Pneumokoniosen erkennen und klassifizieren

Hering, K. G.; Hofmann-Preiß, K

doi:10.1007/s00117-014-2735-2

Cited by 7 publications

(4 citation statements)

References 26 publications

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“…Further ICOERD-based scores were tested weighting differently the pleural and pulmonary extensions and additional findings; e.g. a score adding additional points for calcification and the additional attributes PB and RA, a score from the addition of the pleural point values (1-6) and the mentioned extra points with the pulmonary point values (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18), and a score as addition of the above mentioned score with the score of the parenchymal fibrosis. Since these scores could not demonstrate sufficient predictive value or specificity, the score systems were not presented here.…”

Section: Scoresmentioning

confidence: 99%

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Relations between vital capacity, CO diffusion capacity and computed tomographic findings of former asbestos-exposed patients: a cross-sectional study

Preisser

Schlemmer

Herold

et al. 2020

J Occup Med Toxicol

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Background: Asbestos-related lung diseases are one of the leading diagnoses of the recognized occupational diseases in Germany, both in terms of their number and their socioeconomic costs. The aim of this study was to determine whether pulmonary function testing (spirometry and CO diffusion measurement (D LCO)) and computed tomography of the thorax (TCT) are relevant for the early detection of asbestos-related pleural and pulmonary fibrosis and the assessment of the functional deficiency. Methods: The records of 111 formerly asbestos-exposed workers who had been examined at the Institute for Occupational and Maritime Medicine, Hamburg, Germany, with data on spirometry, D LCO and TCT were reviewed. Workers with substantial comorbidities (cardiac, malignant, silicosis) and/or pulmonary emphysema (pulmonary hyperinflation and/or TCT findings), which, like asbestosis, can lead to a diffusion disorder were excluded. The remaining data of 41 male workers (mean 69.8 years ±6.9) were evaluated. The TCT changes were coded according to the International Classification of High-resolution Computed Tomography for Occupational and Environmental Respiratory Diseases (ICOERD) by radiologists and ICOERD-scores for pleural and pulmonary changes were determined. Correlations (ρ), Cohens κ and accuracy were calculated. Results: In all 41 males the vital capacity (VC in % of the predicted value (% pred.)) showed only minor limitations (mean 96.5 ± 18.0%). The D LCO (in % pred.) was slightly reduced (mean 76.4 ± 16.6%; median 80.1%); the alveolar volume related value (D LCO /VA) was within reference value (mean 102 ± 22%). In the TCT of 27 workers pleural asbestos-related findings were diagnosed whereof 24 were classified as pulmonary fibrosis (only one case with honey-combing). Statistical analysis provided low correlations of VC (ρ = − 0.12) and moderate correlations of D LCO (− 0.25) with pleural plaque extension. The ICOERD-score for pulmonary fibrosis correlated low with VC (0.10) and moderate with D LCO (− 0.23); D LCO had the highest accuracy with 73.2% and Cohens κ with 0.45. D LCO /VA showed no correlations to the ICOERD-score. The newly developed score, which takes into account the diffuse pleural thickening, shows a moderate correlation with the D LCO (ρ = − 0.35, p < 0.05).

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Section: Scoresmentioning

confidence: 99%

“…Honeycombing is the term for maximum fibrosis, i.e. the destruction of the lung parenchyma [5][6][7][8][9]. Asbestosis is difficult to detect in early stages [9,10].…”

Section: Introductionmentioning

confidence: 99%

Relations between vital capacity, CO diffusion capacity and computed tomographic findings of former asbestos-exposed patients: a cross-sectional study

Preisser

Schlemmer

Herold

et al. 2020

J Occup Med Toxicol

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“…Vergleichbar mit der International Labour Organisation (ILO)-Klassifikation bei der konventionellen Radiografie gibt es auch für die dünnschichtige Volumen-CT in Niedrigdosis-Technik eine seit 2004 international verwendete Klassifikation zur Kodierung der Befunde an Lunge und Pleura sowie an den übrigen abgebildeten anatomischen Strukturen des Thorax, die ICOERD ("International Classification of Occupational and Environmental Respiratory Diseases"). Mit der ICOERD sollen die Forderungen der Erkrankten und der Unfallversicherungsträger erfüllt werden, im Entscheidungsfall auf reproduzierbare und vergleichbare Befunde zurückgreifen zu können [58,59].…”

Section: Arbeitsmedizinische Aspekteunclassified

S1-Leitlinie Interdisziplinäre Diagnostik interstitieller Lungenerkrankungen im Erwachsenenalter

et al. 2023

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ZusammenfassungDie Beurteilung von Patienten mit v. a. einer interstitiellen Lungenerkrankung (ILD) umfasst die Beurteilung klinischer, radiologischer und oft histopathologischer Daten. Da bislang noch keine dezidierten Empfehlungen für die Evaluation bei Verdacht auf eine ILD in Deutschland existierten, war es Ziel dieses interdisziplinären Konsensusstatements, eine praktische Orientierungshilfe für den klinischen Alltag in Bezug auf die interdisziplinäre Diagnostik der ILDs zu geben. Dazu gehören die umfassende klinisch-pneumologische und in vielen Fällen auch eine rheumatologische Beurteilung, radiologische Diagnostik sowie Probenentnahme zur histopathologischen Evaluation sowie die abschließende Diskussion im multidisziplinären Team.

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“…Diese ist mit der Klassifikation der International Labour Organisation (ILO) bei der konventionellen Radiographie vergleichbar. Mithilfe der ICOERD sollen die Forderungen der Versicherten und der Berufsgenossenschaften, im Entscheidungsfall auf reproduzierbare und vergleichbare Befunde zurückgreifen zu können, erfüllt werden [7,8].…”

Section: Interstitielle Lungenkrankheitenunclassified