Austin Health

Title
Low rates of eligibility for lung cancer screening in patients undergoing computed tomography coronary angiography.
Publication Date
2018-10
Author(s)
Lyne, Christopher
Zaw, Shane
King, Bridget
See, Katharine
Manners, David
Al-Kaisey, Ahmed
Joshi, Subodh
Farouque, Omar
Irving, Louis
Johnson, Douglas
Steinfort, Daniel
Subject
National Lung Screening Trial
PLCOm2012
US Preventive Service Task Force
computed tomography coronary angiogram
lung cancer
lung cancer screening
Type of document
Journal Article
OrcId
0000-0001-9159-0971
0000-0002-0046-0870
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DOI
10.1111/imj.14061
Abstract
Incidental findings, including pulmonary nodules, on computed tomography coronary angiography (CTCA) are common. Previous authors have suggested CTCA could allow opportunistic screening for lung cancer, though the lung cancer risk profile of this patient group has not previously been established. Smoking histories of 229 patients undergoing CTCA at two tertiary hospitals were reviewed and only 25% were current or former smokers aged 55-80 years old. Less than half of this group were eligible for screening based on the PLCOm2012 risk model. We conclude that routine screening in the form of full thoracic field imaging, of individuals undergoing CTCA is not appropriate as it would likely result in net harm.
Link
Citation
Internal Medicine Journal 2018; 48(10): 1265-1268
Jornal Title
Internal Medicine Journal

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