Mazzei Maria Antonietta, Sartorelli Pietro, Bagnacci Giulio, Gentili Francesco, Sisinni Antonietta Gerardina, Fausto Alfonso, Mazzei Francesco Giuseppe, Volterrani Luca
Department of Medical, Surgical and Neuro Sciences, Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, University of Siena, Italy.
Unit of Occupational Medicine, Azienda Ospedaliera Universitaria Senese, University of Siena, Italy; Department of Medical Biotechnology, Unit of Occupational Medicine, Azienda Ospedaliera Universitaria Senese, University of Siena, Italy.
Semin Ultrasound CT MR. 2019 Feb;40(1):36-50. doi: 10.1053/j.sult.2018.10.019. Epub 2018 Nov 3.
Underreporting of occupational lung diseases is a widespread problem in clinical practice. In Europe there is not a common regulation even for the recognition of occupational cancers. Furthermore epidemiologic data on occupational interstitial lung diseases, in general, is limited by no standardized diagnostic criteria, varied physician awareness and training, limitations inherent to the various data sources, and the long latency period. Therefore, to optimize the management of the patient with occupational pathology, the collaboration and skills of the multidisciplinary at the service of the patient, play a fundamental role. In particular, radiologists should give substance to a clinical suspicion on an anamnestic basis and at the same time should recognize patterns of illness that can lead to the emergence of stories of misunderstood exposures. This article aims to provide an overview of the main occupational lung diseases with attention to diagnostic possibilities of the different imaging techniques. The issue of the radiological error is investigated, providing tools to minimize it in the daily practice.
职业性肺病报告不足是临床实践中普遍存在的问题。在欧洲,即使对于职业性癌症的认定也没有统一的规定。此外,一般而言,关于职业性间质性肺病的流行病学数据受到缺乏标准化诊断标准、医生意识和培训各异、各种数据来源固有的局限性以及较长的潜伏期的限制。因此,为了优化职业性疾病患者的管理,多学科团队为患者服务的协作和技能发挥着至关重要的作用。特别是,放射科医生应基于病史对临床怀疑提供实质内容,同时应识别可能导致误解接触史出现的疾病模式。本文旨在概述主要的职业性肺病,并关注不同成像技术的诊断可能性。文中探讨了放射学误诊问题,提供了在日常实践中尽量减少误诊的方法。