Laboratory for Pulmonary and Allergic Diseases, Tel-Aviv Medical Centre, Tel-Aviv 6423906, Israel.
Environmental and Occupational Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel.
Int J Environ Res Public Health. 2021 Jul 6;18(14):7237. doi: 10.3390/ijerph18147237.
Spectrophotometric techniques provide qualitative but not quantitative data on lung particles. We aimed to quantitate silica content in biopsies of lung-transplanted silicosis patients by applying X-ray fluorescence (XRF) spectrometry. Lung biopsies of 17 lung-transplanted artificial patients were quantitated for silica and other minerals particles by Niton XL3 XRF spectrometry. Occupational and clinical history data were assessed. Lung biopsies of artificial stone-induced silicosis (ASIS) patients contained significantly higher levels of silica compared to those of idiopathic pulmonary fibrosis (IPF) patients (7284.29 ± 4693.75 ppm vs. 898.88 ± 365.66 ppm, 0.0001). Silica content correlated negatively with age, body mass index, and pulmonary function test results. A 1128 ppm silica cut-off value yielded 100% sensitivity and 94% specificity for predicting ASIS (AUC = 0.94, 0.0001). In conclusion, XRF measurements in lung biopsies can differentiate between silica and mineral particles in ASIS and IPF.
分光光度技术可提供肺部颗粒的定性而非定量数据。我们旨在通过应用 X 射线荧光(XRF)光谱法来定量分析肺移植矽肺患者的活检样本中的二氧化硅含量。通过 Niton XL3 XRF 光谱仪对 17 例肺移植人工患者的活检样本进行了二氧化硅和其他矿物质颗粒的定量分析。评估了职业和临床病史数据。与特发性肺纤维化(IPF)患者相比,人工石材诱导矽肺(ASIS)患者的肺活检样本中二氧化硅含量明显更高(7284.29 ± 4693.75 ppm 比 898.88 ± 365.66 ppm,0.0001)。二氧化硅含量与年龄、体重指数和肺功能测试结果呈负相关。1128 ppm 二氧化硅截断值对预测 ASIS 具有 100%的灵敏度和 94%的特异性(AUC=0.94,0.0001)。总之,XRF 测量可区分 ASIS 和 IPF 中的二氧化硅和矿物质颗粒。