title: [Findings of periodic thoracic X-ray screening of Israel Defense Forces career personnel].
abstract: Findings of routine, periodic, medical examinations of approximately 5000 Israel Defense Forces (IDF) career personnel, included a screening postero-anterior chest radiograph were reviewed. Previous studies have indicated low efficacy of routine chest X-rays in various populations. We evaluated this screening test among 4593 career military personnel. Their chest X-rays were reviewed retrospectively and in 186 (4%) there were abnormal findings. The rate of pathological findings was positively correlated with age. Additional information was found in the X-rays of 25 subjects (0.54%), but the original interpretations of 51 (1.1%) were found to be false-positive. In view of the very low yield of findings in routine chest X-rays of IDF career military personnel, we recommend X-ray screening only in high-risk populations and subjects over the age of 50.
authors.affiliation: Medical Corps, Israel Defense Forces, Tel Aviv.
authors.forename: I
authors.initials: I
authors.lastname: Yeshurun
authors.forename: S
authors.initials: S
authors.lastname: Brill
authors.forename: I
authors.initials: I
authors.lastname: Katz
authors.forename: Y
authors.initials: Y
authors.lastname: Itzhak
authors.forename: J
authors.initials: J
authors.lastname: Shemer
mesh_terms: D000328:Adult; D000367:Age Factors; D005189:False Positive Reactions; D005260:Female; D006801:Humans; D007557:Israel; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000517:prevention & control; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000517:prevention & control; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D008889:Military Personnel; D013902:Radiography, Thoracic; D012016:Reference Values; D012189:Retrospective Studies