Thin-Section CT Findings of Arc-Welders' Pneumoconiosis

  • Daehee Han (Department of Radiology and the Institute of Radiation Medicine, MRC, Seoul National University College of Medicine) ;
  • Jin Mo Goo (Department of Radiology and the Institute of Radiation Medicine, MRC, Seoul National University College of Medicine) ;
  • Jung-Gi Im (Department of Radiology and the Institute of Radiation Medicine, MRC, Seoul National University College of Medicine) ;
  • Kyung Soo Lee (Department of Radiology Samsung Medical Center, Sungkyunkwan Universty School of Medicine) ;
  • Do Myung Paek (School of Public Health, Seoul National University) ;
  • Seong Ho Park (Department of Radiology and the Institute of Radiation Medicine, MRC, Seoul National University College of Medicine)
  • 투고 : 2000.02.17
  • 심사 : 2000.06.13
  • 발행 : 2000.06.30

초록

Objective: To describe the thin-section CT findings of arc-welders' pneumoconiosis. Materials and Methods: Eighty-five arc-welders with a three to 30 (mean, 15)-year history of exposure underwent thin-section CT scanning. The extent of abnormalities detected was correlated with the severity of dyspnea and pulmonary function tests. For comparison, images of 43 smoking males (mean 25 pack-year) who underwent thin-section CT for other reasons (smokers' group) were also analyzed. Results: Fifty-four welders (63.5%) and six smokers (14.0%) showed positive findings. Predominant thin-section CT findings were poorly-defined centrilobular micronodules (30/54, 55.6%), branching linear structure (18/54, 33.3%), and ground-glass attenuation (6/54, 11.1%). In the smokers' group, poorly-defined micronodules were found in four patients, branching linear structures in one, and ground-glass attenuation in one. In welders, the extent of abnormalities seen on thin-section CT showed no significant correlation with the severity of dyspnea or the results of pulmonary funotion test. Conclusion: Poorly-defined centrilobular micronodules and branching linear structures were the thin-section CT findings most frequently seen in patients with arc-welders' pneumoconiosis. Less commonly, extensive ground-glass attenuation was also seen.

키워드

과제정보

Supported in part by a grant from Seoul National University Hospital (1996)

참고문헌

  1. Doig AT, McLaughlin AIG. X-ray appearance of the lungs of electric welders. Lancet 1936;1:771-775
  2. Attfield MD, Ross DS. Radiological abnormalities in electric-arc welders. Br J Ind Med 1978;35:117-122
  3. Lee JB, Kim KI, Chang HS et al. Radiologic findings of chest radiograph for the mass survey in shipyard welders, Pusan. J Korean Radiol Soc 1990; 26:82-90
  4. Akira M. Uncommon pneumoconiosis: CT and pathologic findings. Radiology 1995;197:403-409
  5. Austin JH, Muller NL, Friedman PJ et al. Glossary of terms for CT of the lungs: Recommendations of the Nomenclature Committee of the Fleischner Society. Radiology 1996;200:327-331
  6. Charr R. Respiratory disorders among welders. Am Rev Tuberc Pulm Dis 1955;71:877-884
  7. Man BT, Lecutier ER. Arc-welders' lung. Br Med J 1957;2:921-922
  8. Friede E, Rachow DO. Symptomatic pulmonary disease in arc welders. Ann Intern Med 1961;54:121
  9. Morgan WK. Arc-welders' lung complicated by conglomeration. Amer Rev Resp Dis 1962;85:570-575
  10. Morgan WK, Kerr HD. Pathologic and physiologic studies of welders' siderosis. Ann Int Med 1963;58:293-304
  11. Harding HE, Grout JLA, Lloyd Davies TH. The experimental production of x-ray shadows in the lungs by inhalation of industrial dusts: I. Iron oxide. Br J Ind Med 1947;4:223
  12. Kalliomaki PL, Sutinen S, Kelha V, Lakomaa E, Sortti V, Sutinen S. Amount and distribution of fume contaminants in the lungs of an arc welder post mortem. Br J Ind Med 1979;36:224-230
  13. Harding HE, McLaughlin AIG, Doig AT. Clinical, radiographic, and pathological studies of the lungs of electric-arc and oxyacetylene welders. Lancet 1958;23:394-398
  14. Remy-Jardin M, Remy J, Gosselin B, Becette V, Edme JL. Lung parenchymal changes secondary to cigarette smoking: pathologic-CT correlation. Radiology 1993;186:643-651
  15. Churg A, Wright JL. Small-airway lesions in patients exposed to nonasbestos mineral dusts. Hum Pathol 1983;14:688-693
  16. Kleinerman J, Green F, Harley RA, et al. Pathology standards for coal workers' pneumoconiosis. Arch Pathol Lab Med 1979;103:375-432