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European Radiology
Published in: European Radiology 1/2015

01-01-2015 | Editorial

Missed cancers in lung cancer screening – more than meets the eye

Author: A. Devaraj

Published in: European Radiology | Issue 1/2015

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Abstract

In lung cancer, early detection and diagnosis is of paramount importance. In 2011 the National Lung Screening Trial (NLST) demonstrated the effectiveness of computed tomography (CT) screening for lung cancer in reducing mortality, and results from other ongoing trials are expected to be published in the near future. A topic that has not been widely researched to date, however, is the cause for screening failure and missed lung cancers. In this issue of European Radiology, Scholten et al. describe a number of causes for false-negative screens. Some of the implications for CT screening and nodule management raised by this report are discussed.
Key Points
• Many causes exist for missed lung cancers in CT screening trials
• Endobronchial structures, the hila and mediastinum are blind spots on screening CTs
• The management of atypical nodular opacities on thoracic CT may be challenging
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Metadata
Title
Missed cancers in lung cancer screening – more than meets the eye
Author
A. Devaraj
Publication date
01-01-2015
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 1/2015
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-014-3395-3

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