title: The utility of screening chest radiographs for flight physicals.
abstract: Previous studies have shown low efficacy of screening chest radiographs in various populations. Findings of approximately 3,500 screening chest radiographs performed for flight duty were reviewed to determine the rate of detection of significant abnormalities. There were abnormal findings in 107 chest radiographs (3%). Fifty-five of these (1.6% of total), after additional evaluation, were found to be false positive. Only two medically significant conditions were found in the screening population. Based on our data, routine screening of flight duty applicants does not appear to be justified.
authors.affiliation: Wilford Hall Medical Center, Lackland Air Force Base, TX 78236-5300, USA.
authors.forename: J E
authors.initials: JE
authors.lastname: Cox
authors.forename: C A
authors.initials: CA
authors.lastname: Keesling
authors.forename: C E
authors.initials: CE
authors.lastname: Johnson
authors.forename: D E
authors.initials: DE
authors.lastname: Grayson
authors.forename: W B
authors.initials: WB
authors.lastname: Morrison
mesh_terms: D000293:Adolescent; D000328:Adult; D000337:Aerospace Medicine / Q000379:methods*; D001847:Bone Diseases / Q000000981:diagnostic imaging* / Q000453:epidemiology; D003362:Cost-Benefit Analysis; D006331:Heart Diseases / Q000000981:diagnostic imaging* / Q000453:epidemiology; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging* / Q000453:epidemiology; D008400:Mass Chest X-Ray / Q000191:economics / Q000592:standards*; D008875:Middle Aged; D008889:Military Personnel / Q000706:statistics & numerical data*; D010809:Physical Fitness; D015203:Reproducibility of Results; D014481:United States / Q000453:epidemiology