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Compared to X-rays, Twice as Many Lung Tumors Detected by CT at Initial Screening

By MedImaging International staff writers
Posted on 13 Jun 2013
Investigators concluded that the 20% decrease in lung cancer mortality using low-dose computed tomography (LDCT) imaging versus chest X-ray (CXR) screening reported in a new study is attainable.

Physicians have more information to share with their patients about the benefits and risks of LDCT lung cancer screening following the May 27, 2013, publication in the New England Journal of Medicine of the results of the first (of three planned) yearly screening examinations from the US National Lung Screening Trial (NLST).

“For a cancer screening to work, it’s important to verify that it can in fact discover cancers early. The analysis of NLST participants’ initial annual screening examination provides evidence that the number of early-stage cancers detected in the trial’s CT arm were significantly greater than the number detected in the chest X-ray arm,” stated Timothy Church, PhD, a biostatistician and professor in the School of Public Health at the University of Minnesota (Twin Cities, MN, USAu), who has been involved with the NLST’s design, implementation, and analysis.

Dr. Church also stressed that a reduction in mortality is the fundamental indicator of an effective cancer screening approach. The NLST is a large-scale, longitudinal clinical trial that randomized over 53,400 study participants equally into either the LDCT or standard CXR arm to evaluate whether lung cancer screening saves lives. The findings were published May 22, 2013, in the New England Journal of Medicine (NEJM). Earlier results published in 2011 in NEJM reported a 20% reduction in lung cancer deaths among study participants (all at high risk for the disease) screened with LDCT vs. those screened with CXR.

The authors reported that the NLST initial-screening findings are similar to other large trials with regard to positive LDCT versus CXR results, with more positive screening exams [7191 vs. 2387, respectively], more diagnostic procedures [6369 vs. 2176, respectively], more biopsies and other invasive procedures [297 vs. 121, respectively], and more lung tumors seen in the LDCT arm than in the CXR arm during the first screening round of NLST [292 vs. 190, respectively]. Although these findings were mostly anticipated, a key reason to publish the data was to validate the precise differences between the two arms.

“Although we did see that CT resulted in referring more patients for additional testing, the question comes down to whether the 20% reduction in mortality is worth the additional morbidity introduced by screening high-risk patients,” remarked Dr. Church. He noted that although there were more follow-up procedures in the LDCT versus the CXR arm, it was encouraging to validate that the number of individuals who actually had a more invasive follow-up procedure was very small.

Other promising findings reported include the high rate of compliance in performing the LDCT scan as indicated in the research protocol across the 33 imaging facilities that performed the study. “The sites complied with the low-dose CT imaging protocol specifications in 98.5% of all studies performed, which is outstanding considering the many thousands of scans performed,” stated Denise R. Aberle, MD, the US lead investigator for NLST ACRIN (American College of Radiology Imaging Network) and site co-lead investigator for the University of California, Los Angeles (UCLA; USA) NLST team.

Dr. Aberle, a member of the UCLA Jonsson Comprehensive Cancer Center, professor of Radiology and Bioengineering and vice chair for research in radiology at UCLA, also stressed that the first-screen result greatly suggests that CT lung cancer screening programs with radiologists who possess similar expertise and interpret similar numbers of CT cases that are obtained on scanners of the same caliber or better as those required for the NLST are apt to have results similar to those reported in the study.

“What we’ve learned from the analysis of the first-screen results provides clinicians additional facts to discuss with patients who share similar characteristics as the NLST participants [current or former heavy smokers over the age of 55],” noted Dr. Church. “The results also caution against making blanket lung cancer screening recommendations, because each person’s trade-off between the risk of having an unnecessary procedure and the fear of dying of lung cancer is uniquely individual.”

“[This] publication represents the type of immensely important data NLST will continue to provide about lung cancer screening in the United States,” said Mitchell J. Schnall, MD, PhD, ACRIN network chair, group cochair of the ECOG-ACRIN Cancer Research Group and chair of the radiology department of the University of Pennsylvania (Philadelphia, PA, USA).

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84 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1
85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1
86 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1
87 (88.930130004883): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746732 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
88 (39.100646972656): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746732 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
89 (44.822692871094): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`
90 (91.075897216797): SELECT show_live FROM jos_com_show_setting LIMIT 1
91 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1
92 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1
93 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1
94 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
105 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
106 (89.883804321289): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294746732 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
107 (81.777572631836): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294746732 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
108 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
109 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
110 (81.062316894531): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294746732 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
111 (802.04010009766): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294746732 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (655.8895111084): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
113 (452.04162597656): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
114 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
115 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
116 (119.92454528809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
117 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
118 (73.19450378418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
119 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
120 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
121 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
122 (409.84153747559): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
123 (!!!!! 23309.946060181): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7
124 (648.02169799805): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746732 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746732 AND type='deeppockets_item' AND published='1' LIMIT 1
125 (!!!!! 7939.1002655029): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
126 (115.87142944336): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
127 (40.054321289062): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
128 (30.040740966797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
129 (43.869018554688): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
130 (31.948089599609): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
131 (301.12266540527): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
132 (61.988830566406): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
133 (30.040740966797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
134 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
135 (488.0428314209): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
136 (335.9317779541): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
137 (219.10667419434): SELECT name FROM jos_deeppockets WHERE id=211
138 (41.961669921875): SELECT name FROM jos_deeppockets WHERE id=211
139 (638.00811767578): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
140 (535.01129150391): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
141 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
142 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
143 (!!!!! 10553.121566772): TRUNCATE TABLE jos_trademed_module
144 (118.01719665527): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294746732 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
145 (61.03515625): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294746732 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
146 (638.96179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
147 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
148 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
149 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
150 (!!!!! 1383.0661773682): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6
151 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
152 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
153 (64.849853515625): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746732 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746732 AND type='deeppockets_item' AND published='1' LIMIT 1
154 (36.001205444336): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)
155 (31.948089599609): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)
156 (36.001205444336): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
157 (149.01161193848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
158 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746732 AND published='1' LIMIT 1
159 (43.153762817383): select jos_twitters.link from jos_twitters where cat=10
160 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10
161 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10
162 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10
163 (321.1498260498): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)
164 (!!!!! 1110.0769042969): insert into jos_banners_delta values (14615,'2025-08-19 07:53:49','216.73.216.0','view'),(14202,'2025-08-19 07:53:49','216.73.216.0','view'),(14203,'2025-08-19 07:53:49','216.73.216.0','view')