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Main achievements of low-dose computed tomography in lung cancer screening

https://doi.org/10.21292/2075-1230-2021-99-1-61-70

Abstract

The objective of the study: to summarize current data on the use of low-dose computed tomography (LDCT) for lung cancer screening (LCS).

Subjects and methods: Relevant articles published from 2016 to 2019 were searched for the following key words: lung cancer screening, low-dose computed tomography, ultra-low-dose computed tomography. The search was performed in the open databases of PubMed, Google Scholar, Elibrary. 23 Russian and 778 English publications were found. Among them, relevant publications with high citation indices were selected.

Results. By 2019, there have been significant changes in the methodology of LDCT in LCS, and these changes can be considered as one of the priority state areas of modern health care. The article considers the main and potential additional goals of screening for lung cancer, the parameters of inclusion into lung cancer risk groups according to the data of various global studies. It describes data on the recommended maximum permissible doses of radiation exposure in different countries and the economic efficiency of screening. In addition, the technical requirements for a computed tomography scanner in LCS and methods for interpreting LDCT have been systematized.

About the Authors

V. A. Gombolevskiy
Scientific Practical Clinical Center of Diagnostics and Telemedicine Technologies, Moscow Health Department
Russian Federation

Viktor A. Gombolevskiy - Candidate of Medical Sciences, Head of Department for Radiology Quality Enhancement.

28, Bd. 1, Srednaya Kalitnikovskaya St., Moscow, 109029, Phone: +7 (495) 670-74-80



V. Yu. Chernina
Scientific Practical Clinical Center of Diagnostics and Telemedicine Technologies, Moscow Health Department
Russian Federation

Valeriya Yu. Chernina - Junior Researcher of Department for Radiology Quality Enhancement.

28, Bd. 1, Srednaya Kalitnikovskaya St., Moscow, 109029, Phone: +7 (495) 670-74-80



I. A. Blokhin
Scientific Practical Clinical Center of Diagnostics and Telemedicine Technologies, Moscow Health Department
Russian Federation

Ivan A. Blokhin - Junior Researcher of Department for Radiology Quality Enhancement.

28, Bd. 1, Srednaya Kalitnikovskaya St., Moscow, 109029, Phone: +7 (495) 670-74-80



A. E. Nikolaev
Scientific Practical Clinical Center of Diagnostics and Telemedicine Technologies, Moscow Health Department
Russian Federation

Aleksandr E. Nikolaev - Junior Researcher of Department for Radiology Quality Enhancement.

28, Bd. 1, Srednaya Kalitnikovskaya St., Moscow, 109029, Phone: +7 (495) 670-74-80



A. A. Barchuk
Petrov National Medical Research Center of Oncology
Russian Federation

Anton A. Barchuk - Researcher.

68, Leningradskaya St., Settlement of Pesochny, St. Petersburg, 197758, Phone: +7 (812) 439-95-54


S. P. Morozov
Scientific Practical Clinical Center of Diagnostics and Telemedicine Technologies, Moscow Health Department
Russian Federation

Sergey P. Morozov - Doctor of Medical Sciences, Professor, Director.

28, Bd. 1, Srednaya Kalitnikovskaya St., Moscow, 109029, Phone: +7 (495) 678-54-95


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Gombolevskiy V.A., Chernina V.Yu., Blokhin I.A., Nikolaev A.E., Barchuk A.A., Morozov S.P. Main achievements of low-dose computed tomography in lung cancer screening. Tuberculosis and Lung Diseases. 2021;99(1):61-70. (In Russ.) https://doi.org/10.21292/2075-1230-2021-99-1-61-70

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ISSN 2075-1230 (Print)
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