Chest CT scan findings in World Trade Center workers.
Rafael E de la HozJonathan WeberDongming XuJohn T DoucetteXiaoyu LiuDeborah A CarsonJuan C CeledónPublished in: Archives of environmental & occupational health (2018)
We examined the chest CT scans of 1,453 WTC responders using the International Classification of High-resolution CT for Occupational and Environmental Respiratory Diseases. Univariate and bivariate analyses of potential work-related pleural abnormalities were performed with pre-WTC and WTC-related occupational exposure data, spirometry, demographics and quantitative CT measurements. Logistic regression was used to evaluate occupational predictors of those abnormalities. Chest CT scans were performed first at a median of 6.8 years after 9/11/2001. Pleural abnormalities were the most frequent (21.1%) across all occupational groups In multivariable analyses, significant pre-WTC occupational asbestos exposure, and work as laborer/cleaner were predictive of pleural abnormalities, with prevalence being highest for the Polish subgroup (n = 237) of our population. Continued occupational lung disease surveillance is warranted in this cohort.
Keyphrases
- dual energy
- computed tomography
- contrast enhanced
- image quality
- high resolution
- positron emission tomography
- magnetic resonance imaging
- machine learning
- deep learning
- risk factors
- clinical trial
- randomized controlled trial
- chronic obstructive pulmonary disease
- mass spectrometry
- open label
- pet ct
- artificial intelligence
- high speed