{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T01:55:08Z","timestamp":1791856508324,"version":"4.3.4"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2009,6,17]],"date-time":"2009-06-17T00:00:00Z","timestamp":1245196800000},"content-version":"vor","delay-in-days":47,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Occupational Health"],"published-print":{"date-parts":[[2009,5]]},"abstract":"<jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      <jats:bold>\n                        Reliability of the Proposed International Classification of High\u2010Resolution Computed Tomography for Occupational and Environmental Respiratory Diseases: Narufumi S\n                        <jats:sc>uganuma<\/jats:sc>\n                        ,\n                        <jats:italic>et al<\/jats:italic>\n                        . Department of Environmental Medicine, Kochi Medical School\n                      <\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>We have developed a classification of high\u2010resolution computed tomography (HRCT) images for screening, surveillance and epidemiological studies of respiratory diseases caused by occupational and environmental factors. The proposed classification consists of three parts: a guideline explaining the elements of the classification scheme, a reading sheet, and reference films to aid in assessing thin\u2010section CT films. We assessed the reliability of the proposed classification system by blinded, independent trial reading.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Seven independent radiologists and pulmonologists performed a trial reading to measure the reliability of the classification system using HRCT films from 27 pneumoconiosis patients and 7 normal controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The agreement was moderate to good for rounded opacities (weighted \u03ba=0.68 and 0.64), irregular opacities (0.59, 0.48), honeycombing (0.65, 0.47), emphysema (0.76, 0.62) and large opacities (0.48, 0.52). Ground glass opacities (0.16, 0.20) showed poor to fair agreement. Intra\u2010reader agreement of each of the seven readers was moderate to good (mean: weighted \u03ba=0.52\u20130.80) for parenchymal findings, but the agreement was relatively low (mean weighted \u03ba=0.52) for ground glass opacities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The proposed classification is able to describe early dust\u2010related fibrotic changes and provide a semi\u2010quantitative description of the HRCT features of major fibrotic changes in the parenchyma and pleura. Reliability, as measured by inter\u2010reader agreement, was satisfactory.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1539\/joh.l8030","type":"journal-article","created":{"date-parts":[[2009,6,18]],"date-time":"2009-06-18T02:04:28Z","timestamp":1245290668000},"page":"210-222","source":"Crossref","is-referenced-by-count":74,"title":["Reliability of the Proposed International Classification of High\u2010Resolution Computed Tomography for Occupational and Environmental Respiratory Diseases"],"prefix":"10.1093","volume":"51","author":[{"given":"Narufumi","family":"Suganuma","sequence":"first","affiliation":[{"name":"Department of Environmental Medicine Kochi Medical School, University of Fukui Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukinori","family":"Kusaka","sequence":"additional","affiliation":[{"name":"Division of Environmental Health, Department of International and Social Medicine School of Medicine, University of Fukui 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E.","family":"Parker","sequence":"additional","affiliation":[{"name":"West Virginia University School of Medicine USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leena","family":"Kivisaari","sequence":"additional","affiliation":[{"name":"Department of Radiology Helsinki University School of Medicine Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Letourneux","sequence":"additional","affiliation":[{"name":"Service de M\u00e9dicine du Travail et Pathologie Professionnelle France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre A.","family":"Gevenois","sequence":"additional","affiliation":[{"name":"Department of Radiology Hospital Erasme\u2010Universite Libre de Bruxelles Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siegfreud","family":"Tuengerthal","sequence":"additional","affiliation":[{"name":"The Clinic for Thoracic Diseases, Radiology and Nuclear Medicine Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael D.","family":"Crane","sequence":"additional","affiliation":[{"name":"Radiology Department Llandough Hospital UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisao","family":"Shida","sequence":"additional","affiliation":[{"name":"Rosai Hospital for Silicosis Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masanori","family":"Akira","sequence":"additional","affiliation":[{"name":"Department of Radiology, NHO\u2010Kinki Chuo Chest Medical Center Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel A.","family":"Henry","sequence":"additional","affiliation":[{"name":"Department of Radiology Medical College of Virginia Hospitals, School of Medicine, Virginia Commonwealth University USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuo","family":"Nakajima","sequence":"additional","affiliation":[{"name":"Department of 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