Main achievements of low-dose computed tomography in lung cancer screening

The objective of the study: to evaluate the effectiveness of diagnosis of tuberculosis and mycobacteriosis in bronchobiopsy specimens obtained during navigation by radial endobronchial ultrasonography (rEBUS) in patients with peripheral lung lesions without bacterial excretion.Subjects and methods. A retrospective analysis of the diagnostic effectiveness of bronchoscopic examination with biopsies was carried out in 179 patients (75 men and 104 women) suffering from pulmonary tuberculosis or mycobacteriosis without bacterial excretion; peripheral lung lesions had been visualized by computed tomography (CT). The patients were divided into two groups: 93 underwent bronchoscopy with biopsies with rEBUS navigation, 86 underwent bronchoscopy with classical biopsies and preliminary CT navigation. Each patient underwent multiple biopsies, at least one fluid biopsy (bronchoalveolar lavage or bronchial lavage), and one tissue biopsy (transbronchial lung biopsy or brush biopsy). Specimens collected by all types of bronchobiopsy were sent for microbiological and cytological tests, specimens of pulmonary transbronchial biopsy were additionally sent for histological examination.Results. The diagnosis of tuberculosis was verified by bronchobiopsy in 106 (67.5%) of 158 patients with tuberculosis, but statistically significantly more often in the group with rEBUS navigation versus the group without it – 81.9% (68/83) versus 50.7% (38/75), respectively (pχ2 < 0.01). The diagnosis of non-tuberculous mycobacteriosis was verified by bronchobiopsy in 13 (61.9%) of 21 patients, in the group with rEBUS navigation – in 80.0% (8/10) patients, in the group without it – in 45.5% (5/11) (pφ > 0.05). The use of rEBUS navigation while collecting bronchobiopsy specimens made it possible to increase the etiological verification of tuberculosis using the following microbiological methods: microscopy – from 14.7 to 49.4% (pχ2 < 0.01), molecular genetic – from 41.3 to 72.3% ( pχ2 < 0.01), culture (Bactec MGIT960) – from 44.0 to 67.5% (pχ2 < 0.01) The greatest enhancement of diagnostic effectiveness was achieved in the specimens of bronchoalveolar lavage and bronchial lavage – from 33.3 to 71.1% (pχ2 < 0.01) and in brush biopsy specimens – from 25.6 to 57.6% (pχ2 < 0.01).

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Patients’ effective doses assessment during low-dose computed tomography

Druzhinina,

Vodovatov,

Romanovich

et al. 2024

Radiac. gig. (2008)

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Computed tomography has become increasingly common for diagnosing socially significant diseases in recent years. In foreign practice, screening schemes for lung cancer in people belonging to risk categories have been developed and implemented. These schemes have been successfully used over the past 10 years. In this case, “low-dose” scanning protocols are used, which make it possible to perform examination with patient effective dose several times lower compared to standard protocols. Lung cancer screening methods using low-dose computed tomography are beginning to be introduced in the Russian Federation. To ensure the radiation safety of those individuals eligible for inclusion in screening programs or participating in biomedical research testing lung cancer screening, it is necessary to evaluate effective doses from low-dose computed tomography and compare these doses to established radiation dose limits. This study assessed the patients’ effective doses who underwent different types of low-dose computed tomography of chest at two medical organizations. The results of the study show that it is possible to achieve non-exceedance of the current annual effective dose limit of 1 mSv only for patients weighing less than 90 kg. For patients with higher body weight, the minimum effective dose will be in the range of 1.2 – 1.4 mSv. The results of the study indicate the need to make changes to the current regulatory and methodological documents of Rospotrebnadzor to ensure the possibility of using low-dose computed tomography as part of screening for all categories of people.

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Main achievements of low-dose computed tomography in lung cancer screening

Cited by 9 publications

References 47 publications

Effectiveness of using artificial intelligence technologies for dual descriptions of the results of preventive lung examinations

Effectiveness of using artificial intelligence technologies for dual descriptions of the results of preventive lung examinations

Bronchoscopic biopsies with radial endobronchial ultrasonographic navigation in the diagnosis of tuberculosis and mycobacteriosis in patients with peripheral lung masses

Patients’ effective doses assessment during low-dose computed tomography

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