ACR Appropriateness Criteria Review ACR Appropriateness Criteria® Occupational Lung Diseases

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 poin...

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Published inJournal of thoracic imaging Vol. 31; no. 1; p. W1
Main Authors 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
Format Journal Article
LanguageEnglish
Published United States 01.01.2016
Subjects
Anthracosis - diagnosis
Asbestosis - diagnosis
Fluorodeoxyglucose F18
Humans
Lung - diagnostic imaging
Lung Diseases - diagnosis
Occupational Diseases - diagnosis
Positron-Emission Tomography - standards
Radiology - standards
Radiopharmaceuticals
Silicosis - diagnosis
Societies, Medical
Tomography, X-Ray Computed - standards
United States
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Summary: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.
ISSN:1536-0237
DOI:10.1097/RTI.0000000000000194