Valor de la tomografía computarizada en el diagnóstico de neumoconiosis complicada de mineros del carbón
Value of computed tomography for the diagnosis of complicated pneumoconiosis in coal miners
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Evolución tras tratamiento con corticoides<a class="elsevierStyleCrossRef" href="#fn0005"><span class="elsevierStyleSup">*</span></a>" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "6" "paginaFinal" => "11" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Eosinophilic cationic protein serum levels in patients with allergic rhinitis. Evolution after treatment of corticoids" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F.J. Álvarez Gutiérrez, F. Valenzuela Mateos, J.A. Rodríguez Portal, R. Sánchez Gil, E. Tabernero Huguet, J. Castillo Gómez" "autores" => array:6 [ 0 => array:2 [ "nombre" => "F.J." "apellidos" => "Álvarez Gutiérrez" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Valenzuela Mateos" ] 2 => array:2 [ "nombre" => "J.A." "apellidos" => "Rodríguez Portal" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Sánchez Gil" ] 4 => array:2 [ "nombre" => "E." "apellidos" => "Tabernero Huguet" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Castillo Gómez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615306700?idApp=UINPBA00003Z" "url" => "/03002896/0000003300000001/v1_201506200422/S0300289615306700/v1_201506200422/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Valor de la tomografía computarizada en el diagnóstico de neumoconiosis complicada de mineros del carbón" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "12" "paginaFinal" => "15" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "C. Martínez González, G. Fernández Rego" "autores" => array:2 [ 0 => array:3 [ "nombre" => "C." "apellidos" => "Martínez González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Fernández Rego" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Preventiva, Diagnóstico y Valoración. Hospital General de Asturias" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Instituto Nacional de Silicosis. Hospital General de Asturias. Dr. Bellmunt, s/n. 33008 Oviedo." ] ] ] 1 => array:3 [ "autoresLista" => "J.R. Jiménez Fernández-Blanco" "autores" => array:1 [ 0 => array:3 [ "nombre" => "J.R." "apellidos" => "Jiménez Fernández-Blanco" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Radiología. Instituto Nacional de Silicosis. Hospital General de Asturias" "etiqueta" => "*" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Value of computed tomography for the diagnosis of complicated pneumoconiosis in coal miners" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1996-02-06" "fechaAceptado" => "1996-05-14" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec545585" "palabras" => array:3 [ 0 => "Neumoconiosis de los mineros del carbón" 1 => "Fibrosis masiva progresiva" 2 => "Tomografía computarizada" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec545584" "palabras" => array:3 [ 0 => "Coal miners’ pneumoconiosis" 1 => "Progressive massive fibrosis" 2 => "Computed tomography" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Con el fin de precisar el valor de la tomografía computarizada (TC) en el diagnóstico de neumoconiosis complicada o fibrosis masiva progresiva (FMP), se estudiaron de manera prospectiva 127 sujetos que habían trabajado en el interior de minas de carbón durante un período de tiempo superior a 15 años. Tenían neumoconiosis simple (NS) 62 sujetos (profusión nodular ≥ 1/1 según la clasificación internacional ILO-80) en la radiografía simple de tórax y ninguno FMP.