Lung Сancer Screening with Low-Dose Computed Tomography: Management and Efficiency
Abstract
With the support of the Moscow Healthcare Department the pilot project «Low-dose computed tomography as a method of lung cancer screening» was launched in 10 Moscow outpatient clinics. Special protocols, risk group criteria, questionnaires, analysis algorithms, research description templates, tactics for conducting foci in the lungs according to LungRADS, collection of scan results, routing and organizational processes had been developed. During first 7 months of the pilot project 2846 LDCT were performed. There are 357 (12 %) patients with significant foci in the lungs, among them 3,1 % (90) were referred to an oncologist for a decision about PET-CT scan needs.
About the Authors
V. A. Gombolevsky
Research and Practical Center of Medical Radiology, Moscow Healthcare Department
Russian Federation
Russian Federation
A. A. Barchuk
N.N. Petrov National Medical Research Oncology Center
Russian Federation
Russian Federation
A. Sh. Laipan
Research and Practical Center of Medical Radiology, Moscow Healthcare Department
Russian Federation
Russian Federation
N. N. Vetsheva
Research and Practical Center of Medical Radiology, Moscow Healthcare Department
Russian Federation
Russian Federation
A. V. Vladzymyrskyy
Research and Practical Center of Medical Radiology, Moscow Healthcare Department
Russian Federation
Russian Federation
S. P. Morozov
Research and Practical Center of Medical Radiology, Moscow Healthcare Department
Russian Federation
Russian Federation
References
1. Каприн А. Д., Старинский В. В., Петрова Г. В. Злокачественные новообразования в России в 2016 году (заболеваемость и смертность). М., 2018.
2. с.
3. Aberle D. R., Adams A. M., Berg C. D. et al. Reduced lung-cancer mortality with low-dose computed tomographic screening // N. Engl. J. Med. 2011. № 365. P. 395- 409.
4. Bach P. B., Mirkin J. N., Oliver T. K. et al. Benefits and harms of CT screening for lung cancer: a systematic review // JAMA. 2012. № 307. P. 2418-2429.
5. Becker N., Motsch E., Gross M. L. et al. Randomized study on early detection of lung cancer with MSCT in Germany: study design and results of the first screening round // J. Cancer Res. Clin. Oncol. 2012. № 38. P. 1475-1486.
6. Field J. K., Smith R. A., Aberle D. R. et al. International association for the study of lung cancer computed tomography screening workshop 2011 report // J. Thorac. Oncol. 2012. № 7. P. 10-19.
7. Horeweg N., Aalst C. M. van der, Thunnissen E., Nackaerts K. et al. Characteristics of lung cancers detected by computer tomography screening in the Randomized NELSON Trial // Am. J. Respir. Crit. Care Med. 2013. № 187. P. 848-854.
8. Humphrey L. L., Deffebach M., Pappas M. et al. Screening for lung cancer with low-dose computed tomography: a systematic review to update the U.S. Preventive services task force recommendation // Ann. Int. Med. 2013. № 159. P. 411- 420.
9. Infante M., Chiesa G., Solomon D., Morenghi E. et al. Surgical procedures in the DANTE trial, a randomized study of lung cancer early detection with spiral computed tomography: comparative analysis in the screening and control arm // J. Thorac. Oncol. 2011. № 6. P. 327-335.
10. Jaklitsch M. T., Jacobson F. L., Austin J. H. et al. The American Association for Thoracic Surgery guidelines for lung cancer screening using low-dose computed tomography scans for lung cancer survivors and other high-risk groups // J. Thorac. Cardiovasc. Surg. 2012. № 144. P. 33-38.
11. Janssen-Heijnen M. L., Coebergh J. W. Trends in incidence and prognosis of the histological subtypes of lung cancer in North America, Australia, New Zealand and Europe // Lung Cancer. 2001. № 31. P. 123-137.
12. Pastorino U., Rossi M., Rosato V., Marchiano A. et al. Annual or biennial CT screening versus observation in heavy smokers: 5-year results of the MILD trial // Eur. J. Cancer Prev. 2012. № 21. P. 308-315.
13. Pegna A., Picozzi G., Mascalchi M., Carozzi F. et al. Design, recruitment and baseline results of the ITALUNG trial for lung cancer screening with low-dose CT // Lung Cancer. 2009. № 64. P. 34-40.
14. Saghir Z., Dirksen A., Ashraf H., Bach K. S. et al. CT screening for lung cancer brings forward early disease. The randomised danish lung cancer screening trial: status after five annual screening rounds with low-dose CT // Thorax. 2012. № 67. P. 296-301.
15. Wood D. E., Eapen G. A., Ettinger D. S. et al. Lung cancer screening // J. Natl. Compr. Canc. Netw. 2012. № 10. P. 240-65.
Review
For citations:
Gombolevsky V.A., Barchuk A.A., Laipan A.Sh., Vetsheva N.N., Vladzymyrskyy A.V., Morozov S.P. Lung Сancer Screening with Low-Dose Computed Tomography: Management and Efficiency. Radiology - Practice. 2018;(1):28-36. (In Russ.)
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