美国放射学会适宜性标准审查美国放射学会适宜性标准®职业性肺病

ACR Appropriateness Criteria Review ACR Appropriateness Criteria® Occupational Lung Diseases.

作者信息

Bacchus Leon, Shah Rakesh D, Chung Jonathan H, Crabtree Traves P, Heitkamp Darel E, Iannettoni Mark D, Johnson Geoffrey B, Jokerst Clinton, McComb Barbara L, Saleh Anthony G, Steiner Robert M, Mohammed Tan-Lucien H, Ravenel James G

机构信息

*Department of Radiology, North Shore University Hospital, Manhasset, NY †National Jewish Health, Denver, CO ‡Department of Radiology, Washington University School of Medicine, Saint Louis, MO, Society of Thoracic Surgeons §Department of Radiology and Imaging Sciences, Indiana University, Indianapolis, IN ∥Cardiovascular Sciences, University of Iowa, Iowa City, IA, Society of Thoracic Surgeons ¶Mayo Clinic, Rochester, MN #Mayo Clinic, Phoenix, AZ **Mayo Clinic, Jacksonville, FL ††New York Methodist Hospital, Brooklyn, NY, The American College of Chest Physicians ‡‡Department of Radiology, Temple University, Philadelphia, PA §§Department of Radiology, University of Florida College of Medicine, Gainesville, FL ∥∥Department of Radiology, Medical University of South Carolina, Charleston, SC.

出版信息

J Thorac Imaging. 2016 Jan;31(1):W1-3. doi: 10.1097/RTI.0000000000000194.

DOI:10.1097/RTI.0000000000000194

PMID:26656194

Abstract

Occupational lung disease is a category of disease entities characterized by a reaction of the lung parenchyma to inhaled aerosolized particles found in the environment. This document summarizes the imaging appropriateness data for silicosis, coal worker pneumoconiosis, and asbestosis. The main points of the document are that computed tomography is more sensitive than radiography, computed tomography without contrast generally suffices for evaluation, and fluorodeoxyglucose-positron emission tomography may have utility in patients with mesothelioma. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review includes an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

摘要

职业性肺病是一类疾病实体，其特征为肺实质对环境中吸入的雾化颗粒产生反应。本文总结了矽肺、煤工尘肺和石棉肺的影像检查适宜性数据。本文的要点是计算机断层扫描比放射照相更敏感，一般情况下无对比剂的计算机断层扫描足以用于评估，氟脱氧葡萄糖正电子发射断层扫描可能对间皮瘤患者有用。美国放射学会适宜性标准是针对特定临床情况的循证指南，由多学科专家小组每3年进行一次审查。指南的制定和审查包括对同行评审期刊上当前医学文献的广泛分析，以及应用成熟的共识方法（改良德尔菲法）由专家小组对影像检查和治疗程序的适宜性进行评分。在缺乏证据或证据不明确的情况下，可采用专家意见来推荐影像检查或治疗。