*(1):43–55.
Cox CW, Lynch DA [2015]. Medical imaging in occupational and environmental lung disease. Curr Opin Pulm Med 21(2),163–170.
Cullinan P, McGavin CR, Kreiss K, Nicholson AG, Maher TM, Howell T, Banks J, Newman Taylor AJ, Chen CH, Tsai PJ, Shih TS, Burge PS [2013]. Obliterative bronchiolitis in fibreglass workers: A new occupational disease? Occup Environ Med *70*(5):357–359.
Eisner MD, Anthonisen N, Coultas D, Kuenzli N, Perez-Padilla R, Postma D, Romieu I, Silverman EK, Balmes JR, Committee on Nonsmoking COPD, Environmental and Occupational Health Assembly [2010]. An official American Thoracic Society public policy statement: Novel risk factors and the global burden of chronic obstructive pulmonary disease. Am J Respir Crit Care Med *182*(5):693–718.
Erkinjuntti-Pekkanen R, Rytkonen H, Kokkarinen JI, Tukiainen HO, Partanen K, Terho EO [1998]. Long-term risk of emphysema in patients with farmer’s lung and matched control farmers. Am J Respir Crit Care Med *158*(2):662–665.
Green F, Brower P, Vallyathan V, Attflield M [1998]. Coal mine dust exposure and type of pulmonary emphysema in coal workers. In: Chiyotani D, Hosoda Y, Aizawa Y, eds. Advances in the prevention of occupational respiratory diseases. Amsterdam: Elsevier Science BV.
Gevenois PA, de Maertelaer V, Madani A, Winant C, Sergent G, De Vuyst P [1998]. Asbestosis, pleural plaques and diffuse pleural thickening: Three distinct benign responses to asbestos exposure. Eur Respir J *11*(5):1021–1027.
Gottschall EB [2002]. Occupational and environmental thoracic malignancies. J Thorac Imaging *17*(3):189–197.
Harber P, Tashkin DP, Simmons M, Crawford L, Hnizdo E, Connett J, Lung Health Study G [2007]. Effect of occupational exposures on decline of lung function in early chronic obstructive pulmonary disease. Am J Respir Crit Care Med *176*(10):994–1000.
Harkin TJ, McGuinness G, Goldring R, Cohen H, Parker JE, Crane M, Naidich DP, Rom WN [1996]. Differentiation of the ILO boundary chest roentgenograph (0/1 to 1/0) in asbestosis by high-resolution computed tomography scan, alveolitis, and respiratory impairment. J Occup Environ Med *38*(1):46–52.
Hering KG [1992]. [Evaluation and classification of CT findings in work-related lung and pleural changes in accordance with the ILO pneumoconiosis classification]. In German. Rontgenpraxis *45*(9):304–308.
Hering KG, Tuengerthal S, Kraus T [2004]. [Standardized CT/HRCT-classification of the German federal republic for work and environmental related thoracic diseases]. In German. Radiologe *44*(5):500–511.
Hnizdo E, Murray J, Davison A [2000]. Correlation between autopsy findings for chronic obstructive airways disease and in-life disability in South African gold miners. Int Arch Occup Environ Health *73*(4):235–244.
Hnizdo E, Sluis-Cremer GK, Abramowitz JA [1991]. Emphysema type in relation to silica dust exposure in South African gold miners. Am Rev Respir Dis *143*(6):1241–1247.
Hodgson MJ, Parkinson DK, Karpf M [1989]. Chest x-rays in hypersensitivity pneumonitis: A metaanalysis of secular trend. Am J Ind Med *16*(1),45–53.
Honma K, Chiyotani K [1993]. Diffuse interstitial fibrosis in nonasbestos pneumoconiosis–a pathological study. Respiration *60*(2):120–126.
Humphrey LL, Deffebach M, Pappas M, Baumann C, Artis K, Mitchell JP, Zakher B, Fu R, Slatore CG [2013]. Screening for lung cancer with low-dose computed tomography: A systematic review to update the US Preventive Services Task Force recommendation. Ann Intern Med *159*(6):411–420.
Huuskonen O, Kivisaari L, Zitting A, Taskinen K, Tossavainen A, Vehmas T [2001]. High-resolution computed tomography classification of lung fibrosis for patients with asbestos-related disease. Scand J Work Environ Health *27*(2):106–112.
