O'Dowd Emma Louise, Baldwin David R
Department of Respiratory Medicine, Nottingham University Hospitals NHS Trust, Nottingham City Hospital, Nottingham, UK.
Br J Radiol. 2018 Oct;91(1090):20170460. doi: 10.1259/bjr.20170460. Epub 2017 Oct 17.
Screening for lung cancer using low-dose CT has already been implemented in North America following the results of the National Lung Screening Trial. Outside North America, clinicians and researchers are addressing issues that may have a major impact on the success of screening programmes by reviewing results of existing trials and by designing new research and pilot programmes. This review summarizes the work that has been done to try to answer the remaining questions and highlights potential barriers which may affect screening uptake and cost-effectiveness.
根据国家肺癌筛查试验的结果,低剂量CT肺癌筛查已在北美实施。在北美以外地区,临床医生和研究人员正在通过回顾现有试验结果以及设计新的研究和试点项目,来解决可能对筛查项目的成功产生重大影响的问题。本综述总结了为试图回答剩余问题所做的工作,并强调了可能影响筛查接受度和成本效益的潜在障碍。