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Peripheral lung cancer: screening and detection with low-dose spiral CT versus radiography.
Abstract
PURPOSE: To compare low-dose spiral computed tomography (CT) with radiography of the chest for the screening and detection of small peripheral lung cancers in a high-risk population. MATERIALS AND METHODS: Posteroanterior and lateral radiographs and low-dose spiral CT scans were obtained twice a year from September 1993 to April 1995 in 1,369 individuals (a total of 3,457 examinations) who were at high risk for lung cancer. Low-dose spiral CT parameters were 120 kvP, 50 mA, 10-mm collimation, and 2:1 pitch. RESULTS: Peripheral lung cancer was detected in 15 of 3,457 examinations (0.3%). Among the 15 cases, the results of chest radiography were negative in 11 (73%), and the tumors were detected only at low-dose spiral CT. The detection rates of low-dose spiral CT and chest radiography were 0.43% (15 of 3,457 examinations), respectively. Fourteen (93%) of the 15 (exclusion of one pulmonary lung cancer) tumors were stage I. CONCLUSION: Low-dose spiral CT was superior to chest radiography in the screening and detection of peripheral lung cancer in high-risk individuals. Further large-scale studies are warranted, however, to clarify the efficacy and cost-effectiveness of low-dose spiral CT in a randomized, controlled population.
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Citations
Cited by
Reduced Lung-Cancer Mortality with Volume CT Screening in a Randomized Trial
de Koning, H. J., van der Aalst, C. M., de Jong, P. A., Scholten, E. T., Nackaerts, K., Heuvelmans, M. A., Lammers, J.-W. J., Weenink, C., Yousaf-Khan, U., Horeweg, N., et al. (2020) · New England Journal of Medicine · doi:10.1056/nejmoa1911793 · Cited by 3,624
Computer-aided diagnosis in medical imaging: historical review, current status and future potential
Doi, K. (2007) · Computerized Medical Imaging and Graphics · doi:10.1016/j.compmedimag.2007.02.002 · Cited by 1,855
Adams, S. J., Stone, E., Baldwin, D. R., Vliegenthart, R., Lee, P., & Fintelmann, F. J. (2023) · The Lancet · doi:10.1016/s0140-6736(22)01694-4 · Cited by 467
Gurcan, M. N., Sahiner, B., Petrick, N., Chan, H., Kazerooni, E. A., Cascade, P. N., & Hadjiiski, L. (2002) · Medical Physics · doi:10.1118/1.1515762 · Cited by 309
Field, J. K., Vulkan, D., Davies, M. P. A., Baldwin, D. R., Brain, K. E., Devaraj, A., Eisen, T., Gosney, J., Green, B. A., Holemans, J. A., et al. (2021) · The Lancet Regional Health - Europe · doi:10.1016/j.lanepe.2021.100179 · Cited by 230
Metadata
- Authors
- Kaneko, M., Eguchi, K., Ohmatsu, H., Kakinuma, R., Naruke, T., Suemasu, K., & Moriyama, N.
- Venue
- Radiology
- Published
- 1996-12
- Volume
- 201
- Issue
- 3
- Pages
- 798-802
- ISSN
- 0033-8419 (ISSN-L)
- 1527-1315
- OpenAlex
- W2143045812
- Cited by
- 831
- References
- 0
- FWCI
- 15.00
- Type
- journal article
- Language
- en
- Open access
- closed
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- Kaneko, M., Eguchi, K., Ohmatsu, H., Kakinuma, R., Naruke, T., Suemasu, K., & Moriyama, N. (1996). Peripheral lung cancer: screening and detection with low-dose spiral CT versus radiography. Radiology. https://doi.org/10.1148/radiology.201.3.8939234
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