Authorship and contributorship
Farewell to an old friend: chest X-ray vs high-resolution computed tomography in welders' lung disease
Article first published online: 2 DEC 2013
© 2013 John Wiley & Sons Ltd
The Clinical Respiratory Journal
Volume 8, Issue 2, pages 220–224, April 2014
How to Cite
Tutkun, E., Abusoglu, S., Yilmaz, H., Gunduzoz, M., Evcik, E., Ozis, T. N., Keskinkilic, B. and Unlu, A. (2014), Farewell to an old friend: chest X-ray vs high-resolution computed tomography in welders' lung disease. The Clinical Respiratory Journal, 8: 220–224. doi: 10.1111/crj.12063
Engin Tutkun and Sedat Abusoglu designed research and found the topic of article. Hinc Yilmaz and Meside Gunduzoz performed research. Ender Evcik and Nadir Turkan Ozis collected and anlayzed the data. Bekir Keskinkilic and Ali Unlu supervised the research. Engin Tutkun and Sedat Abusoglu: wrote the paper
All participants were given a written consent, and this study was approved by the local ethics committee of Keçiören Education and Research Hospital.
Conflict of interest
The authors have stated explicitly that there are no conflicts of interest in connection with this article.
- Issue published online: 1 APR 2014
- Article first published online: 2 DEC 2013
- Accepted manuscript online: 17 OCT 2013 04:38AM EST
- Manuscript Accepted: 13 OCT 2013
- Manuscript Revised: 23 SEP 2013
- Manuscript Received: 27 MAY 2013
- chest X-ray;
- high-resolution computed tomography;
- lung disease;
Welder's lung disease originated from a mixed exposure to different kinds of metals and chemicals from welding fumes. Because of these various harmful effects, irreversible morphological changes may occur in all parts of the respiratory tract, airways and lung parenchyma. Parenchymal changes are the main lesions that define the severity of exposure. The grade of these lesions is the main criteria for compensation claims and the clinical threshold for the occupational health physician's decision making of work change in order to protect the worker's health. In this study, our aim was to compare the diagnostic performance of chest X-ray (CXR) and high-resolution computed tomography (HRCT) for welders' lung disease.
Seventy-four male welders aged between 25 and 55 years were enrolled to this study.
Clinical diagnoses were compared by CXR and HRCT. Same radiologists evaluated the scans without any knowledge about the medical history of the patient (double-blinded evaluation). The agreement between radiologists was compared with Cohen's kappa statistics.
The mean age for 74 welders was 40.7 years. The mean duration of exposure was 18.9 years. Although all were found to be nonpathological on the CXR, 27 mild nodular and nine mild linear opacities, five emphysematous changes, three ground glass infiltrates and one pleural thickening were detected by HRCT.
HRCT provides better diagnostic performance compared to CXR for the diagnosis of welders' lung disease.