Abstract:
:Lung cancer is the leading cause of cancer death in the United States and worldwide. However, among the top 4 deadliest cancers, lung cancer is the only one not subject to routine screening. Optimism for an effective lung cancer-screening examination soared after the release of the National Lung Screening Trial results in November 2011. Since then, nearly 40 major medical societies and organizations have endorsed low-dose computed tomography (LDCT) screening. In December 2013, the United States Preventive Services Task Force also endorsed LDCT. However, the momentum for LDCT screening slowed in April 2014 when the Medicare Evidence Development and Coverage Advisory Committee (MEDCAC) panel concluded that there was not enough evidence to justify the annual use of LDCT scans for the detection of early lung cancer. This article briefly reviews the epidemiology of lung cancer, the National Lung Screening Trial study results, and the growing national endorsement of LDCT from a variety of key stakeholder organizations. We subsequently analyze and offer our evidence-based counterpoints to the major assumptions underlying the MEDCAC decision.
journal_name
J Thorac Imagingjournal_title
Journal of thoracic imagingauthors
Parker MS,Groves RC,Fowler AA 3rd,Shepherd RW,Cassano AD,Cafaro PL,Chestnut GTdoi
10.1097/RTI.0000000000000119subject
Has Abstractpub_date
2015-01-01 00:00:00pages
15-23issue
1eissn
0883-5993issn
1536-0237journal_volume
30pub_type
杂志文章,评审abstract::Infections of the cardiovascular system may present with nonspecific symptoms, and it is common for patients to undergo multiple investigations to arrive at the diagnosis. Echocardiography is central to the diagnosis of endocarditis and pericarditis. However, cardiac computed tomography (CT) and magnetic resonance ima...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0000000000000552
更新日期:2020-08-25 00:00:00
abstract::Chronic obstructive pulmonary disease is defined as a preventable and treatable disease state characterized by airflow limitation that is not fully reversible. This review will discuss the relevant anatomy of the secondary pulmonary lobule, the subtypes of emphysema, and their imaging appearances and corresponding pat...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e3181b32676
更新日期:2009-08-01 00:00:00
abstract::Cardiac magnetic resonance (CMR) imaging is a powerful tool for the detection and management of coronary artery disease. Beyond morphology, CMR imaging can probe relevant physiological parameters such as perfusion and function by means of stress testing. This article reviews current applications of CMR stress imaging ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0000000000000045
更新日期:2014-01-01 00:00:00
abstract::Hydatid disease is a parasitic infestation caused by the larval stage of a tapeworm of the genus Echinococcus. This report describes an extremely rare complication of echinococcal disease in which severe pulmonary hypertension developed after massive hydatid pulmonary embolism. ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199904000-00015
更新日期:1999-04-01 00:00:00
abstract::Risk factors for venous thrombosis include conditions leading to venous stasis, hypercoagulable states, and trauma to veins. The most important factor is venous stasis. Both extrinsic and intrinsic coagulation pathways are intimately involved in the thrombotic process. In recent years, the importance in thrombus forma...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-198910000-00005
更新日期:1989-10-01 00:00:00
abstract::The outcome of treatment in patients with early asymptomatic HIV disease has recently improved. Clinical trials with zidovudine have demonstrated efficacy and greatly reduced toxicity when the drug is used in asymptomatic HIV-infected persons who have fewer than 500 CD4+ cells/mm3, and resistance to this drug in these...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-199109000-00004
更新日期:1991-09-01 00:00:00
abstract::Before the advent of fast-scanning multidetector-row computed tomography (CT) technology, thoracic CT studies were exclusively used for the morphologic assessment of thoracic organs, as the concurrent examination of the heart was hampered by image degradation from cardiac motion artifacts. The introduction of fast rot...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e3181e0f8c9
更新日期:2010-08-01 00:00:00
abstract::To determine whether total lung capacity (TLC) can be measured from plain chest radiographs in patients with pneumonectomy, we examined 20 such patients (17 male, 3 female) who had pneumonectomy for lung carcinoma. In 16 patients the right lung was preserved, and in 4 the left. The TLC was measured with the helium dil...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199707000-00008
