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LUNG RADS

LUNG RADS. Julianna M. Czum, MD CTOP retreat - May 22, 2014. No COI. OBJECTIVES. 1 . Define Lung RADS and its purpose 2 . Describe ( +) vs (-) CT screening categories 3 . Match recommendations with categories.

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LUNG RADS

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  1. LUNG RADS Julianna M. Czum, MD CTOP retreat - May 22, 2014

  2. No COI

  3. OBJECTIVES 1. Define Lung RADS and its purpose 2. Describe (+) vs (-) CT screening categories 3. Match recommendations with categories

  4. ACR-STR Practice Parameter for the Performance and Reporting of Lung Cancer Screening Thoracic CT - 2014

  5. Lung RADS1. = Lung Reporting And Data System • Who From?/Source: • American College of Radiology (ACR) Lung Cancer Screening Committee subgroup   • What For?/Purpose: • Standardization of screening CT practice and communication of results • What Does It Consist of?/Content: • Assessment categories and systematic management recommendations for screen-detected lung nodules.

  6. Other Imaging “RADS”: • BI-RADS: • For mammography since 1993 • Breast US and MRI added more recently • LI-RADS: • For liver/hepatocellular carcinoma: CT& MRI • HI-RADS: • For head injury/traumatic brain: CT & MRI • In development • PI-RADS: • For prostate MR imaging • European Society of Urogenital Radiology

  7. Assessment Categories: 0 = incomplete

  8. Assessment Categories: (-) CT screen

  9. Assessment Categories: (-) CT screen

  10. Assessment Categories: (+) CT screen

  11. Assessment Categories: (+) CT screen

  12. Negative vs positive screen 2. • Negative (-) screen: categories 1 and 2 • Positive (+) screen: categories 3 and 4 • (Category 0 = incomplete)

  13. “The Fine Print” “1. Negative screen does not mean that an individual does not have lung cancer.” In other words, the presence of only a category 1 or 2 finding on screening CT should not be interpreted as meaning “there is no lung cancer”, but rather that nothing is seen that meets criteria for possible or probable clinically active lung cancer and therefore, continued annual screening should take place.

  14. 3.

  15. Designated Lung Cancer Screening Center • ACR recognition of facilities committed to providing quality screening care to patients at the highest risk for lung cancer. • Must have an active ACR chest CT accreditation • Must meetspecific equipment, personnel, and imaging protocol requirements.

  16. Lung Screening Program: it’s not just about CT & nodules

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