Incidental findings during lung cancer screening by low-dose computed tomography
In Moscow in 2017, the project named Moscow Screening for Lung Cancer was started using low-dose computed tomography (LDCT) for selective screening for lung malignant tumors in the out-patient facilities and polyclinics.The main goal of the project: to improve early detection of lung cancer and redu...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2018-11-01
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| Series: | Туберкулез и болезни лёгких |
| Subjects: | |
| Online Access: | https://www.tibl-journal.com/jour/article/view/1195 |
| _version_ | 1797759419152334848 |
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| author | Aleksandr E. Nikolaev Viktor A. Gombolevskiy Anna P. Gonchar Arsen N. Shapiev Albina Sh. Laypan Sergey P. Morozov |
| author_facet | Aleksandr E. Nikolaev Viktor A. Gombolevskiy Anna P. Gonchar Arsen N. Shapiev Albina Sh. Laypan Sergey P. Morozov |
| author_sort | Aleksandr E. Nikolaev |
| collection | DOAJ |
| description | In Moscow in 2017, the project named Moscow Screening for Lung Cancer was started using low-dose computed tomography (LDCT) for selective screening for lung malignant tumors in the out-patient facilities and polyclinics.The main goal of the project: to improve early detection of lung cancer and reduce mortality caused by this disease in the long term.The objective of the study: to assess the importance of incidental findings during selective screening for lung cancer by LDCT in Moscow.Subjects and Methods. The retrospective study included 254 randomly selected LDCT, which were performed as a part of the screening program. During the repeated examination of images and protocols, all abnormalities were taken into account (but for foci in the lungs evaluated as per LungRADS-2014).Results. When analyzing the dissemination and character of incidental findings, detected by LDCT screening, it was found out that such findings had high clinical and/or predictive value in the majority of cases. The following disorders were detected the most often (% of those with incidental finding): coronary artery calcium - 49.3%; thickening of bronchial walls - 34.9%; bronchiectasis - 34.9%; emphysema - 21.6%.During primary interpretation of LDCT results, less attention was paid to description of abnormalities but for foci evaluated as per Lung RADS-2014. Further research and organization are needed to provide detection and reasonable routing for those with incidental findings.Conclusions. Incidental findings occur in 87.1% of cases during selective screening for lung cancer by LDCT. The majority of incidental findings are located in the cardio-vascular (75.4%) and respiratory (68.3%) systems, and they possess clinical and predictive value. |
| first_indexed | 2024-03-12T18:44:11Z |
| format | Article |
| id | doaj.art-daff5147206d43e4a6dbe94ed7e4c2d6 |
| institution | Directory Open Access Journal |
| issn | 2075-1230 2542-1506 |
| language | Russian |
| last_indexed | 2024-03-12T18:44:11Z |
| publishDate | 2018-11-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Туберкулез и болезни лёгких |
| spelling | doaj.art-daff5147206d43e4a6dbe94ed7e4c2d62023-08-02T07:47:53ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062018-11-019611606710.21292/2075-1230-2018-96-11-60-671195Incidental findings during lung cancer screening by low-dose computed tomographyAleksandr E. Nikolaev0Viktor A. Gombolevskiy1Anna P. Gonchar2Arsen N. Shapiev3Albina Sh. Laypan4Sergey P. Morozov5ГБУЗ «Научно-практический центр медицинской радиологии Департамента здравоохранения города Москвы»ГБУЗ «Научно-практический центр медицинской радиологии Департамента здравоохранения города Москвы»ГБУЗ «Научно-практический центр медицинской радиологии Департамента здравоохранения города Москвы»ГБУЗ «Научно-практический центр медицинской радиологии Департамента здравоохранения города Москвы»ГБУЗ «Научно-практический центр медицинской радиологии Департамента здравоохранения города Москвы»ГБУЗ «Научно-практический центр медицинской радиологии Департамента здравоохранения города Москвы»In Moscow in 2017, the project named Moscow Screening for Lung Cancer was started using low-dose computed tomography (LDCT) for selective screening for lung malignant tumors in the out-patient facilities and polyclinics.The main goal of the project: to improve early detection of lung cancer and reduce mortality caused by this disease in the long term.The objective of the study: to assess the importance of incidental findings during selective screening for lung cancer by LDCT in Moscow.Subjects and Methods. The retrospective study included 254 randomly selected LDCT, which were performed as a part of the screening program. During the repeated examination of images and protocols, all abnormalities were taken into account (but for foci in the lungs evaluated as per LungRADS-2014).Results. When analyzing the dissemination and character of incidental findings, detected by LDCT screening, it was found out that such findings had high clinical and/or predictive value in the majority of cases. The following disorders were detected the most often (% of those with incidental finding): coronary artery calcium - 49.3%; thickening of bronchial walls - 34.9%; bronchiectasis - 34.9%; emphysema - 21.6%.During primary interpretation of LDCT results, less attention was paid to description of abnormalities but for foci evaluated as per Lung RADS-2014. Further research and organization are needed to provide detection and reasonable routing for those with incidental findings.Conclusions. Incidental findings occur in 87.1% of cases during selective screening for lung cancer by LDCT. The majority of incidental findings are located in the cardio-vascular (75.4%) and respiratory (68.3%) systems, and they possess clinical and predictive value.https://www.tibl-journal.com/jour/article/view/1195скрининг рака легкогоиндекс коронарного кальцияслучайные находкинизкодозная компьютерная томографияаневризма аорты |
| spellingShingle | Aleksandr E. Nikolaev Viktor A. Gombolevskiy Anna P. Gonchar Arsen N. Shapiev Albina Sh. Laypan Sergey P. Morozov Incidental findings during lung cancer screening by low-dose computed tomography Туберкулез и болезни лёгких скрининг рака легкого индекс коронарного кальция случайные находки низкодозная компьютерная томография аневризма аорты |
| title | Incidental findings during lung cancer screening by low-dose computed tomography |
| title_full | Incidental findings during lung cancer screening by low-dose computed tomography |
| title_fullStr | Incidental findings during lung cancer screening by low-dose computed tomography |
| title_full_unstemmed | Incidental findings during lung cancer screening by low-dose computed tomography |
| title_short | Incidental findings during lung cancer screening by low-dose computed tomography |
| title_sort | incidental findings during lung cancer screening by low dose computed tomography |
| topic | скрининг рака легкого индекс коронарного кальция случайные находки низкодозная компьютерная томография аневризма аорты |
| url | https://www.tibl-journal.com/jour/article/view/1195 |
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