Lung Cancer Screening: Insights from a Thriving Clinical Practice

  • Michael BurchEmail author
  • Sangita Kapur
  • Sandra Starnes
Pulmonary Radiology (M Stephens and S Kapur, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Pulmonary Radiology


Purpose of Review

Lung cancer is the leading cause of cancer deaths in the USA. Computed tomography (CT) offers the potential for early detection by screening asymptomatic high-risk patients. We aimed to review the benefits and potential harms of lung cancer screening, discuss the logistics of a screening program, and provide insight from our own experience.

Recent Findings

The National Lung Screening Trial (NLST), a large population-based study, has demonstrated mortality benefit from screening, but relatively few eligible patients currently participate. An effective screening program requires input and cooperation from multiple stakeholders. Effort should be made to actively engage patients in the process including a thorough discussion of benefits and possible harms. At our institution, this approach has resulted in a rapidly growing and sustainable program.


Lung cancer screening has proven mortality benefit in high-risk patients but is underutilized. Developing and growing a screening program is a complex process requiring coordination among multiple specialties with a focus on patient autonomy.


Lung cancer screening Low-dose chest CT Lung-RADS 


Special Acknowledgment

The authors thank Mona Hemingway, BSN, RN.

Compliance with Ethical Standards

Conflict of Interest

Michael Burch, Sangita Kapur, and Sandra Starnes declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.UC HealthUniversity of Cincinnati Medical CenterCincinnatiUSA

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