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Commentary |

Lung RADS: Potential Drawbacks and Need for Revision

Hiren J. Mehta, MD; Tan-Lucien Mohammed; Michael A. Jantz, MD
Author and Funding Information

Disclosures: Authors have no conflict of interest.

1Division of Pulmonary/Critical care/Sleep Medicine, University of Florida, College of Medicine

2Department of Radiology, University of Florida, College of Medicine, Gainesville, FL

Corresponding Author: Hiren J. Mehta MD Assistant Professor of Medicine Division of Pulmonary, Critical Care, and Sleep Medicine University of Florida 1600 SW Archer Road-Room M452 Gainesville, FL 32610-0225.


Copyright 2016, . All Rights Reserved.


Chest. 2016. doi:10.1016/j.chest.2016.07.028
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Abstract

Lung cancer screening using low dose CT scan reduces lung cancer specific and overall mortality in high risk patients. A significant limitation of lung cancer screening is the false positive rates. The American College of Radiology Lung Imaging Reporting and Data System (Lung-RADS)was designed to standardize reporting of low dose lung cancer screening scans and also to decrease the false positive rates without significantly compromising on the sensitivity. Implementing Lung-RADS can also improve cost effectiveness. Lung-RADS, however, has never been studied in a prospective fashion. Lung-RADS does not have a specific reporting category for patients with isolated hilar and mediastinal adenopathy or pleural effusion in the absence of lung nodules. We report four such cases in our lung cancer screening program. We believe that this is a significant limitation of Lung-RADS and should be revised in its new version.


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