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Lung cancer screening

delete2023-02-01
delete170
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OA
AI
S
Scott Adams *
E
Emily Stone
D
David Baldwin
R
Rozemarijn Vliegenthart
P
Pyng Lee
F
Florian J. Fintelmann
DOI:10.1016/S0140-6736(22)01694-4delete
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摘要

摘要

En 中文
Randomised controlled trials, including the National Lung Screening Trial (NLST) and the NELSON trial, have shown reduced mortality with lung cancer screening with low-dose CT compared with chest radiography or no screening. Although research has provided clarity on key issues of lung cancer screening, uncertainty remains about aspects that might be critical to optimise clinical effectiveness and cost-effectiveness. This Review brings together current evidence on lung cancer screening, including an overview of clinical trials, considerations regarding the identification of individuals who benefit from lung cancer screening, management of screen-detected findings, smoking cessation interventions, cost-effectiveness, the role of artificial intelligence and biomarkers, and current challenges, solutions, and oppor tunities surrounding the implementation of lung cancer screening programmes from an international perspective. Further research into risk models for patient selection, personalised screening intervals, novel biomarkers, inte grated cardiovascular disease and chronic obstructive pulmonary disease assessments, smoking cessation inter ventions, and artificial intelligence for lung nodule de tection and risk stratification are key opportunities to increase the efficiency of lung cancer screening and ensure equity of access.
Keyword:
LOW-DOSE CT
AIR-FLOW OBSTRUCTION
COMPUTED-TOMOGRAPHY
COST-EFFECTIVENESS
SMOKING-CESSATION
HIGH-RISK
PULMONARY NODULES
INCIDENTAL FINDINGS
NEVER-SMOKERS
PRIMARY-CARE
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The Lancet
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机构

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St Vincent's Hospital Sydney
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3.3K
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H
Harvard University
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26.5W
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NSW Health
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被引数: 12
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引用论文

引用论文

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Validation, comparison, and combination of algorithms for automatic detection of pulmonary nodules in computed tomography images: The LUNA16 challenge计算机断层扫描图像中自动检测肺结节的算法的验证,比较和组合: LUNA16挑战
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errSetio, Arnaud Arindra Adiyoso; Traverso, Alberto; de Bel, Thomas; Berens, Moira S. N.; van den Bogaard, Cas; Cerello, Piergiorgio; Chen, Hao; Dou, Qi; Evelina Fantacci, Maria; Geurts, Bram; van der Gugten, Robbert; Heng, Pheng Ann; Jansen, Bart; de Kaste, Michael M. J.; Kotov, Valentin; Lin, Jack Yu-Hung; Manders, Jeroen T. M. C.; Sonora-Mengana, Alexander; Carlos Garcia-Naranjo, Juan; Papavasileiou, Evgenia; Prokop, Mathias; Saletta, Marco; Schaefer-Prokop, Cornelia M.; Scholten, Ernst T.; Scholten, Luuk; Snoeren, Miranda M.; Lopez Torres, Ernesto; Vandemeulebroucke, Jef; Walasek, Nicole; Zuidhof, Guido C. A.; van Ginneken, Bram; Jacobs, Colin
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