ACR Appropriateness Criteria ® Lung Cancer Screening

Edwin F Donnelly; Ella A Kazerooni; Elizabeth Lee; Travis S Henry; Phillip M Boiselle; Traves D Crabtree; Mark D Iannettoni; Geoffrey B Johnson; Archana T Laroia; Fabien Maldonado; Kathryn M Olsen; Kyungran Shim; Arlene Sirajuddin; Carol C Wu; Jeffrey P Kanne; Expert Panel on Thoracic Imaging

doi:10.1016/j.jacr.2018.09.025

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ACR Appropriateness Criteria ® Lung Cancer Screening

Journal article

Open access

Peer reviewed

ACR Appropriateness Criteria ® Lung Cancer Screening

Edwin F Donnelly, Ella A Kazerooni, Elizabeth Lee, Travis S Henry, Phillip M Boiselle, Traves D Crabtree, Mark D Iannettoni, Geoffrey B Johnson, Archana T Laroia, Fabien Maldonado, …

Journal of the American College of Radiology, Vol.15(11S), pp.S341-S346

11/2018

DOI: 10.1016/j.jacr.2018.09.025

PMID: 30392603

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Abstract

Lung cancer remains the leading cause of cancer death in both men and women. Smoking is the single greatest risk factor for the development of lung cancer. For patients between the age of 55 and 80 with 30 or more pack years smoking history who currently smoke or who have quit within the last 15 years should undergo lung cancer screening with low-dose CT. In patients who do not meet these criteria but who have additional risk factors for lung cancer, lung cancer screening with low-dose CT is controversial but may be appropriate. Imaging is not recommended for lung cancer screening of patient younger than 50 years of age or patients older than 80 years of age or patients of any age with less than 20 packs per year history of smoking and no additional risk factor (ie, radon exposure, occupational exposure, cancer history, family history of lung cancer, history of COPD, or history of pulmonary fibrosis). The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

Screening

Lung cancer

Appropriate Use Criteria

Appropriateness Criteria

AUC

Smoking

Details

Title: Subtitle: ACR Appropriateness Criteria ® Lung Cancer Screening
Creators: Edwin F Donnelly - Vanderbilt University Medical Center
Ella A Kazerooni - University of Michigan–Ann Arbor
Elizabeth Lee - University of Michigan
Travis S Henry - University of California, San Francisco
Phillip M Boiselle - Florida Atlantic University
Traves D Crabtree - Society of Thoracic Surgeons
Mark D Iannettoni - Society of Thoracic Surgeons
Geoffrey B Johnson - Mayo Clinic , Rochester, Minnesota.
Archana T Laroia - University of Iowa
Fabien Maldonado - American College of Chest Physicians
Kathryn M Olsen - Radiology Associates
Kyungran Shim - John H. Stroger, Jr. Hospital of Cook County
Arlene Sirajuddin - National Institutes of Health
Carol C Wu - The University of Texas MD Anderson Cancer Center
Jeffrey P Kanne - University of Wisconsin–Madison
Expert Panel on Thoracic Imaging
Resource Type: Journal article
Publication Details: Journal of the American College of Radiology, Vol.15(11S), pp.S341-S346
DOI: 10.1016/j.jacr.2018.09.025
PMID: 30392603
NLM abbreviation: J Am Coll Radiol
ISSN: 1546-1440
eISSN: 1558-349X
Language: English
Date published: 11/2018
Academic Unit: Radiology; Internal Medicine
Record Identifier: 9984318818602771

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