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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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90 (116.82510375977): 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 1

91 (60.081481933594): 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 1

92 (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 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 1

93 (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 1

94 (44.107437133789): 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 1

95 (382.90023803711): 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=294804453 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

96 (576.01928710938): 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

97 (322.81875610352): 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

98 (87.976455688477): 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 1

99 (63.896179199219): 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 1

100 (98.228454589844): 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 1

101 (45.061111450195): 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 1

102 (61.03515625): 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 1

103 (36.954879760742): 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 1

104 (58.174133300781): 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 1

105 (43.869018554688): 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 1

106 (187.15858459473): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

107 (!!!!! 20615.100860596): 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

108 (427.0076751709): 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 1

109 (!!!!! 7821.0830688477): ( 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

110 (100.13580322266): ( 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

111 (198.1258392334): 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

112 (62.942504882812): 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

113 (140.19012451172): 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

114 (56.982040405273): 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

115 (144.00482177734): 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

116 (47.922134399414): 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

117 (113.96408081055): 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

118 (55.789947509766): 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

119 (314.95094299316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

120 (180.00602722168): SELECT name FROM jos_deeppockets WHERE id=211

121 (53.167343139648): SELECT name FROM jos_deeppockets WHERE id=211

122 (526.90505981445): 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

123 (468.01567077637): 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

124 (103.95050048828): 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 1

125 (75.101852416992): 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 1

126 (!!!!! 4831.075668335): TRUNCATE TABLE jos_trademed_module

127 (113.01040649414): 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 1

128 (555.99212646484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

129 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

130 (100.13580322266): 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 1

131 (121.11663818359): 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 1

132 (!!!!! 1653.1944274902): 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

133 (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 1

134 (42.915344238281): 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 1

135 (134.94491577148): 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 1

136 (454.18739318848): 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 (92.983245849609): 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 (32.901763916016): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

139 (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 1

140 (44.107437133789): 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 1

141 (123.97766113281): select jos_twitters.link from jos_twitters where cat=10

142 (34.093856811523): select jos_facebook.link from jos_facebook where cat=10

143 (27.894973754883): select jos_google_plus.link from jos_google_plus where cat=10

144 (27.179718017578): select jos_linkedin.link from jos_linkedin where cat=10

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