期刊文献+

肺癌筛查中的问题和研究进展 被引量:5

Problems and research progress of lung cancer screening
暂未订购
导出
摘要 肺癌是全球范围内死亡率最高的肿瘤,早期诊断对肺癌的预后至关重要。研究显示运用低剂量CT(LDCT)进行肺癌筛查可使肺癌的死亡率显著下降,因此肺癌筛查成为肿瘤防治方面的新热点。在关注LDCT效果的同时,其存在的问题亦不可忽视,如过高的假阳性率、高危人群和风险模型的确立、过度诊断、辐射效应等。就肺癌筛查存在的问题和研究进展进行综述。 Lung cancer has become the leading cause of cancer mortality globally. Early diagnosis is important for the good prognosis. Evidence has shown low-dose CT screening can significantly decrease the mortality of lung cancer , the lung cancer screening has become a new research focus recently. However, in spite of the advantage, there are still many problems in the screening, such as, high false-positive rates, problem in establishing accurate risk prediction model, overdiagnosis, and radiation exposure. We reviewed the existing problems and research development of lung cancer screening.
作者 杨钊 叶兆祥
出处 《国际医学放射学杂志》 2015年第6期544-547,共4页 International Journal of Medical Radiology
基金 天津市抗癌重大科技专项(12zcdzsy15500) 国家卫生计生委行业专项(201402013)
关键词 癌症筛查 低剂量CT 肺癌 微小核糖核酸 风险因素 Cancer screening Low-dose CT Lung cancer Micro RNAs Risk factor
  • 相关文献

参考文献29

  • 1Siegel RL, Miller KD, Jemal A. Cancer statistics, 2015 [J]. CA Cancer J Clim201565:5-29.
  • 2陈万青,张思维,曾红梅,郑荣寿,邹小农,赵平,吴良有,李光琳,赫捷.中国2010年恶性肿瘤发病与死亡[J].中国肿瘤,2014,23(1):1-10. 被引量:893
  • 3Marcus PM, Bergstralh EJ, Fagerstrom RM, et al. Lung cancer mortalityin the Mayo Lung Project: impact of extended follow-up[J]. J Natl Cancer Inst,2000,92:1308-1316.
  • 4Henschke CI,McCauley D1, Yankelevitz DF,et al. Early Lung Cancer Action Project:overall design and findings from baseline screening [J].Lancet, 1999,354:99-105.
  • 5张丽,于红,刘士远.低剂量CT早期肺癌筛查的应用进展[J].国际医学放射学杂志,2011,34(6):535-538. 被引量:26
  • 6National Lung Screening Trial Research Team,Aberle DR, Adams AM,et al. Reduced lung-cancer mortality with low-dose computed tomographic screening[J]. N Engl J Med,2011,365:395-409.
  • 7Bach PB, Mirkin JN, Oliver TK,et al. Benefits and harms of CT screening for lung cancer: a systematic review[J]. JAMA,2012,307: 2418-2429.
  • 8Gareen IF, Duan F, Greco EM,et al. Impact of lung cancer screening results on participant health-related quality of life and state anxiety in the National Lung Screening Trial[J]. Cancer, 2014,120:3401- 3409.
  • 9van den Bergh KA, Essink-Bot ML, Borsboom GJ. Short-term health-related quality of life consequences in a lung cancer CT screening trial (NELSON)[J]. Br J Cancer,2010,102:27-34.
  • 10Byrne MM, Weissfeld J, Roberts MS. Anxiety, fear of cancer, and perceived risk of cancer following lung cancer screening [J]. Med Decis Making,2008,28:9 1 7-925.

二级参考文献30

  • 1张军,肖湘生,刘士远,陶晓峰,于红,李惠民.16层CT肺部筛查低剂量技术研究[J].中国医学计算机成像杂志,2006,12(3):175-178. 被引量:30
  • 2Ashraf H, Dirksen A, Loft A,et al. Combined use of positron emission tomography and volume doubling time in lung cancer screening with low-dose CT scanning [ J ]. Thorax,2011,66:315-319.
  • 3Macmahon H, Austin JH, Gamsu G, et al. Guidelines for management of small pulmonary nodules detected on CT scans. Astatement from the Fleischner Society [J]. Radiology, 2005, 237: 395 -400.
  • 4Felix L, Serra-Tosio G, Lautuejoul S, et al. CT characteristics of resolving ground-glass opacities in a lung cancer screening program [J]. Eur J Radiol, 2011,7:410-416.
  • 5Henschke CI, Boffetta P, Gorlova O, et al. Assessment of lung- cancer mortality reduction from CT screening [ J ]. Lung Cancer, 2011,71:328-332.
  • 6Ashraf H, Dirksen A, Loft A, et al . Combined use of positron emission tomography and volume doubling time in lung cancer screening with low-dose CT scanning [ J ].Thorax,2011,66:315-319.
  • 7Li F, Sone S, Abe H, et al. Lung cancers missed at low-dose helical CT screening in a general population: comparison of clinical , histopathologic, and imaging findings[J ] . Radiology,2002,225:673- 683.
  • 8Edwards BK, Howe HL, Ries LA, et al. Annum report to the nation on the status of cancer, 1973-1999, featuring implications of age and aging on the US cancer burden [J]. Cancer, 2002, 94:2766- 2792.
  • 9Jemal A, Siegel R, Ward E, et al. Cancer statistics, 2008 [J ]. CA Cancer J Clin, 2008, 58: 71-96.
  • 10D'Andrilli A, Maurizi G, Poggi C, et al. T4 lung cancer: results of surgical treatment [J]. Minerva Chir, 2010, 65: 569-575.

共引文献916

同被引文献30

引证文献5

二级引证文献31

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部