International Labour Office - Geneva

Teaching File:
Fecit:
Kurt G. Hering M.D., Knappschaftskrankenhaus
Dortmund, Germany
06/2003
International Labour Office Geneva: for teaching purposes only

KGH/DO
2003

ILO-Classification 2000
KGH

ILO
International
Labour Organization
ILO - Classification
2000
1919 Film
Foundation
Quality (Vlkerbund)
Technique
1946 Small
Reorganisation
UNO
Opacities with
(Shape
and Size):
Institutions:
Technique
- rounded
High kV - linear/irregular
International
Conference
Grid
International
Board exact
Central
Beam
- mixed
Exposure
timeOffice
short
Intern.
Labour.
- ILO exact
Opacities
Positioning
of
Patient
Large

Distance
180
cm

Focus-Film-Distance
constant
Pleural Abnormalities
Film-Screen-Combination
Exposure High kV
- Plaques
Dosis in Film-Plain
< 5 Gy
- costophrenic
angle
Exposure-time
- p.a. < 20 msec
- diffuse
pleural thickening
- lat. < 40 msec
- calcification
Symbols

KGH/DO
2003

KGH/DO
2003

KGH/DO
2003

ILOILO-Classification of Pneumoconioses
Technical Quality
Equipment and
Technique:
Physicians and
Radiographers should
take cognizance
of national and local
regulations

The standard radiographs are not to be considered in determining technical quality

of the subject radiographs. The standard radiographs were chosen to demonstrate
features of the pneumoconioses, rather than to demonstrate technical quality. KGH/DO
2003

ILOILO-Classification of Pneumoconioses
Technical Quality

The standard radiographs are not to be considered in determining technical quality

of the subject radiographs. The standard radiographs were chosen to demonstrate
features of the pneumoconioses, rather than to demonstrate technical quality. KGH/DO
2003

ILOILO-Classification of Pneumoconioses:
Pneumoconioses: Profusion

2/2

0/0

3/3

1/1

Increasing profusion of small opacities

Categories
0
1
2
3
Sub-categories 0/- 0/0 0/1 1/0 1/1 1/2 2/1 2/2 2/3 3/2 3/3 3/+KGH/DO
2003

ILOILO-Classification of Pneumoconioses
Small
Opacities

Affected Zones

KGH/DO
2003

ILOILO-Classification of Pneumoconioses

KGH/DO
2003

International Labour Office - Geneva

ILO-Classification: Standard Radiographs

Profusion
3/+
3/3
3/2
2/3
2/2
2/1
1/2
1/1
1/0
0/1
0/0
0/0

3
Standard Radiograph
KGH/DO
2003

Classification with Standard Radiographs

Schau=
kasten

ILO-Standard
Pneumoconiosis with
rounded and/or
irregular Opacities

Chest-X-Ray:
Patient to classify
Pneumoconiosis ?
Profusion ?

ILO-Standard
Pneumoconiosis with
rounded and/or
irregular Opacities

Lower Sub-category

Main Category

Higher Sub-category

2/1 Patients with Standards

2/2
Compare
Radiograph:

Viewing
Box

2/3

1. Patients Film identical with Standardfilm = Main Category

2. Patients Film similar to the Standardfilm,
but lower category seriously considered:
= primo loco-main category; secundo loco-lower sub-category
3. Patients Film similar to the Standardfilm,
but higher category seriously considered:
= primo loco-main category; secundo loco-higher sub-category

KGH/DO
2003

ILOILO-Classification of Pneumoconioses:
Pneumoconioses: mixed shape,
shape, size and
profusion

Overall profusion of all small opacities of all affected zones is determined!

Attention! --marked (three subcategories ore more) difference between
the zone of lowest and zone of highest profusion
Example 1:
1/1

1/2

One intervening sub-category (2/1),

use all three to determine overall profusion
2/1

2/2
Two intervening sub-categories (1/2 and 2/1),
ignore 1/1 to determine overall profusion
One intervening sub-category (2/2),
use all three to determine overall profusion

Example 2:
1/1

1/2

2/1

2/2

2/3

Three intervening sub-categories (1/2, 2/1 and KGH/DO

2/2),
ignore 1/1 and 1/2 to determine overall profusion
2003

International Labour Office Geneva: for teaching purposes only

KGH/DO
2003

3 different views of the same candidate, classified as q/q 1/1

ILO q/q 1/1

International Labour Office Geneva: for teaching purposes only

KGH/DO
2003

ILO q/q 2/2, different enlargements

International Labour Office Geneva: for teaching purposes only

KGH/DO
2003

ILO q/q 3/3; different window settings

International Labour Office Geneva: for teaching purposes only

KGH/DO
2003

International Labour Office Geneva: for teaching purposes only

KGH/DO
2003

ILOILO-Classification of Pneumoconioses

Large Opacities:
A = longest dimension of one > 1cm or several with sum < 5 cm
B = longest dimension of one > 5 cm, one or sum < right upper zone (RUZ)
C = one or several exceeding equivalent area of RUZ (Right Upper Zone)
KGH/DO
2003

ILOILO-Classification
of Pneumoconioses:
Pneumoconioses: ILO 80 A

International Labour Office Geneva: for teaching purposes only

KGH/DO
2003

Large Opacities: B

International Labour Office Geneva: for teaching purposes only

KGH/DO
2003

Large Opacities: C
Symbol: es =eggshell

International Labour Office Geneva: for teaching purposes only

KGH/DO
2003