Low-dose CT for lung cancer screening: position paper from the Italian college of thoracic radiology.

Autor: Silva M; Department of Medicine and Surgery (DiMeC), University of Parma, Via Gramsci 14, Parma, Italy. mario.silva@unipr.it.; Unit of 'Scienze Radiologiche', University Hospital of Parma, Pad. Barbieri, Via Gramsci 14, 43126, Parma, Italy. mario.silva@unipr.it., Picozzi G; Istituto Di Studio Prevenzione E Rete Oncologica, Firenze, Italy., Sverzellati N; Department of Medicine and Surgery (DiMeC), University of Parma, Via Gramsci 14, Parma, Italy.; Unit of 'Scienze Radiologiche', University Hospital of Parma, Pad. Barbieri, Via Gramsci 14, 43126, Parma, Italy., Anglesio S; Ospedale S. Giovanni Bosco, Torino, Italy., Bartolucci M; Ospedale Prato, Prato, Italy., Cavigli E; AOU Careggi, Firenze, Italy., Deliperi A; AOU Pisana, Pisa, Italy., Falchini M; Ospedale Torregalli, Firenze, Italy., Falaschi F; Mini-Hospital Sandro Pertini, Capannoli (Pisa), Italy., Ghio D; IRCCS San Raffaele Scientific Institute, Milan, Italy., Gollini P; Ospedale S. Giovanni Bosco, Torino, Italy., Larici AR; Dipartimento Di Diagnostica Per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Università Cattolica del Sacro Cuore Di Roma, Roma, Italy., Marchianò AV; Department of Radiology, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, MI, Italy., Palmucci S; UOC Radiologia 1, Dipartimento Scienze Mediche Chirurgiche E Tecnologie Avanzate 'GF Ingrassia', Università Di Catania, AOU Policlinico 'G. Rodolico-San Marco', Catania, Italy., Preda L; IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.; Dipartimento Di Scienze Clinico-Chirurgiche, Diagnostiche E Pediatriche, Università Degli Studi Di Pavia, Pavia, Italy., Romei C; AOU Pisana, Pisa, Italy., Tessa C; Radiologia Apuane E Lunigiana, Azienda USL Toscana Nord Ovest, Pisa, Italy., Rampinelli C; Istituto Europeo Di Oncologia, Milano, Italy., Mascalchi M; Istituto Di Studio Prevenzione E Rete Oncologica, Firenze, Italy.; Università Di Firenze, Firenze, Italy.
Jazyk: angličtina
Zdroj: La Radiologia medica [Radiol Med] 2022 May; Vol. 127 (5), pp. 543-559. Date of Electronic Publication: 2022 Mar 20.
DOI: 10.1007/s11547-022-01471-y
Abstrakt: Smoking is the main risk factor for lung cancer (LC), which is the leading cause of cancer-related death worldwide. Independent randomized controlled trials, governmental and inter-governmental task forces, and meta-analyses established that LC screening (LCS) with chest low dose computed tomography (LDCT) decreases the mortality of LC in smokers and former smokers, compared to no-screening, especially in women. Accordingly, several Italian initiatives are offering LCS by LDCT and smoking cessation to about 10,000 high-risk subjects, supported by Private or Public Health Institutions, envisaging a possible population-based screening program. Because LDCT is the backbone of LCS, Italian radiologists with LCS expertise are presenting this position paper that encompasses recommendations for LDCT scan protocol and its reading. Moreover, fundamentals for classification of lung nodules and other findings at LDCT test are detailed along with international guidelines, from the European Society of Thoracic Imaging, the British Thoracic Society, and the American College of Radiology, for their reporting and management in LCS. The Italian College of Thoracic Radiologists produced this document to provide the basics for radiologists who plan to set up or to be involved in LCS, thus fostering homogenous evidence-based approach to the LDCT test over the Italian territory and warrant comparison and analyses throughout National and International practices.
(© 2022. The Author(s).)
Databáze: MEDLINE
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