更新日期:1997-07-01 00:00:00
abstract::This pictorial essay aims to present various lesions that could present as consolidations with diffuse of focal high attenuation on computed tomography, helping to make the diagnosis more confident and specific. The radiologic literature has limited information about such findings and the role of computed tomography i...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e3181788d39
更新日期:2008-11-01 00:00:00
abstract:PURPOSE:To establish whether a relationship exists between computed tomography features of lung opacities in severely neutropenic patients and their Aspergillus or bacterial etiology. METHODS:Computed tomography scans of 124 patients with lung opacities larger than 5 mm occurring during severe (neutrophils <500/mm) an...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e31805f6a42
更新日期:2007-05-01 00:00:00
abstract::The current Dana Point Classification system (2009) distinguishes elevation of pulmonary arterial pressure into pulmonary arterial hypertension (PAH) and pulmonary hypertension. Fortunately, PAH is not a common disease. However, with the aging of the First World's population, heart failure has become an important outc...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e31828d5c48
更新日期:2013-05-01 00:00:00
abstract:SUMMARY:A 59-year-old man who underwent chest radiography to exclude pneumonia showed an irregular nodular shadow in the left lower lung. A subsequent CT scan revealed an irregularly shaped soft-tissue mass consisting of two components: a peripheral round mass with spiculated margins and a well-circumscribed branching ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-200201000-00014
更新日期:2002-01-01 00:00:00
abstract:PURPOSE:Ultrashort echotime (UTE) sequences aim to improve the signal yield in pulmonary magnetic resonance imaging (MRI). We demonstrate the initial results of spiral 3-dimensional (3D) UTE-MRI for combined morphologic and functional imaging in pediatric patients. METHODS:Seven pediatric patients with pulmonary abnor...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0000000000000537
更新日期:2021-01-01 00:00:00
abstract::NMR imaging techniques are applicable to the assessment of lung water content and distribution because the NMR signal is, under certain conditions, proportional to tissue proton density. NMR imaging is noninvasive, easily repeatable, free from ionizing radiation, and particularly suitable for the assessment of spatial...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-198607000-00007
更新日期:1986-07-01 00:00:00
abstract::The Philips Computed Radiography system performs well with pediatric portable chest radiographs, handling the throughout of a busy intensive care service 24 hours a day. Images are excellent and routinely provide a conventional (unenhanced) image and an edge-enhanced image. Radiation dose is decreased by the lowered f...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199001000-00006
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVE:We sought to introduce a localization procedure (methylene blue-stained N-butyl cyanoacrylate and N-octyl cyanoacrylate glue) in localizing pulmonary small nodules and ground-glass opacities before thoracoscopic resection, and to evaluate its efficacy. METHODS:A total of 20 patients with pulmonary small nodu...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0000000000000479
更新日期:2020-07-01 00:00:00
abstract::We studied the chest radiographs of 30 patients (39 thoracotomies) after resection of pulmonary nodules with a neodymium-YAG laser. New "nodules" were often visible in the resected areas. These gradually evolved into linear scars with or without a small, nodular component or disappeared. In 11 of 39 thoracotomies, pos...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-198904000-00013
更新日期:1989-04-01 00:00:00
abstract::It has been stated that chest radiographic features of aortic dissection are a contraindication to intravenous thrombolysis in patients with suspected acute myocardial infarction. Excluding aortic dissection could significantly delay such treatment in patients who would benefit from thrombolysis. Initial chest radiogr...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199321000-00008
更新日期:1993-04-01 00:00:00
abstract::Cardiac hemangiomas are rare, benign primary cardiac neoplasms. We describe the CT and MR imaging findings of a cardiac hemangioma arising from the myocardium of the left atrial appendage and protruding into the pericardial cavity. The tumor displayed homogenous density on CT, heterogeneous signal intensity on MR, and...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-200307000-00012
