| 直读数字式摄影应用于尘肺病诊断的可行性研究 |
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| 引用本文： | 毛翎,黄建安,周韶炜,施瑾,陈子丹,施海燕,张悦,卞陆琴.直读数字式摄影应用于尘肺病诊断的可行性研究[J].劳动医学,2011,28(3):125-128. |
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| 作者姓名： | 毛翎 黄建安 周韶炜 施瑾 陈子丹 施海燕 张悦 卞陆琴 |
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| 作者单位： | 毛翎,MAO Ling(苏州大学附属第一医院,江苏,苏州,215006;同济大学附属上海市肺科医院尘肺科,上海,200433);黄建安,HUANG Jian-an(苏州大学附属第一医院,江苏,苏州,215006);周韶炜,施瑾,陈子丹,施海燕,张悦,卞陆琴,ZHOU Shao-wei,SHi Jin,CHEN Zi-dan,SHI Hai-yan,ZHANG Yue,BIAN Lu-qin(同济大学附属上海市肺科医院尘肺科,上海,200433);A.Scott LANEY,A.Scott LANEY(美国职业安全与卫生研究所,美国,西弗吉尼亚州,摩根敦,26505) |
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| 基金项目： | 上海市科委国际合作项目 |
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| 摘 要： | 目的]研究直读数字式摄影（DR）和传统胶片-增感屏（FSR）摄影对尘肺病小阴影形态和密集度辨识的可比性与一致性,评估直接读出DR胸片摄影技术在尘肺病诊断中的可行性和技术关键。方法]以204名尘肺病人和31名粉尘作业工人为研究对象,同期拍摄FSR片和DR片,对FSR片和从显示器直接读取DR片的胸片质量、小阴影形态、肺区小阴影密集度和大阴影的检出率进行比较分析。结果]FSR废片率明显较DR高（P〈0.001）;两种胸片在判定肺区小阴影密集度上有较好的一致性（κ=0.77）,从上肺区（κ=0.82）、中肺区（κ=0.75）到下肺区（κ=0.68）一致性略有降低;两种胸片对小阴影形态的判定没有明显差异（FSR 93.2%,DR 90.0%,P〉0.05）;对大阴影的识别表现一致（22.9%,44/192）。结论]DR胸片质量优于FSR胸片,在尘肺病小阴影形态、密集度的判定和大阴影的识别上与FSR相似。
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| 关 键 词： | 直读数字式摄影 胶片-增感屏摄影 尘肺 一致性分析 |
Feasibility Study of Direct Digital Radiography in Pneumoconiosis Diagnosis |
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| A.Scott LANEY,MAO Ling,HUANG Jian-an,ZHOU Shao-wei,A.Scott LANEY,SHi Jin,CHEN Zi-dan,SHI Hai-yan,ZHANG Yue,BIAN Lu-qin.Feasibility Study of Direct Digital Radiography in Pneumoconiosis Diagnosis[J].Journal of Labour Medicine,2011,28(3):125-128. |
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| Authors: | AScott LANEY MAO Ling HUANG Jian-an ZHOU Shao-wei AScott LANEY SHi Jin CHEN Zi-dan SHI Hai-yan ZHANG Yue BIAN Lu-qin |
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| Institution: | MAO Ling1,2,HUANG Jian-an1,ZHOU Shao-wei2,A.Scott LANEY3,SHI Jin2,CHEN Zi-dan2,SHI Hai-yan2,ZHANG Yue2,BIAN Lu-qin2(1.The First Hospital Affiliated to Soochow University,Suzhou,Jiangsu 215006,China,2.Department of Pneumoconiosis,Shanghai Pulmonary Hospital Affiliated to Tongji University,Shanghai 200433,3.National Institute for Occupational Safety and Health,Morgantown,WV 26505,USA) |
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| Abstract: | Objective] To evaluate technical key points and applicability of direct digital radiography(DR)images in identification of pneumoconiosis,we compared the shape/size and profusion of small opacities between film screen radiography(FSR)and DR technique.Methods] We enrolled 204 pneumoconiosis patients and 31 workers exposed to dust with FSR and DR images obtained,compared image quality,small opacity profusion and shape,large opacity identification between these two modalities.Results] Significantly more FSR... |
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| Keywords: | digital radiograph film screen radiograph pneumoconiosis kappa analysis |
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