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La TC permitió diagnosticar FMP en 8 casos (6,3%; IC 95%: 2,68-11,82). En estos casos la FMP era de categoría A y todos tenían neumoconiosis simple en la radiografía de tórax. De éstos, seis (75%) tenían nodulación q y/o r y cinco (62,5%) tendencia confluente. Estas cifras son significativamente más altas (p < 0,05; test de Fisher) que en el grupo sin FMP, en el que 54 (45,3%) tenían neumoconiosis simple, dos (1,68%) nodulación q y/o r y tres (2,52%) tendencia confluente.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">No hemos encontrado diferencias en los valores CVF, VEMS, relación VEMS/CVF y DLCO entre los grupos con y sin FMP.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Estos resultados sugieren que la TC puede ser útil en el diagnóstico de FMP en algunos casos en que ésta se sospeche por hallazgos en la radiografía de tórax (neumoconiosis simple, nodulación q y/o r, tendencia conglomerante).</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To assess the valué of computed tomography (CT) scanning for the diagnosis of complicated pneumoconiosis, or Progressive massive fibrosis (PMF), we conducted a prospective study of 127 subjects who had worked in coal mines for at least 15 years. Sixty-two suffered simple pneumoconiosis (nodular profusión ≥ 1/1 under the ILO-80 international classification System) visible on simple chest films. None were diagnosed of PMF on the basis of <span class="elsevierStyleSmallCaps">x</span>-ray evidence.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">CT led to a diagnosis of PMF in 8 cases (6.3%; CI 95%, 2.68-11.82). PMF was category A in all 8; all of them had had chest film evidence of simple pneumoconiosis. Six (75% of these patients had q and/or r nodulation; in 5 (62.5%) the nodules tended to confluence. These figures were significantly higher (p < 0.05, Fisher's test) than in the group of patients with no PMF, among whom 54 (45.3%) had SP, 2 (1.68%) had q and or r nodulation and 3 (2.52%) tended to confluence. We observed no differences in FVC, FEV<span class="elsevierStyleInf">1</span>, the FEV<span class="elsevierStyleInf">1</span>/FVC ratio or DLCO between the PMF and non PMF groups.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Our results suggest that CT scans can be useful for diag- nosing PMF in some cases in which it is suspected bases on chest <span class="elsevierStyleSmallCaps">X</span>-ray findings (simple pneumoconiosis, q and/or r nodulation, tendency to confluence).</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Occupational Medicine" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.R. Gullen" 1 => "M.G. Cherniack" 2 => "L. 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Müller" 2 => "S. Vedal" 3 => "C. Staples" 4 => "R.T. Abboud" 5 => "M. Chang-Yeung" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm/141.6.1569" "Revista" => array:6 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1990" "volumen" => "141" "paginaInicial" => "1.497" "paginaFinal" => "1.500" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2350100" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Emphysema and dust exposure in a group of coal workers" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "V.A. Ruckley" 1 => "S.J. Gauld" 2 => "J.S. Chapman" 3 => "J.M. Davis" 4 => "A.N. Douglas" 5 => "J.M. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 1 | 6 | 7 |
