[Is there criteria to allow the selection of patients exposed to asbestos which is relevant to thoracic computed tomography screening?].
OBJECTIVE
This study was undertaken to determine whether certain criteria could be used to select among asbestos-exposed subjects those who could benefit from computed tomography screening.


METHODS
Search for criteria enabling the selection of patients who should undergo a CT screening exam after occupational exposure to asbestos was conducted in 150 subjects. All subjects were explored with selected high-resolution CT scans. Studied parameters were age, exposure data, pulmonary function test results.


RESULTS
None of the exposure data or pulmonary function test results suggested with certainty the presence or absence of asbestos-related pleural and parenchymal lung disease. The studied parameters could not be used to select patients who could benefit from CT screening.


CONCLUSIONS
None of the studied parameters enabled a selection of asbestos-exposed subjects who should undergo chest CT screening.
Michel
J L
JL
Service de Radiologie et Imagerie Médicale, Hôpital Gabriel Montpied, Clermont-Ferrand.
Catilina
P
P
Laubignat
J F
JF
Gabrillargues
D
D
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001194:Asbestos / Q000009:adverse effects*; D017638:Asbestos, Crocidolite / Q000009:adverse effects; D017632:Asbestos, Serpentine / Q000009:adverse effects; D001195:Asbestosis / Q000175:diagnosis / Q000000981:diagnostic imaging*; D002273:Carcinogens / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening; D008449:Maximal Expiratory Flow-Volume Curves; D008875:Middle Aged; D016273:Occupational Exposure; D018579:Patient Selection; D010995:Pleural Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging; D011653:Pulmonary Diffusing Capacity; D012115:Residual Volume / Q000502:physiology; D013147:Spirometry; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014797:Vital Capacity
D017632:Asbestos, Serpentine; D002273:Carcinogens; D017638:Asbestos, Crocidolite; D001194:Asbestos