International Labour Office (ILO) [2011]. Guidelines for the use of the ILO international classification of radiographs of pneumoconioses: ILO standard digital images (ILO 2011-D) in DICOM format. United Nations, International Labour Office, http://www.ilo.org/safework/info/publications/WCMS_168337/lang–en/index.htm
Katabami M, Dosaka-Akita H, Honma K, Saitoh Y, Kimura K, Uchida Y, Mikami H, Ohsaki Y, Kawakami Y, Kikuchi K [2000]. Pneumoconiosis-related lung cancers: Preferential occurrence from diffuse interstitial fibrosis-type pneumoconiosis. Am J Respir Crit Care Med *162*(1):295–300.
King MS, Eisenberg R, Newman JH, Tolle JJ, Harrell FE, Jr., Nian H, Ninan M, Lambright ES, Sheller JR, Johnson JE, Miller RF [2011]. Constrictive bronchiolitis in soldiers returning from Iraq and Afghanistan. N Engl J Med *365*(3):222–230.
Kinsella M, Muller N, Vedal S, Staples C, Abboud RT, Chan-Yeung M [1990]. Emphysema in silicosis. A comparison of smokers with nonsmokers using pulmonary function testing and computed tomography. Am Rev Respir Dis *141*(6):1497–1500.
Kraus T, Borsch-Galetke E, Elliehausen HJ, Frank K, Hering KG, Hieckel HG, Hofmann-Preiss K, Jacques W, Jeremie U, Kotschy-Lang N, Mannes E, Otten H, Raab W, Raithel HJ, Schneider WD, Tuengerthal S [2009]. [recommendations for reporting benign asbestos-related findings in chest x-ray and CT to the accident insurances]. In German. Pneumologie *63*(12):726-732.
Kreuzer M, Sogl M, Bruske I, Mohner M, Nowak D, Schnelzer M, Walsh L [2013]. Silica dust, radon and death from non-malignant respiratory diseases in German uranium miners. Occup Environ Med *70*(12):869-875.
Kuempel ED, Wheeler MW, Smith RJ, Vallyathan V, Green FH [2009]. Contributions of dust exposure and cigarette smoking to emphysema severity in coal miners in the United States. Am J Respir Crit Care Med *180*(3):257–264.
Kusaka Y, Hering KG, Parker JE [2005]. International classification of HRCT for occupational and environmental respiratory diseases. Tokyo, Japan: Springer.
Laney AS, Petsonk EL [2012]. Small pneumoconiotic opacities on U.S. coal worker surveillance chest radiographs are not predominantly in the upper lung zones. Am J Ind Med *55*(9):793–798.
Leigh J [1990]. Fifteen-year longitudinal studies of FEV1 loss and mucus hypersecretion development in coal workers in New South Wales, Australia. In:112, Proceedings of the VIIth International Pneumoconioses Conference Part II. US Department of Health and Human Services, Centers for Disease Control, National Institute for Occupational Safety and Health, DHHS (NIOSH). Publication No. 90-108.
Lynch DA, Gamsu G, Ray CS, Aberle DR [1988]. Asbestos-related focal lung masses: Manifestations on conventional and high-resolution CT scans. Radiology *169*(3):603–607.
Lynch DA, Rose CS, Way D, King TE, Jr. [1992]. Hypersensitivity pneumonitis: Sensitivity of high-resolution CT in a population-based study. Am J Roentgenol *159*(3):469–472.
Mayo JR [2009]. CT evaluation of diffuse infiltrative lung disease: Dose considerations and optimal technique. J Thorac Imaging *24*(4):252–259.
McHugh K, Blaquiere RM [1989]. CT features of rounded atelectasis. Am J Roentgenol *153*(2):257–260.
Naccache JM, Marchand-Adam S, Kambouchner M, Guillon F, Monnet I, Girard F, Brauner M, Valeyre D [2003]. Ground-glass computed tomography pattern in chronic beryllium disease: Pathologic substratum and evolution. J Comput Assist Tomogr *27*(4):496–500.
Newman LS, Buschman DL, Newell JD, Jr., Lynch DA [1994]. Beryllium disease: Assessment with CT. Radiology *190*(3):835–840.
NIOSH [2011]. Coal mine dust exposures and associated health outcomes-a review of information published since 1995. Cincinnati, OH: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication No. 2011-172, https://www.cdc.gov/niosh/docs/2011-172/
NIOSH [2016]. 42 CFR 37 Specifications for medical examinations of underground coal miners. Washington, DC: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, https://www.cdc.gov/niosh/index.htm.
Petsonk EL, Rose C, Cohen R [2013]. Coal mine dust lung disease. New lessons from old exposure. Am J Respir Crit Care Med *187*(11):1178–1185.
