Reliability and validity of soft copy images based on flat-panel detector in pneumoconiosis classification: comparison with the analog radiographs

Early Detection Methods for Silicosis in Australia and Internationally: A Review of the Literature

Pneumoconiosis, or occupational lung disease, is one of the world’s most prevalent work-related diseases. Silicosis, a type of pneumoconiosis, is caused by inhaling respirable crystalline silica (RCS) dust. Although silicosis can be fatal, it is completely preventable. Hundreds of thousands of workers globally are at risk of being exposed to RCS at the workplace from various activities in many industries. Currently, in Australia and internationally, there are a range of methods used for the respiratory surveillance of workers exposed to RCS. These methods include health and exposure questionnaires, spirometry, chest X-rays, and HRCT. However, these methods predominantly do not detect the disease until it has significantly progressed. For this reason, there is a growing body of research investigating early detection methods for silicosis, particularly biomarkers. This literature review summarises the research to date on early detection methods for silicosis and makes recommendations for future work in this area. Findings from this review conclude that there is a critical need for an early detection method for silicosis, however, further laboratory- and field-based research is required.

International Classification of the Pneumoconiosis Radiograph Reader Training in Turkey

OBJECTIVES

We aimed to determine the characteristics of physicians who had attended the Readers Training of the International Labour Organization International Classification of Radiographs of Pneumoconioses (ILO ICRP) in Turkey.

MATERIALS AND METHODS

This study included 601 physicians attending the Reader Training of the ILO ICRP. Data were collected using an electronic questionnaire, and the inclusiveness of the study was 29.8% (n=179).

RESULTS

In this study, 70.6% of the physicians were men, and the mean age was 48.6±9.6 years; 46.6% of the participants had at least one medical specialty or side branch specialty, and 51.8% were pulmonologists. Furthermore, 52.6% of the physicians worked in the private sector, and 86.6% had an occupational physician certificate. Moreover, 55.3% of the participants evaluated the radiographs using the authority gained by the certification, and 68.3% of those who did not evaluate the films stated that the reason for not evaluating the films was a lack of demand. Participants who evaluated radiographs had received a demand for films most frequently from 1 to 2 different jobs (33.4%) and from 1 to 3 different workplaces (30.1%). Most films came from the mining (47.5%) and quarrying (50.5%) sectors. Some participants (64.3%) stated that the quality of the radiographs was insufficient, 59.2% experienced difficulties because the radiographs were not obtained using proper techniques, 23.4% stated that the fees per film evaluated were low, and 81.5% believed that update training is necessary.

CONCLUSION

The demand for these services will increase in line with the training and surveillance as stipulated by the legislation.

ACR Appropriateness Criteria® Occupational Lung Diseases

Ordering the appropriate diagnostic imaging for occupational lung disease requires a firm understanding of the relationship between occupational exposure and expected lower respiratory track manifestation. Where particular inorganic dust exposures typically lead to nodular and interstitial lung disease, other occupational exposures may lead to isolated small airway obstruction. Certain workplace exposures, like asbestos, increase the risk of malignancy, but also produce pulmonary findings that mimic malignancy. This publication aims to delineate the common and special considerations associated with occupational lung disease to assist the ordering physician in selecting the most appropriate imaging study, while still stressing the importance of a multidisciplinary approach. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

Medical imaging in occupational and environmental lung disease

PURPOSE OF REVIEW

The purpose of this review is to provide an up-to-date summary of developments in medical imaging in the diagnosis, surveillance, treatment, and screening of occupational and environmental lung diseases, focusing on articles published within the past 2 years.

RECENT FINDINGS

Many new exposures resulting in lung disease have been described worldwide; medical imaging, particularly computed tomography (CT), is often pivotal in recognition and characterization of these new patterns of lung injury. Chest radiography remains important to surveillance studies tracking the long-term evolution of disease and effectiveness of air quality regulation. Finally, studies are proving the utility of screening with low-dose CT, and technical advances offer the prospect of further CT dose reduction with ultra-low-dose CT.

SUMMARY

In understanding the best practices and new developments in medical imaging, the occupational and environmental medicine clinician can optimize diagnosis and management of related lung diseases.

Silencing the glycerol-3-phosphate dehydrogenase gene in Saccharomyces cerevisiae results in more ethanol being produced and less glycerol

Transcription of the gene coding for glycerol-3-phosphate dehydrogenase (GPD1) was repressed in an industrial strain of Saccharomyces cerevisiae using a silencing vector. A fusion fragment containing GPD1 and Kan MX genes was generated by overlap extension PCR, then, the vector, pYES2.0 GPD1/Kan MX, was constructed by inserting the fusion fragment into the S. cerevisiae plasmid, pYES2.0. pYES2.0 GPD1/Kan MX, was linearized by KpnI, transformed into S. cerevisiae using the PEG/LiAc/ssDNA method, and integrated into the S. cerevisiae chromosome. GPD1 silencing gave 20 % less glycerol-3-phosphate dehydrogenase activity, 19 % lower glycerol production, and 9.7 % higher ethanol production compared with the original strain. These findings further the development of industrial S. cerevisiae strains with improved ethanol production and reduced glycerol content for the efficient production of bio-ethanol.