Understanding Lung-RADS 1.0: A Case-Based Review

Lung cancer is the leading cause of cancer death in both men and women in the United States. The National Lung Screening Trial (NLST) demonstrated that low-dose computed tomography (CT) screening reduces lung cancer mortality by 20% compared to screening with chest radiography. Currently, many insti...

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Bibliographic Details
Published in:Seminars in ultrasound, CT, and MRI CT, and MRI, 2018-06, Vol.39 (3), p.260-272
Main Authors: Godoy, Myrna C.B., Odisio, Erika G.L.C., Erasmus, Jeremy J., Chate, Rodrigo C., dos Santos, Ricardo S., Truong, Mylene T.
Format: Article
Language:English
Subjects:
Humans
Lung - diagnostic imaging
Lung Neoplasms - diagnostic imaging
Radiology Information Systems
Tomography, X-Ray Computed - methods
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Summary:Lung cancer is the leading cause of cancer death in both men and women in the United States. The National Lung Screening Trial (NLST) demonstrated that low-dose computed tomography (CT) screening reduces lung cancer mortality by 20% compared to screening with chest radiography. Currently, many institutions in the US are implementing lung cancer screening programs. The use of lung-RADS as a quality assurance tool allows standardization of lung cancer screening CT lexicon, reporting and management recommendations, and reduces confusion in lung cancer screening CT interpretations. Lung-RADS will also facilitate outcome monitoring and future auditing of lung cancer screening programs, assist research, and consequently refine and improve lung cancer screening practices. Familiarity with lung-RADS version 1.0 is essential not only for radiologists interpreting low-dose computed tomography screening studies, but all medical personnel involved in multidisciplinary lung cancer screening programs. This article reviews the Lung-RADS categories and management recommendations using a case-based approach.
ISSN:0887-2171
1558-5034
DOI:10.1053/j.sult.2018.03.001