Skip to main content
. Author manuscript; available in PMC: 2013 Jul 12.
Published in final edited form as: JAMA. 2012 Jun 13;307(22):2418–2429. doi: 10.1001/jama.2012.5521

Table 2.

Cohort Studies of LDCT Identified in the Search of the Literature

Study Number of
Participants
LDCT Was a
Diagnostic
Protocol in
Place?
Study Duration Number of Screens Participant Characteristics
Enrolled in
Study
% Screened at
Baseline
Collimation
(mm)
Nodule Size (mm)
Warranting
Work up
(↑
Imaging / Diagnostic
Tests)
Years of
Accrual
Planned Years
of Follow-up
from Baseline
Planned Completed
(at last report)
Conducted
Annually?
Male Age Range
(or Lower Limit)
Smoking
History
Eligibility
(current or former)
Pack
Yearsa
Years
since
quit
Veronesi 2008 25, 67 5,201 b - b 2.5 > 5 / > 8 l Yes 2004–05 - 5 2 Yes 66% ≥ 50 ≥ 20 <10
Wilson 2008 26 3,755 97% 2.5 Any / ≥ 10 g No 2002–06 3 2 2 Yes 51% 50–79 ≥ 12.5 n <10
Menezes 2010 27 3,352 b - b 1–1.25 ≥ 5 / ≥ 15 Yes 2003–07 - 6 6 Yes 46% 50–80 ≥ 10 -
Sobue 2002 28 1,682 96% 10 Any Yes o 1993–98 - ~10 f ~10 No h 88% 40–79 ≥ 20 -
Swenson 2005 29, 68,69 1,520 100% 5 Any / > 8 c Yes 1999 5 5 5 Yes 52% 50–85 ≥ 20 <10
Pastorino 2003 30 1,035 100% 10 > 5 Yes 2000–01 - 5 2 Yes 71% 50–84 ≥ 20 -
Henschke 2001 31, 70 1,000 - 10 Any / ≥ 6 i Yes j 1993–98 10 m 3 3 Yes 54% ≥ 60 ≥ 10 -
Bastarrika 2005 32 911 b - b 8 d ≥ 5 / ≥ 10 l Yes - - 2 2 Yes 74% ≥ 40 ≥ 10 -
Diederich 2004 33, 71, 72 817 100% 5 Any / > 10 e Yes 1995–99 6 f 6 6 Yes 72% 40–78 ≥ 20 -
Novello 2005 34 520 99% 8.8 ≥ 5 / > 11 Yes 2001 - 5 3 Yes 73% 54–79 ≥ 20 < 10
Callol 2007 35 482 97% 10 ≥ 5 / >10 Yes 2001–04 - 2 2 No k 65% 50–73 > 10 < 0.5
MacRedmond 2006
36, 73
449 100% 10 Any / ≥ 10 Yes - 2 2 2 Yes 50% 50–74 ≥ 10 -
Picozzi 2005 37 60 100% 10 p Any / ≥ 10 e Yes 2000–01 3 3 3 Yes 78% 57–78 ≥ 20 -

Note: - = Not Reported, The column heading Nodule Size (mm) Warranting Work-up indicates first the largest size nodule warranting additional imaging, and second the largest size nodule warranting diagnostic testing

a

Pack-years, defined as number of cigarettes packs smoked per day multiplied by the number of years smoked.

b

The total number of participants enrolled was not reported, only the total number scanned at baseline, thus compliance with screening at baseline cannot be determined

c

The following change to the protocol was reported: nodules < 4mm were initially followed with repeat CT at 6 months, but was then changed to 12 months (repeat screening)

d

297 participants were studied with a single slice helical scanner at a collimation of 8 mm and to precisely characterize any pulmonary nodule then same day high resolution CT. For the remaining 614 patients, a four-row multi-slice helical CT scanner was used – collimation = 1.25 mm.

e

Nodules < 10 mm underwent repeat screening while nodules ≥ 10 were referred for biopsy

f

Screening was discontinued after at least one normal annual repeat scan in participants < 55 years old

g

The following change to the protocol was reported: All patients with non-calcified nodules at baseline were referred to additional imaging, at repeat screening only nodules ≥ 4 mm were referred.

h

Bi-annual

i

Nodules ≤ 5 mm = follow-up with high dose CT, nodules 6–10 mm assessment of the possibility for biopsy, ≥ 11 mm = referred to pulmonary physician for biopsy

j

The workup protocol was not rigid and could be adjusted.

k

Semi-annual.

l

Diagnostic work-up was a referral to PET scan.

m

Planned follow-up of those with malignant disease.

n

At least one-half pack per day for at least 25 years.

o

Referred to thin slice CT

p

In the last round of screening 14 participants were scanned according to a different protocol including collimation = 3 mm.