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Incidental and Underreported Pleural Plaques at Chest CT: Do Not Miss Them—Asbestos Exposure Still Exists
Pleural plaques (PPs) may be a risk factor for mortality from lung cancer in asbestos-exposed workers and are considered to be a marker of exposure. Diagnosing PPs is also important because asbestos-exposed patients should be offered a health surveillance that is mandatory in many countries. On the...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5474542/ https://www.ncbi.nlm.nih.gov/pubmed/28656146 http://dx.doi.org/10.1155/2017/6797826 |
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author | Mazzei, Maria Antonietta Contorni, Francesco Gentili, Francesco Guerrini, Susanna Mazzei, Francesco Giuseppe Pinto, Antonio Cioffi Squitieri, Nevada Sisinni, Antonietta Gerardina Paolucci, Valentina Romeo, Riccardo Sartorelli, Pietro Volterrani, Luca |
author_facet | Mazzei, Maria Antonietta Contorni, Francesco Gentili, Francesco Guerrini, Susanna Mazzei, Francesco Giuseppe Pinto, Antonio Cioffi Squitieri, Nevada Sisinni, Antonietta Gerardina Paolucci, Valentina Romeo, Riccardo Sartorelli, Pietro Volterrani, Luca |
author_sort | Mazzei, Maria Antonietta |
collection | PubMed |
description | Pleural plaques (PPs) may be a risk factor for mortality from lung cancer in asbestos-exposed workers and are considered to be a marker of exposure. Diagnosing PPs is also important because asbestos-exposed patients should be offered a health surveillance that is mandatory in many countries. On the other hand PPs are useful for compensation purposes. In this study we aimed to evaluate the prevalence, as incidental findings, and the underreporting rate of PPs in chest CT scans (CTs) performed in a cohort of patients (1512) who underwent chest CT with a slice thickness no more than 1.25 mm. PPs were found in 76 out of 1482 patients (5.1%); in 13 out of 76 (17,1%) CTs were performed because of clinical suspicion of asbestos exposure and 5 of them (38%) were underreported by radiologist. In the remaining 63 cases (82.9%) there was no clinical suspicion of asbestos exposure at the time of CTs (incidental findings) and in 38 of these 63 patients (60.3%) PPs were underreported. Reaching a correct diagnosis of PPs requires a good knowledge of normal locoregional anatomy and rigorous technical approach in chest CT execution. However the job history of the patient should always be kept in mind. |
format | Online Article Text |
id | pubmed-5474542 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-54745422017-06-27 Incidental and Underreported Pleural Plaques at Chest CT: Do Not Miss Them—Asbestos Exposure Still Exists Mazzei, Maria Antonietta Contorni, Francesco Gentili, Francesco Guerrini, Susanna Mazzei, Francesco Giuseppe Pinto, Antonio Cioffi Squitieri, Nevada Sisinni, Antonietta Gerardina Paolucci, Valentina Romeo, Riccardo Sartorelli, Pietro Volterrani, Luca Biomed Res Int Research Article Pleural plaques (PPs) may be a risk factor for mortality from lung cancer in asbestos-exposed workers and are considered to be a marker of exposure. Diagnosing PPs is also important because asbestos-exposed patients should be offered a health surveillance that is mandatory in many countries. On the other hand PPs are useful for compensation purposes. In this study we aimed to evaluate the prevalence, as incidental findings, and the underreporting rate of PPs in chest CT scans (CTs) performed in a cohort of patients (1512) who underwent chest CT with a slice thickness no more than 1.25 mm. PPs were found in 76 out of 1482 patients (5.1%); in 13 out of 76 (17,1%) CTs were performed because of clinical suspicion of asbestos exposure and 5 of them (38%) were underreported by radiologist. In the remaining 63 cases (82.9%) there was no clinical suspicion of asbestos exposure at the time of CTs (incidental findings) and in 38 of these 63 patients (60.3%) PPs were underreported. Reaching a correct diagnosis of PPs requires a good knowledge of normal locoregional anatomy and rigorous technical approach in chest CT execution. However the job history of the patient should always be kept in mind. Hindawi 2017 2017-06-05 /pmc/articles/PMC5474542/ /pubmed/28656146 http://dx.doi.org/10.1155/2017/6797826 Text en Copyright © 2017 Maria Antonietta Mazzei et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Mazzei, Maria Antonietta Contorni, Francesco Gentili, Francesco Guerrini, Susanna Mazzei, Francesco Giuseppe Pinto, Antonio Cioffi Squitieri, Nevada Sisinni, Antonietta Gerardina Paolucci, Valentina Romeo, Riccardo Sartorelli, Pietro Volterrani, Luca Incidental and Underreported Pleural Plaques at Chest CT: Do Not Miss Them—Asbestos Exposure Still Exists |
title | Incidental and Underreported Pleural Plaques at Chest CT: Do Not Miss Them—Asbestos Exposure Still Exists |
title_full | Incidental and Underreported Pleural Plaques at Chest CT: Do Not Miss Them—Asbestos Exposure Still Exists |
title_fullStr | Incidental and Underreported Pleural Plaques at Chest CT: Do Not Miss Them—Asbestos Exposure Still Exists |
title_full_unstemmed | Incidental and Underreported Pleural Plaques at Chest CT: Do Not Miss Them—Asbestos Exposure Still Exists |
title_short | Incidental and Underreported Pleural Plaques at Chest CT: Do Not Miss Them—Asbestos Exposure Still Exists |
title_sort | incidental and underreported pleural plaques at chest ct: do not miss them—asbestos exposure still exists |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5474542/ https://www.ncbi.nlm.nih.gov/pubmed/28656146 http://dx.doi.org/10.1155/2017/6797826 |
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