Radiation risk of lung cancer screening

Semin Respir Crit Care Med. 2013 Dec;34(6):738-47. doi: 10.1055/s-0033-1358615. Epub 2013 Nov 20.

Abstract

Lung cancer screening with low dose computed tomography (CT) is the only method ever proven to reduce lung cancer-specific mortality in high-risk current and former cigarette smokers. Radiation exposure from annual screening CT examinations and subsequent CT and nuclear medicine testing to further evaluate positive screening CTs is sometimes raised as a reason to avoid screening and is often misunderstood. With all testing, there are potential benefits and risks. As we sit on the brink of widespread adoption of lung cancer screening CT, we aim to explain why the risks associated with radiation exposure from lung cancer screening are very low and should not be used to avoid screening or dissuade individuals who qualify for screening CT to participate in a lung cancer screening program.

Publication types

  • Review

MeSH terms

  • Animals
  • Humans
  • Lung Neoplasms / diagnosis*
  • Lung Neoplasms / etiology
  • Lung Neoplasms / pathology
  • Mass Screening / adverse effects
  • Mass Screening / methods*
  • Patient Acceptance of Health Care
  • Radiation Injuries / epidemiology
  • Risk
  • Smoking / adverse effects
  • Tomography, X-Ray Computed / adverse effects
  • Tomography, X-Ray Computed / methods*
  • Treatment Refusal / psychology