更新日期:2003-07-01 00:00:00
abstract::We describe the clinical case of a thymoma, surgically removed after diagnosis, staging, and preoperative assessment performed by means of cardiac electrocardiogram-gated multidetector computed tomography. This technique allowed a very accurate assessment of the mass, proving superior to conventional computed tomograp...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3181820850
更新日期:2009-02-01 00:00:00
abstract::Photon-counting computed tomography (CT) is a developing technology that has the potential to address some limitations of CT imaging and bring about improvements and potentially new applications to this field. Photon-counting detectors have a fundamentally different detection mechanism from conventional CT energy-inte...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0000000000000569
更新日期:2021-01-04 00:00:00
abstract::Community-acquired pneumonia (CAP) remains a major health problem worldwide. The incidence of pneumonia increases with both age and the presence of specific risk factors, which lead to increased health care costs. However, although there is some controversy over the observed trend in CAP mortality over recent decades,...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0000000000000343
更新日期:2018-09-01 00:00:00
abstract::The availability of the less invasive techniques such as CT, MRI, and digital angiography require reexamination of the indications for conventional screen-film aortography. Because of poor image quality, IV digital subtraction angiography should be limited to congenital aortic disease and follow-up cases. Intraarteria...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-199010000-00008
更新日期:1990-10-01 00:00:00
abstract:PURPOSE:Cardiac fluorine-18-fluorodeoxyglucose (FDG) uptake is known to be variable in fasting oncologic positron emission tomography computed tomography studies. Increased posterolateral and basal FDG activity have been reported with the basal pattern ascribed to radiation injury. The purpose of this study was to inve...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3182176675
更新日期:2012-07-01 00:00:00
abstract::Pleural infection by Cryptococcus neoformans is uncommon and when present typically occurs in the immunocompromised host. We report two renal transplant patients who developed pleural cryptococcosis. ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199004000-00012
更新日期:1990-04-01 00:00:00
abstract::Bleomycin is a widely used chemotherapeutic that has been shown to induce life-threatening interstitial lung disease in a small subset of patients. We report a case of bleomycin-induced pneumonitis in a patient treated for Hodgkin lymphoma with severe clinical respiratory symptoms, a marked restrictive pattern on pulm...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/01.rti.0000209821.43379.8a
更新日期:2006-08-01 00:00:00
abstract::Epipericardial fat necrosis is an unusual clinical condition of unknown etiology first reported in the literature in 1957. It presents as an acute onset of chest pain and a well-defined juxtacardiac mass. Computed tomographic findings of this condition demonstrate a fat-attenuation mass that resolves over time. We pre...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e3181fa6d7c
更新日期:2011-11-01 00:00:00
abstract::Esophageal cancer, an uncommon neoplasm, has been increasing in incidence over the past few decades. Optimal management of patients is determined by the stage of disease at presentation, patient performance status, and location of the primary cancer. Recently, there has been increasing use of multimodality therapy in ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-200605000-00005
更新日期:2006-05-01 00:00:00
abstract:PURPOSE:The aim of this study was to evaluate the literature for articles assessing radiofrequency ablation (RFA) for pulmonary malignancy. MATERIALS AND METHODS:The "bottom-up" approach to evidence-based practice was applied by 2 reviewers to the retrieval and appraisal of original research articles published on pulm...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e3181e48d5e
更新日期:2011-02-01 00:00:00
abstract::Pneumatic nail guns are a tool used commonly in the construction industry and are widely available. Accidental injuries from nail guns are common, and several cases of suicide using a nail gun have been reported. Computed tomographic (CT) imaging, together with echocardiography, has been shown to be the gold standard ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e31821bdaa0
更新日期:2012-09-01 00:00:00