During the past two decades, growing evidence has been reported on the
role of respirable inorganic dust in the development of airflow obstr
uction, impaired diffusion capacity, chronic bronchitis, and emphysema
, irrespective of the extent of possible pneumoconiotic abnormalities.
These nonpneumoconiotic effects associated with dust exposure in mine
rs and the relationship between dust exposure and mortality are review
ed. When pneumoconiotic changes can be visualized by different radiolo
gic techniques, including computed tomography (CT) and high-resolution
CT, assessment of the respiratory impairment in coal workers at prese
nt requires evaluation of the ventilatory and gas exchange capacity.