Table 4. Low-Dose Computerized Tomography Lung Cancer Screening Outcomesa

Study, Year Screening Type Screening Interval (Months) Number of Screens Positive Test Results (%) Recommendation for Followup Based on LDCT (Number) Surgery for Diagnosis (Benign) (Number) Lung Cancerb (%) Stage 1 Disease (%)
HRCT Referral Biopsy
Diederich et al, 200253 Baseline LDCT   817 350 (43) 269 29 13 1 (1) 11 (1.3)
(1 interval)
58
Henschke et al, 1999, 200154,55 Baseline LDCT 6-18 1,000 237 (24) 233 104 27 0 31 (3.1) 85
Incidence LDCTa 1,184 40 40 NR 9 NR 9 (0.9) 67
Baseline CXR 1,000 68 (6.8)
(33) (3.3)c
33 NR NR 0 7 (0.7)  
Nawa et al, 200256 Baseline LDCT 12 7,956 2,099 (26.4) 541 64 NR NR 36 (0.5) 86
Incidence LDCTa 5,568 NR 148 7 NR NR 4 (0.1) 100
Sone et al, 200158 Baseline LDCT 12 5,483 279 (5.1) 266 NR NR NR (7) 22 (0.4) 100
Incidence LDCTa 8303b 309 297 NR NR NR(9) 37 (0.6) 86
Sobue et al, 200259 Baseline LDCT 6 1,611 186 (11.5) 186 25 21 0 13 (0.8) 77
Incidence LDCTa 7,891 721 721 57 35 1 (0) 19 (0.2) 79
Baseline CXR 1,611
7,891
55 (3.4)
202
22
89
9
7
8
4
0
0
5 (0.3)
3 (0.2)
60
0
Swensen et al, 2002, 200361,62 Baseline LDCT 12 1,520 782 (51.4) NR NR NR   27 (1.8)d  
Combined data           NR (8)   66
Incidence LDCTa 2,916 336 NR NR NR   11 (0.7)
(+ 2 interval)d
 

Notes: CXR, chest x-ray; HRCT, high-resolution computerized tomography; LDCT, low-dose computerized tomography; NR, not reported.

a All data presented by individual except incidence, which indicates screening tests performed.
b Percentage of lung cancer for incidence = cases of lung cancer identified with incidence screening/cases of lung cancer in cohort minus cases of prevalence cancer.
c After LDCT.
d One case of malignant disease.

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