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Tuberculosis: When Not to Order Roentgenograms
George M. Lordi, MD;
Lee B. Reichman, MD, MPH
JAMA. 1985;253(12):1780-1781.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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IN 1979, the National Center for Devices and Radiological Health of the Food and Drug Administration sponsored the formation of a Chest X-ray Panel to review the selection of patients for chest x-ray screening examinations. The panel's recommendations have recently been published.1 The panel's statements regarding pulmonary tuberculosis are of particular interest and should be emphasized.
Essentially, the panel concluded that (1) the yield of tuberculosis cases found by screening or repeated chest x-ray examinations was not sufficient to justify the monetary cost or added radiation exposure, (2) mandated chest x-ray examinations as a condition of initial or continued employment were not productive for tuberculosis detection, (3) repeated chest x-ray examinations of persons with significant tuberculin reactions (without current disease), including those not treated with isoniazid, were not of value, (4) repeated chest x-ray examinations of asymptomatic patients with tuberculosis who had completed treatment were of insufficient clinical value,
. . . [Full Text PDF of this Article]
Author Affiliations
From the University Hospital, Department of Medicine, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark.
Footnotes
Reprint requests to University Hospital, Department of Medicine, 100 Bergen St, Newark, NJ 07103 (Dr Lordi).
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