Table 2.
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
Pack-years, defined as number of cigarettes packs smoked per day multiplied by the number of years smoked.
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
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)
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.
Nodules < 10 mm underwent repeat screening while nodules ≥ 10 were referred for biopsy
Screening was discontinued after at least one normal annual repeat scan in participants < 55 years old
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.
Bi-annual
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
The workup protocol was not rigid and could be adjusted.
Semi-annual.
Diagnostic work-up was a referral to PET scan.
Planned follow-up of those with malignant disease.
At least one-half pack per day for at least 25 years.
Referred to thin slice CT
In the last round of screening 14 participants were scanned according to a different protocol including collimation = 3 mm.