The Clinical Value about Pulmonary Tuberculosis of Indirect Chest Radiography in Physical Examination for Conscription.

Park, Sung Bin; Choi, Byeong Kyoo; Ha, Keun Woo; Seo, Joon Beom

doi:2005.59.4.356

Tuberc Respir Dis > Volume 59(4); 2005 > Article

Original Article

Tuberculosis and Respiratory Diseases 2005;59(4):356-360.
DOI: https://doi.org/10.4046/trd.2005.59.4.356 Published online October 1, 2005.

The Clinical Value about Pulmonary Tuberculosis of Indirect Chest Radiography in Physical Examination for Conscription.

Sung Bin Park, Byeong Kyoo Choi, Keun Woo Ha, Joon Beom Seo

¹Department of Radiology, Asan Medical Center, University of Ulsan, College of Medicine, Korea. seojb@amc.seoul.kr
²Department of physical Examination for Conscription, Seoul Regional Military Manpower Office, Korea.

Abstract

BACKGROUND
This study examined the clinical utility of using indirect chest radiography during a physical examination of new conscripts for determine the presence of pulmonary tuberculosis. METHOD: Over an eight-month period, this study examined 25386 people who underwent a physical examination after conscription. The abnormal findings on mass miniature radiography were followed-up using direct chest radiography. The positive predictive value of mass miniature radiography and direct chest radiography was compared. The incidence, degree of infiltration and clinical outcome of active pulmonary tuberculosis were also evaluated during a follow-up examination. RESULTS: The positive rate of mass miniature radiography was 1.19% (n=302). Various lesions were identified: Parenchymal lesions (n=109), mediastinal lesions (n=6), cardiovascular lesions (n=45), pleural lesions (n=49), bony lesions (n=90) and miscellaneous lesions (n=7). The incidence of active pulmonary tuberculosis by mass miniature radiography was 0.26% (n=67). The first diagnosis was made in 50 people; active pulmonary tuberculosis (n=42), pneumonia (n=1), a mediastinal mass (n=1), a rib fracture (n=2) and a pneumothorax (n=4). Most cases of active pulmonary tuberculosis were mildly infiltrated and either improved or were cured by the follow-up examination. CONCLUSION: Although mass miniature radiography in a physical examination after conscription has limitations, but it is a useful means for detecting the presence of early disease, particularly in active pulmonary tuberculosis.

Key Words: Mass screening, Indirect radiography/ direct radiography, Pulmonary tuberculosis

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