Pleural Plaques Ct, Figure 3 From Ct Characteristics Of Pleural Plaques Related To Occupational Or Environmental Asbestos Exposure From South Korean Asbestos Mines Semantic Scholar
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Pleural plaques pps may be a risk factor for mortality from lung cancer in asbestos exposed workers and are considered to be a marker of exposure.
Does chemo fix mesothelioma. A ct scan will be able to create a clearer image of the pleural plaques and their extent on the lung. Selected images from a ct of the chest confirm the presence of numerous heavily calcified pleural plaques particularly over the anterolateral aspects of the parietal pleura. With coronal and sagittal reconstructions the diaphragmatic domes and apices are also well imaged.
In contrast a 2018 japanese study of 2132 asbestos exposed workers found pleural plaques on ct scans of 894 of the group. Sensitivity and specificity are both very high 95 100 1. On the other hand pps are useful for compensation purposes.
These findings suggest pleural plaques are not common in the general public. Furthermore the ct findings were compared between the occupational and environmental exposure groups. The ct scans were analyzed for morphological characteristics the number and distribution of pleural plaques and combined pulmonary fibrosis.
On ct a pleural plaque is defined as a discontinuous soft tissue focal thickening of the pleural surface with or without foci of calcification. Plaques typically have edges that are thicker than the central portion fig. 599 131 years.
In general doctors tend to prefer this type of imaging test as it is much more sensitive and specific than a chest x ray meaning it can detect these asbestos lung diseases even in their early stages. On the images provided the costophrenic angles appear spared as does the mediastinal pleura. Ct is the modality of choice for assessment of pleural plaques able to identify plaques anywhere in the chest whether calcified or not.
738 and can progress in size extent and calcification with time. Diagnosing pps is also important because asbestos exposed patients should be offered a health surveillance that is mandatory in many countries. Seventy one patients were included in the study 27f 44m.
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