Remy-Jardin M, Degreef JM, Beuscart R, Voisin C, Remy J [1990]. Coal worker’s pneumoconiosis: CT assessment in exposed workers and correlation with radiographic findings. Radiology *177*(2):363–371.
Rogan JM, Attfield MD, Jacobsen M, Rae S, Walker DD, Walton WH [1973]. Role of dust in the working environment in development of chronic bronchitis in British coal miners. Br J Ind Med *30*(3): 217–226.
Sargent EN, Boswell WD, Jr., Ralls PW, Markovitz A [1984]. Subpleural fat pads in patients exposed to asbestos: Distinction from non-calcified pleural plaques. Radiology *152*(2):273–277.
Silva CI, Muller NL, Lynch DA, Curran-Everett D, Brown KK, Lee KS, Chung MP, Churg A [2008]. Chronic hypersensitivity pneumonitis: Differentiation from idiopathic pulmonary fibrosis and nonspecific interstitial pneumonia by using thin-section CT. Radiology *246*(1):288–297.
Staples CA, Gamsu G, Ray CS, Webb WR [1989]. High resolution computed tomography and lung function in asbestos-exposed workers with normal chest radiographs. Am Rev Respir Dis *139*(6):1502–1508.
Suganuma N, Kusaka Y, Hering KG, Vehmas T, Kraus T, Parker JE, Shida H, International, CT Classification Study Group [2006]. Selection of reference films based on reliability assessment of a classification of high-resolution computed tomography for pneumoconioses. Int Arch Occup Environ Health *79*(6):472–476.
Tamura T, Suganuma N, Hering KG, Vehmas T, Itoh H, Akira M, Takashima Y, Hirano H, Kusaka Y [2015]. Relationships (I) of international classification of high-resolution computed tomography for occupational and environmental respiratory diseases with the ILO international classification of radiographs of pneumoconioses for parenchymal abnormalities. Ind Health *53*(3):260–270.
Vallyathan V, Brower PS, Green FH, Attfield MD [1996]. Radiographic and pathologic correlation of coal workers’ pneumoconiosis. Am J Respir Crit Care Med *154*(3):741–748.
Wood DE, Kazerooni E, Baum SL, Dransfield MT, Eapen GA, Ettinger DS, Hou L, Jackman DM, Klippenstein D, Kumar [2015]. National Comprehensive Cancer Network: Lung cancer screening, version 1.2015 featured updates to the NCCN guidelines. J Natl Compr Canc Netw *13*(1):23–34.
Young RC, Jr., Rachal RE, Carr PG, Press HC [1992]. Patterns of coal workers’ pneumoconiosis in Appalachian former coal miners. J Natl Med Assoc *84*(1):41–48.APPENDIX APage 1 of 1PATHOLOGY OVERVIEW
							
					
							Last Reviewed:  April 26, 2023						Source: 	National Institute for Occupational Safety and Health
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        Syndicate homeStudy Syllabus for Classification of Radiographs of Pneumoconioses
Introductionplus icon
Preface
Appreciation to Contributors
Intent of the Self-study Syllbus
Getting Started
Clinical Overviewplus icon
Major Occupational Lung Diseasesplus icon
Pneumoconioses
Central Role of Diagnostic Imagingplus icon
Role of CT
Overview of Nonimaging Clinical Tools in Lung Disease Diagnosis
Appendix A
References
Pathology Overviewplus icon
Pulmonary Silicosis
Coal Workers’ Pneumoconiosis
Asbestos Pleuropulmonary Disease
Pathological-Clinical Correlations
References
Radiograph Classificationplus icon
SUBSET 1 – Radiograph Classification, #1 to #19plus icon
Introduction
Radiograph Identification
Section 1: Image Quality
Section 2: Parenchymal Abnormalities, #1 to #14
Section 3: Pleural Abnormalities, #15 to #19
Section 4: Any Other Abnormalities
Section 5
SUBSET 2 – Radiograph #20 to #27plus icon
Radiograph #20
Radiograph #21
Radiograph #22
Radiograph #23
Radiograph #24
Radiographs #25 to #27
SUBSET 3 – Radiograph #28 to #38plus icon
Radiographs #28 to #30
Radiographs #31 to #32
Radiographs #33 to #35
Radiographs #36 to #38
SUBSET 4 – Radiograph #39 to #46 (Small and Large Opacities)plus icon
Radiographs #39 to #40
Radiographs #41 to #42
Radiographs #43 to #44
Radiograph #45
Radiograph #46
SUBSET 5 – Classifications and Answer Keys, Radiographs #47 to #83
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