Author/Editor		Remškar, Zlata; Brenčič, Erika
Title		Računalniška tomografija visoke ločljivosti v diagnostiki plevro-pulmonalne azbestoze
Translated title		High-resolution computed tomography in the diagnosis of pleuro-pulmonary asbestosis
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 65, št. Suppl 2
Publication year		1996
Volume		str. II-5-8
Language		slo
Abstract		Background. According to the data from the literature the high-resolution computed tomography of the chest is a more sensitive procedure than the chest X-ray the detection of the initial changes in pleuro-pulmonary abestosis. The procedure was introduced into our practice in 1990. In the present analysis the results from the literature were compared to our diagnostic experiences in workers professionally exposed to asbestos in the Anhovo factory. Methods. Forty-one patients from the Anhovo factory were included into the study. After the physical examination in the Anhovo factory, the suspicion of pleuro-pulmonary asbestosis appered, so they were referred to the additional diagnostic examination to the Institute Golnik. The changes of lung interstitium on the chest X-ray were only minor. All the patients had chest x-raz examination as well as the high-resolution computed tomography of the chest. In the present analysis the changes, found in pleura and lung interstititum in the final readings of both radiologic diagnostic procedures, were classified into three separate groups: existing, nonexisting, unclear. The results of the two different radiologic-diagnostic procedures were then compared to each other.In three of the 41 patients the histologic examination of the material obtained by transbronchial lung biopsy was additionally performed. Results. The comparison of both radiologic procedures, chest X-ray and high-resolution computed tomography, showed a difference in the evaluation of the presence of interstitial changes. On the chest X-ray they were found in 12 out of 41 patients, while the computed tomography showed changes in 22 out of the same number of patients. Histological verification of roentgenological findings was in accordance with the results of both radiological procedures in 2 cases. In one case the asbestosis was found histologically, although the radiological procedures showed no changes. Conclusion. Abstract truncated at 2000 characters.
Summary		Izhodišča. Računalniška tomografija prsnih organov vioske ločljivosti je po podatkih iz literature občutljivejša metoda od rentgenograma prsnih organov za odkrivanje začetnih sprememb pri plevro-pulmonalni azbestozi. V našh razmerah smo pridobili možnost opravljanja navedene preiskave v devetdesetih letih. V narejeni analizi smo primerjali ugotovitve iz literature z iskušnjami, ki smo jih pridobili pri diagnostični obdelavi delavcev, poklicno izpostavljenih azbestu v tovarni Anhovo. Metode. V študijo je bilo vključenih 41 delavcev iz tovarne Anhovo, ki so bili po sistematskem pregledu v tovarni Anhovo leta 1995 napoteni na dodatno diagnostično obravnavo na Inštitut Golnik, s sumom na plevro-pulmonalno azbestozo. Spremljenost intersticija pljuč na rentgenogramih prsnih organov je bila pri obravnavanih bolnikih malo izražena. Pri vseh bolnikih je bila ob preglednem slikanju prsnih organov izvršena še računalniška tomografija prsnih organov visoke ločljivosti. V analizi smo upoštevali zaključna mnenja odčitavanj obeh preiskav tako, da smo ugotovitev prisotnosti sprememb na rentgenogramu prsnih organov in pri računalniški tomografiji prsnih organov klasificirali ločeno za plevro in intersticij pljuč v tri kategorije: prisotne, odsotne in neprepričljive rentgensko vidne spremembe. Rezultati odčitanj sprememb smo nato med seboj primerjali. Pri treh od 41 bolnikov je bil dodatno narejen tudi histološki pregled transbronhialno odvzetega koščka pljuč. Rezultati. Primerjava rezultatov obeh metod je pokazala razliko v oceni prisotnosti intersticijskih sprememb. Na rentgenogramu prsnih organov smo jih ugotovili pri 12 od 41 bolnikov, medtem ko jih je CT pokazal pri 22 od 41 bolnikov. Histološka preveritev rentgenskih izvidov se je v dveh primerih skladala z rentgensko oceno stanja po obeh metodah, medtem ko je bila pri enem bolniku histološko ugotovljena azbestoza ob odsotnosti rentgenske spremenjenosti pljuč po obeh metodah. Zaključki.Abstract truncated at 2000 characters.
Descriptors		ASBESTOSIS LUNG DISEASES PLEURAL DISEASES TOMOGRAPHY, X-RAY COMPUTED THORACIC RADIOGRAPHY