| 2024 October | 55 | 22 | 77 |
| 2024 September | 72 | 30 | 102 |
| 2024 August | 84 | 49 | 133 |
| 2024 July | 52 | 42 | 94 |
| 2024 June | 80 | 41 | 121 |
| 2024 May | 45 | 34 | 79 |
| 2024 April | 46 | 32 | 78 |
| 2024 March | 46 | 30 | 76 |
| 2024 February | 33 | 41 | 74 |
| 2024 January | 0 | 10 | 10 |
| 2023 December | 0 | 6 | 6 |
| 2023 November | 0 | 3 | 3 |
| 2023 October | 0 | 7 | 7 |
| 2023 September | 0 | 5 | 5 |
| 2023 August | 0 | 4 | 4 |
| 2023 July | 0 | 3 | 3 |
| 2023 June | 0 | 4 | 4 |
| 2023 May | 0 | 2 | 2 |
| 2023 April | 0 | 1 | 1 |
| 2023 March | 15 | 3 | 18 |
| 2023 February | 96 | 17 | 113 |
| 2023 January | 86 | 44 | 130 |
| 2022 December | 69 | 30 | 99 |
| 2022 November | 137 | 30 | 167 |
| 2022 October | 167 | 49 | 216 |
| 2022 September | 132 | 81 | 213 |
| 2022 August | 151 | 46 | 197 |
| 2022 July | 83 | 42 | 125 |
| 2022 June | 91 | 32 | 123 |
| 2022 May | 107 | 35 | 142 |
| 2022 April | 80 | 42 | 122 |
| 2022 March | 96 | 40 | 136 |
| 2022 February | 58 | 29 | 87 |
| 2022 January | 85 | 29 | 114 |
| 2021 December | 66 | 41 | 107 |
| 2021 November | 55 | 47 | 102 |
| 2021 October | 75 | 35 | 110 |
| 2021 September | 75 | 65 | 140 |
| 2021 August | 89 | 49 | 138 |
| 2021 July | 134 | 32 | 166 |
| 2021 June | 104 | 40 | 144 |
| 2021 May | 127 | 43 | 170 |
| 2021 April | 262 | 90 | 352 |
| 2021 March | 141 | 34 | 175 |
| 2021 February | 104 | 25 | 129 |
| 2021 January | 92 | 30 | 122 |
| 2020 December | 81 | 22 | 103 |
| 2020 November | 72 | 22 | 94 |
| 2020 October | 80 | 17 | 97 |
| 2020 September | 104 | 9 | 113 |
| 2020 August | 105 | 20 | 125 |
| 2020 July | 98 | 15 | 113 |
| 2020 June | 94 | 13 | 107 |
| 2020 May | 80 | 21 | 101 |
| 2020 April | 115 | 12 | 127 |
| 2020 March | 114 | 38 | 152 |
| 2020 February | 113 | 29 | 142 |
| 2020 January | 170 | 34 | 204 |
| 2019 December | 142 | 53 | 195 |
| 2019 November | 114 | 53 | 167 |
| 2019 October | 803 | 30 | 833 |
| 2019 September | 122 | 45 | 167 |
| 2019 August | 104 | 27 | 131 |
| 2019 July | 125 | 32 | 157 |
| 2019 June | 98 | 23 | 121 |
| 2019 May | 121 | 40 | 161 |
| 2019 April | 123 | 49 | 172 |
| 2019 March | 56 | 27 | 83 |
| 2019 February | 67 | 19 | 86 |
| 2019 January | 45 | 22 | 67 |
| 2018 December | 37 | 26 | 63 |
| 2018 November | 25 | 26 | 51 |
| 2018 October | 46 | 24 | 70 |
| 2018 September | 21 | 18 | 39 |
| 2018 May | 6 | 1 | 7 |
| 2018 April | 6 | 8 | 14 |
| 2018 March | 12 | 8 | 20 |
| 2018 February | 11 | 16 | 27 |
| 2018 January | 9 | 6 | 15 |
| 2017 December | 10 | 16 | 26 |
| 2017 November | 13 | 17 | 30 |
| 2017 October | 12 | 18 | 30 |
| 2017 September | 19 | 19 | 38 |
| 2017 August | 14 | 18 | 32 |
| 2017 July | 9 | 34 | 43 |
| 2017 June | 32 | 46 | 78 |
| 2017 May | 20 | 32 | 52 |
| 2017 April | 12 | 35 | 47 |
| 2017 March | 19 | 25 | 44 |
| 2017 February | 10 | 15 | 25 |
| 2017 January | 17 | 17 | 34 |
| 2016 December | 24 | 14 | 38 |
| 2016 November | 32 | 20 | 52 |
| 2016 October | 47 | 39 | 86 |
| 2016 September | 36 | 33 | 69 |
| 2016 August | 29 | 20 | 49 |
| 2016 July | 47 | 19 | 66 |
| 2016 June | 36 | 13 | 49 |
| 2016 May | 30 | 10 | 40 |
| 2016 April | 28 | 0 | 28 |
| 2016 March | 18 | 2 | 20 |
| 2016 February | 22 | 2 | 24 |
| 2016 January | 23 | 7 | 30 |
| 2015 December | 25 | 18 | 43 |
| 2015 November | 32 | 9 | 41 |
| 2015 October | 4 | 1 | 5 |
| 2015 September | 2 | 0 | 2 |
| 2015 August | 1 | 0 | 1 |
| 2015 June | 1 | 0 | 1 |
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