Two-Year Lung Cancer Incidence Among Patients Who Receive a Radiologist Recommendation for Chest CT in Neck CT and MRI Reports.
가이드라인
1/5 보강
[PURPOSE] The aim of this study was to estimate the 2-year incidence of lung cancer diagnosed as a result of radiologist recommendations for chest CT in neck CT and MRI reports.
- 추적기간 34 months
- 연구 설계 cohort study
APA
Hassanzadeh M, Lee H, et al. (2025). Two-Year Lung Cancer Incidence Among Patients Who Receive a Radiologist Recommendation for Chest CT in Neck CT and MRI Reports.. Journal of the American College of Radiology : JACR. https://doi.org/10.1016/j.jacr.2025.11.030
MLA
Hassanzadeh M, et al.. "Two-Year Lung Cancer Incidence Among Patients Who Receive a Radiologist Recommendation for Chest CT in Neck CT and MRI Reports.." Journal of the American College of Radiology : JACR, 2025.
PMID
41386541 ↗
Abstract 한글 요약
[PURPOSE] The aim of this study was to estimate the 2-year incidence of lung cancer diagnosed as a result of radiologist recommendations for chest CT in neck CT and MRI reports.
[METHODS] A retrospective observational cohort study was conducted, including all patients without histories of lung cancer with recommendations for chest CT in neck CT and MRI reports from June 1, 2021, to May 31, 2022, in a multi-institution health care system. Outcome data were extracted up to December 31, 2024. Two-year lung cancer incidence was estimated using a person-time calculation to acknowledge censoring with confidence intervals based on quasi-likelihood. Odds of fulfillment of the recommended chest CT for pulmonary nodules relative to other pulmonary abnormalities were estimated using logistic regression.
[RESULTS] Two hundred seventy-six of 28,707 (1.0%) consecutive neck, brachial plexus, and parathyroid CT and MRI reports in 273 of 22,173 patients (1.2%) (mean age, 62.5 ± 1 years, 52% women) contained recommendations for chest CT in the absence of prior lung cancer diagnoses. The median follow-up time was 34 months (interquartile range, 24-40 months). One patient (estimated 2-year incidence rate, 0.40%; 95% confidence interval, 0.05%-3.55%) was diagnosed with an incidental indolent adenocarcinoma. Recommended CT was performed in 171 of 273 patients (62.6%) and was less likely to be performed for pulmonary nodules than other pulmonary abnormalities (odds ratio, 0.46; 95% confidence interval, 0.27-0.77).
[CONCLUSIONS] One year of recommendations for chest CT examinations in neck CT and MRI reports across a multi-institution health care system led to the identification of only a single incidental lung cancer, an indolent adenocarcinoma. These results suggest that the frequency of recommendations for chest CT should likely be substantially decreased, but analysis of larger datasets is needed to inform best practices.
[METHODS] A retrospective observational cohort study was conducted, including all patients without histories of lung cancer with recommendations for chest CT in neck CT and MRI reports from June 1, 2021, to May 31, 2022, in a multi-institution health care system. Outcome data were extracted up to December 31, 2024. Two-year lung cancer incidence was estimated using a person-time calculation to acknowledge censoring with confidence intervals based on quasi-likelihood. Odds of fulfillment of the recommended chest CT for pulmonary nodules relative to other pulmonary abnormalities were estimated using logistic regression.
[RESULTS] Two hundred seventy-six of 28,707 (1.0%) consecutive neck, brachial plexus, and parathyroid CT and MRI reports in 273 of 22,173 patients (1.2%) (mean age, 62.5 ± 1 years, 52% women) contained recommendations for chest CT in the absence of prior lung cancer diagnoses. The median follow-up time was 34 months (interquartile range, 24-40 months). One patient (estimated 2-year incidence rate, 0.40%; 95% confidence interval, 0.05%-3.55%) was diagnosed with an incidental indolent adenocarcinoma. Recommended CT was performed in 171 of 273 patients (62.6%) and was less likely to be performed for pulmonary nodules than other pulmonary abnormalities (odds ratio, 0.46; 95% confidence interval, 0.27-0.77).
[CONCLUSIONS] One year of recommendations for chest CT examinations in neck CT and MRI reports across a multi-institution health care system led to the identification of only a single incidental lung cancer, an indolent adenocarcinoma. These results suggest that the frequency of recommendations for chest CT should likely be substantially decreased, but analysis of larger datasets is needed to inform best practices.
🏷️ 키워드 / MeSH 📖 같은 키워드 OA만
🏷️ 같은 키워드 · 무료전문 — 이 논문 MeSH/keyword 기반
- Reforming the delivery of smoking cessation: a distributional cost-effectiveness analysis of providing smoking cessation as part of targeted lung cancer screening.
- Effective use of PROs for survival prediction: Transformer-based modelling in NSCLC patients.
- Role of Cytokines in Oligometastatic Non-Small-Cell Lung Cancer Treated with Stereotactic Radiation Therapy: An Observational Pilot Study.
- Mitocurcumin induces ROS-/JNK-mediated paraptosis to overcome chemoresistance in non-small cell lung cancer.
- Retrospective dosimetric evaluation of the collapsed cone, AAA, and Acuros XB algorithms for lung cancer Halcyon VMAT plans.
- SLC2A1 tumour-associated macrophages spatially control CD8 T cell function and drive resistance to immunotherapy in non-small-cell lung cancer.