{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T23:41:33Z","timestamp":1790552493887,"version":"4.1.0"},"reference-count":47,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T00:00:00Z","timestamp":1716768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100021813","name":"WorkSafe Victoria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100021813","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objective<\/jats:title><jats:p>Chest x\u2010ray (CXR) remains a core component of health monitoring guidelines for workers at risk of exposure to crystalline silica. There has however been a lack of evidence regarding the sensitivity of CXR to detect silicosis in artificial stone benchtop industry workers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Paired CXR and high\u2010resolution computed tomography (HRCT) images were acquired from 110 artificial stone benchtop industry workers. Blinded to the clinical diagnosis, each CXR and HRCT was independently read by two thoracic radiologists from a panel of seven, in accordance with International Labour Office (ILO) methodology for CXR and International Classification of HRCT for Occupational and Environmental Respiratory Diseases. Accuracy of screening positive (ILO major category 1, 2 or 3) and negative (ILO major category 0) CXRs were compared with identification of radiological features of silicosis on HRCT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>CXR was positive for silicosis in 27\/110 (24.5%) workers and HRCT in 40\/110 (36.4%). Of the 83 with a negative CXR (ILO category 0), 15 (18.1%) had silicosis on HRCT. All 11 workers with ILO category 2 or 3 CXRs had silicosis on HRCT. In 99 workers ILO category 0 or 1 CXRs, the sensitivity of screening positive CXR compared to silicosis identified by HRCT was 48% (95%CI 29\u201368) and specificity 97% (90\u2013100).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Compared to HRCT, sensitivity of CXR was low but specificity was high. Reliance on CXR for health monitoring would provide false reassurance for many workers, delay management and underestimate the prevalence of silicosis in the artificial stone benchtop industry.<\/jats:p><\/jats:sec>","DOI":"10.1111\/resp.14755","type":"journal-article","created":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T01:18:53Z","timestamp":1716859133000},"page":"785-794","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Chest x\u2010ray has low sensitivity to detect silicosis in artificial stone benchtop industry workers"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9150-9440","authenticated-orcid":false,"given":"Ryan F.","family":"Hoy","sequence":"first","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, School of Public Health &amp; Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne Victoria Australia"},{"name":"Department of Respiratory Medicine Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Jones","sequence":"additional","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, School of Public Health &amp; Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne Victoria Australia"},{"name":"I\u2010MED Radiology Network  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina","family":"Newbigin","sequence":"additional","affiliation":[{"name":"I\u2010MED Radiology Network  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9954-0538","authenticated-orcid":false,"given":"Michael J.","family":"Abramson","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Alfred Hospital  Melbourne Victoria Australia"},{"name":"School of Public Health &amp; Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7615-4191","authenticated-orcid":false,"given":"Hayley","family":"Barnes","sequence":"additional","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, School of Public Health &amp; Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne Victoria Australia"},{"name":"Department of Respiratory Medicine Alfred Hospital  Melbourne Victoria Australia"},{"name":"School of Translational Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Dimitriadis","sequence":"additional","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, School of Public Health &amp; Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Ellis","sequence":"additional","affiliation":[{"name":"Department of Radiology Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7559-008X","authenticated-orcid":false,"given":"Deborah C.","family":"Glass","sequence":"additional","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, School of Public Health &amp; Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0295-4575","authenticated-orcid":false,"given":"Stella M.","family":"Gwini","sequence":"additional","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, School of Public Health &amp; Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0744-2170","authenticated-orcid":false,"given":"Fiona","family":"Hore\u2010Lacy","sequence":"additional","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, School of Public Health &amp; Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Jimenez\u2010Martin","sequence":"additional","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, School of Public Health &amp; 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