Learning objectives
- To make known the Lung Cancer Screening Programme available within the I- ELCAP study by our Hospital.
- To review the Lu-RADS classification as a tool for standardizing the lung cancer screening CT reports.
- To illustrate the radiological features of the nodes included for each category.
- To highlight the benefits of standardized reports and their application in daily practice.
Background
The Lung Cancer Screening Programme was design to achieve early lung cancer detection and treatment at a surgically removable stage.
At present,
after the positive outcome of the Lung Cancer Screening Trials by low- dose multidetector computed tomography (CT) demonstrating decrease in 10-year lung cancer compared with a control group without screening,
many scientific societies have determined that the evidence is sufficient to add a lung cancer screening counseling and annual screening for lung cancer with low dose computed tomography (LDCT) as an additional preventive...
Findings and procedure details
LUNG CANCER SCREENING PROGRAMME
Elegibility criteria(Fig2):
The eligibility criteria for screening for lung cancer with low dose computed tomography (LDCT) are as follows:
- Asymptomatic (no signs or symptoms of lung cancer)
- 55-75 years.
- Tobacco smoking history of at least 30 pack-years (one pack-year = smoking one pack per day for one year; 1 pack = 20 cigarettes).
- Current smoker or one who has quit smoking within the last 15 years.
CT scan protocol (Fig3):
For a LDCT chest scan an average...
Conclusion
At present the LU-RADS system is not used in daily practice and further evaluation of its effectiveness is being assessed but radiology leaders predictLuRADS willenter standard use among radiologists.There are multiple advantages of a standardized report:
Improved communication between radiologist and clinician.
Reduced loss of relevant information and misunderstandings in CT reports.
They facilitate a common management of the lesions.
They may represent a useful tool for future research data collection.
A complete lexicon and atlas will be developed soon.
The atlas will include a...
References
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The Lung Reporting and Data System (LU-RADS): A Proposal for Computed Tomography Screening.
Canadian Association of Radiologists Journal 2014; 651:21-134
Zhao R.
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Nelson lung cancer screening study.
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ACR.
Lung‐RADS™ Version 1.0 Assessment Categories Release date: April 28,
2014