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Müller-Lisse, Ullrich G.; Nowak, Dennis ORCID logoORCID: https://orcid.org/0000-0001-7871-8686 and Ochmann, Uta ORCID logoORCID: https://orcid.org/0009-0003-3454-9691 (2021): Radiologie berufsbedingter Lungenerkrankungen durch Stäube, Rauche oder Dämpfe. In: Pneumologe, Vol. 18, No. 5: pp. 297-306

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Background Since the work-environment contributes causally to about 10-30 % of pulmonary diseases, early recognition and diagnosis are crucial for prevention and workers' compensation. Objective This main topic article explains radiological examinations and findings in association with the recognition and assessment of presumed or confirmed occupation-related pulmonary diseases due to dust, smoke or fumes (dust pneumonia, pneumoconiosis). Material and methods The narrative review outlines measures in occupational medicine, methods of radiological examination and reporting, and typical findings associated with pneumoconiosis due to dust exposures particularly important and officially recognized as occupational diseases in Germany. Results The occupational history, determination of exposure and respiratory function tests lead to assumptions of cause-effect relationships. Conventional chest radiography (CR per ILO classification) and qualified low-dose volume high-resolution computed tomography of the chest (HRCT per ICOERD classification) are carried out and reported as per internationally standardized and epidemiologically usable methods. Radiological findings contribute to establishing the link between occupational exposure and impaired lung function and follow-up on lung disease, particularly in inorganic and organic pneumoconiosis and potentially related lung cancer or pleural mesothelioma. Conclusion Conventional chest radiography and HRCT of the chest carried out and reported per international standards for occupational medicine support the recognition of causal relationships between exposure in the work environment and lung diseases due to inorganic and organic dust, smoke and fumes.

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