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Higher Chest X-Ray Usage Catches Lung Cancer Earlier and Improves Survival
By MedImaging International staff writers Posted on 26 Mar 2025
Image: A study has linked increased use of chest X-rays to earlier lung cancer diagnosis and improved survival (Photo courtesy of 123RF)
Lung cancer continues to be the leading cause of cancer-related deaths worldwide. While advanced technologies like CT scanners play a crucial role in detecting lung cancer, more accessible and affordable tools, such as X-rays, are often easier for patients to obtain. However, it was not widely understood whether increasing the number of chest X-rays ordered by general practitioners (GPs) would result in benefits. The frequency of chest X-rays prescribed varies significantly across different GP practices, possibly because some GPs may have been unconvinced of the potential advantages for patients presenting with common symptoms. A new groundbreaking study has revealed a strong connection between the frequency of chest X-ray referrals by GPs and earlier diagnoses, as well as improved survival rates for lung cancer patients.
The study, conducted by researchers from the University of Sheffield (Sheffield, UK), analyzed data from over 170,000 lung cancer patients in England between 2014 and 2018, combined with chest X-ray referral rates from 7,400 GP practices. Published in the British Journal of General Practice, the findings demonstrated that patients at practices with higher rates of chest X-ray referrals were more likely to be diagnosed with lung cancer at an earlier, more treatable stage. These practices also saw a lower rate of diagnoses at later stages of cancer (stages three and four). Additionally, patients from these practices had better survival outcomes both one and five years post-diagnosis, compared to those from practices with lower chest X-ray usage. This study is the first of its kind to link chest X-ray referral rates with national cancer registry data, highlighting the significant impact of early diagnosis on survival.
“Lung cancer remains the leading cause of cancer deaths both in the UK and globally. This is an important step forward in our understanding of how to improve lung cancer detection,” said Dr. Stephen Bradley from the University of Sheffield’s School of Medicine and Population Health who was the lead author of the study. “Our research strongly suggests that increasing the use of chest X-rays for patients with relevant symptoms can lead to earlier diagnosis and, crucially, better chances of survival.”
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OR (dp.fid = 294743309)
OR (dp.fid = 294743310)
)
ORDER BY RAND()
LIMIT 198
(79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804453 AND published='1'
LIMIT 199
(59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804453 AND published='1'
LIMIT 1100
(72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804453 AND published='1'
LIMIT 1101
(58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804453 AND published='1'
LIMIT 1102
(128.98445129395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804453 AND published='1'
LIMIT 1103
(59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804453 AND published='1'
LIMIT 1104
(58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804453 AND published='1'
LIMIT 1105
(54.836273193359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804453 AND published='1'
LIMIT 1106
(409.12628173828): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`107
(!!!!! 25413.036346436): 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
7108
(600.09956359863): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294804453 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294804453 AND type='deeppockets_item' AND published='1' LIMIT 1109
(!!!!! 8677.9594421387): (
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
3110
(104.90417480469): (
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
3111
(348.09112548828): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294803337
LIMIT 1112
(48.87580871582): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294803337
LIMIT 1113
(299.93057250977): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294803276
LIMIT 1114
(82.015991210938): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294803276
LIMIT 1115
(288.96331787109): 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 1116
(51.975250244141): 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 1117
(292.06275939941): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294802958
LIMIT 1118
(59.127807617188): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294802958
LIMIT 1119
(321.1498260498): SELECT *
FROM jos_deeppockets
WHERE 1=1
AND id=294804453
AND (type='deeppockets_item' OR type='deeppockets_item_link')
AND published='1'
LIMIT 1120
(145.19691467285): SELECT name FROM jos_deeppockets WHERE id=211121
(91.075897216797): SELECT name FROM jos_deeppockets WHERE id=211122
(577.92663574219): 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((;)|($))' AND catid IN (0,110)
ORDER BY publish_up ASC LIMIT 3123
(508.06999206543): SELECT *,
DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up,
DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down
FROM jos_events
WHERE state=1
AND publish_up > NOW()
and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110)
ORDER BY publish_up ASC LIMIT 3124
(67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804453 AND published='1'
LIMIT 1125
(48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804453 AND published='1'
LIMIT 1126
(!!!!! 4972.9347229004): TRUNCATE TABLE jos_trademed_module127
(119.92454528809): 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=294804453
AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
AND dp.published='1' LIMIT 1128
(571.01249694824): SELECT *
FROM jos_deeppockets
WHERE 1=1
AND id=294804453
AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1129
(57.93571472168): SELECT *
FROM jos_deeppockets
WHERE 1=1
AND id=294804453
AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1130
(217.91458129883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804453 AND published='1'
LIMIT 1131
(114.91775512695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804453 AND published='1'
LIMIT 1132
(!!!!! 4739.0460968018): 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 6133
(129.93812561035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804453 AND published='1'
LIMIT 1134
(68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804453 AND published='1'
LIMIT 1135
(50.067901611328): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294804453 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294804453 AND type='deeppockets_item' AND published='1' LIMIT 1136
(44.107437133789): 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)137
(40.054321289062): 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)138
(46.014785766602): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1139
(91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804453 AND published='1'
LIMIT 1140
(61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804453 AND published='1'
LIMIT 1141
(109.91096496582): select jos_twitters.link from jos_twitters where cat=10142
(28.133392333984): select jos_facebook.link from jos_facebook where cat=10143
(26.941299438477): select jos_google_plus.link from jos_google_plus where cat=10144
(28.133392333984): select jos_linkedin.link from jos_linkedin where cat=10145
(396.9669342041): update jos_bannersmanager_banner
set impmade=impmade+1
where id in(14615,14202,14203)146
(!!!!! 1077.8903961182): insert into jos_banners_delta values (14615,'2025-09-19 00:04:47','216.73.216.184','view'),(14202,'2025-09-19 00:04:47','216.73.216.184','view'),(14203,'2025-09-19 00:04:47','216.73.216.184','view')
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