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Congress has diverted some research money to create pilot CT lung screening programs, diversions that may gain momentum now.
Laurie Fenton, president of the Lung Cancer Alliance, which has lobbied for widespread CT lung screening, said the debate about the advisability of such scans is now over.
The U.S. Preventive Services Task Force (USPSTF) recently updated their national lung screening guidelines and recommended low-dose computed tomography (LDCT) for lung cancer (LC) screening through age 80.
The results of the study were used to promote lung screening as an important dimension of clinical care as well as promote payment reform associated with insurance reimbursement for lung screening.
All examinations were interpreted by radiologists credentialed in structured CT lung screening reporting, following the NCCN Clinical Practice Guidelines in Oncology: Lung Cancer Screening (version 1.2012).
CONCLUSIONS:High rates of adherence to radiologist recommendations are achievable for in-network patients enrolled in a clinical CT lung screening program.
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Dr. Kramer and Dr. Black are members of the executive committee overseeing the National Cancer Institute's National Lung Screening Trial, the randomized study of lung cancer screening.
The Lung Screening Study (LSS) was a pilot study designed to assess the feasibility of conducting a large scale randomized controlled trial (RCT) of low radiation dose spiral computed tomography (LDCT) versus chest X-ray (CXR) for lung cancer screening.
Based on the results of the National Lung Screening Trial, the American Cancer Society is issuing an initial guideline for lung cancer screening.
Currently, one large RCT on CT screening for lung cancer in active and former smokers is under way in the US, the "National Lung Screening Trial (NLST)".
The National Lung Screening Trial NLSTT) demonstrated that screening smokers and ex-smokers for lung cancer can lead to early diagnosis and reduced lung cancer mortality [ 6].
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