The American Cancer Society recommends yearly LDCT lung cancer screening for certain people at higher risk for lung cancer who meet all of the following conditions¹:
Until recently, regular chest x-rays were used for lung cancer screening, but they did not have a significant impact on survival rates. However, new testing options, including low-dose CT scan (LDCT), can help find abnormal areas in the lungs that may be cancer. Research has shown that using LDCT scans to screen people at higher risk of lung cancer saved more lives compared to chest x-rays. For higher risk people, getting yearly LDCT scans before symptoms start may help lower their risk of dying from lung cancer.
The National Lung Screening Trial
The National Lung Screening Trial (NLST) was a large clinical trial that looked at using LDCT of the chest to screen for lung cancer. The study included more than 50,000 people ages 55 to 74 who were current or former smokers and were in fairly good health. The study did not include people who had a history of lung cancer or lung cancer symptoms or those with other serious medical problems.
After several years, the study found that people who got LDCT had a 20% lower chance of dying from lung cancer than those who got chest x-rays. They were also 7% less likely to die overall (from any cause) than those who got chest x-rays.
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