Table 1. Summary of previously published randomized clinical trials on low-dose computed tomography screening for lung cancer.
Trial name | Group (LDCT vs. control) | Recruitment years | N (LDCT vs. control) | Sex (F/M) | Eligibility criteria | Tomogram thickness (mm) | Screening intervals | Screening duration | Follow-up | Outcomes | Citations |
---|---|---|---|---|---|---|---|---|---|---|---|
NLST | LDCT vs. CXR | 2002-2004 | 26,722 vs. 26,732 | 41/59 | Age: 55-74 y; current or former (<15 years since quitting) smokers (≥30 pack-years) | 1-2.5 | 0, 1, 2 | 3 y | 6.5 y | Lung cancer specific mortality: reduction of 20.0% (95% CI, 6.8-26.7; P=0.004); all-cause mortality: reduction of 6.7% (95% CI, 1.2-13.6; P=0.02) | (7,25) |
DANTE | LDCT vs. no screening | 2001-2006 | 1,276 vs. 1,196 | 0/100 | Age: 60-74 y; current or former smokers (≥20 pack-years) | 5 | 0, 1, 2, 3, 4 | 5 y | 2.8 y | LDCT vs. control number (%); lung cancer specific mortality: 20 (1.6) vs. 20 (1.7); all-cause mortality: 46 (3.6) vs. 45 (3.8) | (26,27) |
DLCST | LDCT vs. no screening | 2004-2006 | 2,052 vs. 2,052 | 44/56 | Age: 50-70 y; current or former smokers (≥20 pack-years) | 3 or 1 | 0, 1, 2, 3, 4 | 5 y | 4.8 y | LDCT vs. control number (%); lung cancer specific mortality: 15 (0.7) vs. 11 (0.5); all-cause mortality: 61 (3.0) vs. 42 (2.1) | (28,29) |
MILD | LDCT (annual or biennial) vs. observation | 2005-2011 | 2,376 (1,190 annual, 1,186 biennial) vs. 1,723 | 34/66 | Age: ≥49 y; current or former (quit <10 years ago) smokers (≥20 pack-years) | 1-5 | 0, 1, 2, 3, 4 | 5 y | 4.4 y | LDCT vs. control lung cancer specific mortality: HR =1.64 (95% CI, 0.67-4.01; P=0.21); all-cause mortality: HR =1.40 (95% CI, 0.82-2.38; P=0.13). |
(30) |
LDCT, low-dose computed tomography; F, female; M, male; y, years; CI, confidence interval; HR, hazard ratio; NLST, National Lung Screening Trial; DANTE, Detection and Screening of Early Lung Cancer by Novel Imaging Technology and Molecular Essays; DLCST, Danish Lung Cancer Screening Trial; MILD, Multicentric Italian Lung Detection.