Mesh : Humans Early Detection of Cancer / methods Slovakia Lung Neoplasms / diagnostic imaging Mass Screening / methods Tomography, X-Ray Computed / methods

来  源:   DOI:10.4149/BLL_2023_016

Abstract:
Lung cancer (LC) represents a major healthcare issue worldwide. It is the leading cause of cancer-related mortality in Slovakia and European Union. Data from multiple randomized controlled trials have shown significant evidence of a mortality benefit in LC using screening with low-dose computed tomography of the chest (LDCT). Therefore, European healthcare authorities, relevant expert societies, and professional organizations recommend implementing national LC screening (LCS) programs in their member countries. This article outlines the basic methodology, guidelines, and practical aspects of LCS implementation strategies in Slovakia. We describe fundamental principles to identify asymptomatic high-risk patients reduce false positive and false negative results, decrease benign resection rates, and avoid unnecessary invasive procedures. The efficacious utilization of public resources to secure the highest possible quality standards of LDCT plays a crucial role in successfully implementing a nationwide LCS program (Tab. 1, Fig. 4, Ref. 31). Text in PDF www.elis.sk Keywords: lung cancer, screening, early detection, smoking cessation.
摘要:
肺癌(LC)是全球范围内的主要医疗保健问题。它是斯洛伐克和欧盟癌症相关死亡的主要原因。来自多个随机对照试验的数据显示,使用低剂量胸部计算机断层扫描(LDCT)筛查对LC的死亡率有益。因此,欧洲医疗当局,相关专家协会,和专业组织建议在其成员国实施国家LC筛查(LCS)计划。本文概述了基本方法,指导方针,以及斯洛伐克LCS实施战略的实践方面。我们描述了识别无症状高危患者减少假阳性和假阴性结果的基本原则,降低良性切除率,避免不必要的侵入性程序。有效利用公共资源以确保LDCT的最高质量标准在成功实施全国LCS计划中起着至关重要的作用(选项卡。1,图。4,参考。31).PDF中的文本www.Elis.sk关键词:肺癌,筛选,早期发现,戒烟。
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