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1.
J Natl Compr Canc Netw ; 16(4): 412-441, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29632061

RESUMO

Lung cancer is the leading cause of cancer-related mortality in the United States and worldwide. Early detection of lung cancer is an important opportunity for decreasing mortality. Data support using low-dose computed tomography (LDCT) of the chest to screen select patients who are at high risk for lung cancer. Lung screening is covered under the Affordable Care Act for individuals with high-risk factors. The Centers for Medicare & Medicaid Services (CMS) covers annual screening LDCT for appropriate Medicare beneficiaries at high risk for lung cancer if they also receive counseling and participate in shared decision-making before screening. The complete version of the NCCN Guidelines for Lung Cancer Screening provides recommendations for initial and subsequent LDCT screening and provides more detail about LDCT screening. This manuscript focuses on identifying patients at high risk for lung cancer who are candidates for LDCT of the chest and on evaluating initial screening findings.


Assuntos
Neoplasias Pulmonares/diagnóstico , Programas de Rastreamento , Tomografia Computadorizada por Raios X , Tomada de Decisão Clínica , Análise Custo-Benefício , Detecção Precoce de Câncer/métodos , Humanos , Neoplasias Pulmonares/epidemiologia , Programas de Rastreamento/métodos , Imagem Multimodal/métodos , Ensaios Clínicos Controlados Aleatórios como Assunto , Reprodutibilidade dos Testes , Medição de Risco , Fatores de Risco , Tomografia Computadorizada por Raios X/métodos , Carga Tumoral , Estados Unidos
2.
J Natl Compr Canc Netw ; 13(1): 23-34; quiz 34, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25583767

RESUMO

The NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for Lung Cancer Screening provide recommendations for selecting individuals for lung cancer screening, and for evaluation and follow-up of nodules found during screening, and are intended to assist with clinical and shared decision-making. These NCCN Guidelines Insights focus on the major updates to the 2015 NCCN Guidelines for Lung Cancer Screening, which include a revision to the recommendation from category 2B to 2A for one of the high-risk groups eligible for lung cancer screening. For low-dose CT of the lung, the recommended slice width was revised in the table on "Low-Dose Computed Tomography Acquisition, Storage, Interpretation, and Nodule Reporting."


Assuntos
Detecção Precoce de Câncer , Neoplasias Pulmonares/diagnóstico , Detecção Precoce de Câncer/métodos , Humanos , Tomografia Computadorizada por Raios X
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