Assessment of Selection Criteria for Low-Dose Lung Screening CT Among Asian Ethnic Groups in Taiwan: From Mass Screening to Specific Risk-Based Screening for Non-Smoker Lung Cancer

• Published in: Clinical lung cancer Vol. 17; no. 5; pp. e45 - e56
• Main Authors: Wu, Fu-Zong, Huang, Yi-Luan, Wu, Carol C., Tang, En-Kuei, Chen, Chi-Shen, Mar, Guang-Yuan, Yen, Yu, Wu, Ming-Ting
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.09.2016
• Subjects: Adenocarcinoma; Adult; Aged; Aged, 80 and over; Asian Continental Ancestry Group - statistics & numerical data; Early Detection of Cancer - methods; Ethnic Groups - statistics & numerical data; Female; Follow-Up Studies; Hematology, Oncology and Palliative Medicine; Humans; Logistic Models; Lung cancer; Lung Neoplasms - diagnostic imaging; Lung Neoplasms - epidemiology; Lung Neoplasms - pathology; Lung-RADS; Male; Mass Screening - methods; Middle Aged; Patient Selection; Pulmonary/Respiratory; Retrospective Studies; Risk Factors; Screening criteria; Sex Factors; Smoking; Taiwan - epidemiology; Tomography, X-Ray Computed - methods; Adenocarcinoma; Lung-RADS; Lung cancer; Screening criteria; Smoking; chest radiography; screening; part-solid nodules; VATS; PACS; United States; non-smoker; DLP; LDCT; PSNs; lung cancer; FBP; odds ratios; PGGNs; The ACR Lung Imaging Reporting and Data System; computed tomography; dose length product; OR; CI; adenocarcinoma; pure groundglass nodules; low dose CT (LDCT); low dose CT; picture archiving and communication system; CT; National Lung Screening Trial; filtered back projection; confidence interval; NLST; U.S; CXR; video-assisted thoracoscopic surgery; COPD; chronic obstructive pulmonary disease

We aim to investigate the impact of applying the NLST eligibility criteria to the population in Taiwan, and to identify additional risk factors to select subjects at risk of lung cancer. Our findings suggest that female gender and a family history of lung cancer are two important predictor. A prospe...