Schmidlin Eric J, Sundaram Baskaran, Kazerooni Ella A
Division of Cardiothoracic Radiology, Department of Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Cardiovascular Center-Room 5481, Ann Arbor, MI 48109, USA.
Radiol Clin North Am. 2012 Sep;50(5):877-94. doi: 10.1016/j.rcl.2012.06.008.
Screening with low-dose computed tomography reduces mortality from lung cancer in high-risk patients. Lung cancer screening with chest radiography alone or in combination with sputum analysis is currently not recommended. The feasibility and impact of screening in patients with a low or moderate risk for primary lung cancer are currently not known. A standardized framework for testing and management in a multidisciplinary fashion is necessary to provide lung cancer screening. The National Comprehensive Cancer Network and the American Lung Association have recently issued guidelines for lung cancer screening with computed tomography in high-risk patients.
低剂量计算机断层扫描筛查可降低高危患者的肺癌死亡率。目前不建议单独使用胸部X线摄影或联合痰液分析进行肺癌筛查。目前尚不清楚对原发性肺癌低风险或中度风险患者进行筛查的可行性和影响。以多学科方式进行检测和管理的标准化框架对于提供肺癌筛查是必要的。美国国立综合癌症网络和美国肺脏协会最近发布了针对高危患者进行计算机断层扫描肺癌筛查的指南。