ACR–STR Practice Parameter for the Performance and Reporting of Lung Cancer Screening Thoracic Computed Tomography (CT)

Prospective intra-individual comparison of standard dose versus reduced-dose thoracic CT using hybrid and pure iterative reconstruction in a follow-up cohort of pulmonary nodules—Effect of detectability of pulmonary nodules with lowering dose based on nodule size, type and body mass index

“…However, as outlined by the recent Cochrane review, the relative harms and benefits of screening across different risk groups and settings needs to be considered and there is a requirement for standardized practices for screening with LDCT [3,4]. The ACR-Society of Thoracic Radiology suggests CT examinations should be acquired by using multidetector scanners with at least 16 detector rows, a helical technique, and with the patient in a suspended state of full inspiration [5]. For a standardized patient, it is recommended that the technique should deliver CTDIvol of ≤3 mGy.…”

An Official American Thoracic Society/American College of Chest Physicians Policy Statement: Implementation of Low-Dose Computed Tomography Lung Cancer Screening Programs in Clinical Practice

“…To minimize patient harms, protocols to reduce radiation exposure have been developed, such as the technical specifications delineated by the American College of Radiology and Society of Thoracic Radiology (45). Per these specifications, screening scans should be noncontrast helical studies performed with radiation dose less than or equal to 3 mGy for most patients, acquired and viewed at less than or equal to 2.5-mm slice thickness (,1 mm preferred).…”

What's New in 10 Years? A Revised Cardiothoracic Curriculum for Diagnostic Radiology Residency with Goals and Objectives Related to General Competencies

“…This landmark trial demonstrated a 20% relative reduction in lung cancer mortality using lowdose CT lung cancer screening as compared to single-view, posteroanterior chest radiography (4). It is therefore important for radiology residents to be familiar with not only the benefits of CT lung cancer screening but also the reporting terminology and management recommendations according to the American College of Radiology (ACR)-endorsed Lung Imaging Reporting and Data System (5,6).…”

“…Radiology residency programs must define the specific knowledge, skills, behaviors, and attitudes required of residents and must provide adequate educational experience to achieve competency in six areas defined by the ACGME: (1) patient care (PC), (2) medical knowledge (MK), (3) professionalism (P), (4) interpersonal/communication skills (ICS), (5) practice-based learning and improvement (PBLI), and (6) systems-based practice (SBP). These six areas, as they specifically relate to radiology, have been previously published (2).…”