Cancer Res Treat.  2019 Oct;51(4):1285-1294. 10.4143/crt.2018.464.

Development of Protocol for Korean Lung Cancer Screening Project (K-LUCAS) to Evaluate Effectiveness and Feasibility to Implement National Cancer Screening Program

• Lee J
• Lim J
• Kim Y
• Kim HY
• Goo JM
• Lee CT
• Jang SH
• Lee WC
• Lee CW
• An JY
• Ko KD
• Lee MK
• Choi KS
• Park B
• Lee DH

• KMID: 2460578
• DOI: http://doi.org/10.4143/crt.2018.464

Abstract

PURPOSE
To reduce lung cancer mortality, lung cancer screening was recommended using low-dose computed tomography (LDCT) to high-risk population. A protocol for multicenter lung cancer screening pilot project was developed to evaluate the effectiveness and feasibility of lung cancer screening to implement National Cancer Screening Program in Korea.
MATERIALS AND METHODS
Multidisciplinary expert committee was comprised to develop a standardized protocol for Korean Lung Cancer Screening Project (K-LUCAS). K-LUCAS is a population-based single arm trial that targets high-risk population aged 55-74 years with at least 30 pack-year smoking history. LDCT results are reported by Lung-RADS suggested by American Radiology Society. Network-based system using computer-aided detection program is prepared to assist reducing diagnostic errors. Smoking cessation counselling is provided to all currently smoking participants. A small pilot test was conducted to check the feasibility and compliance of the protocols for K-LUCAS.
RESULTS
In pilot test, 256 were participated. The average age of participants was 63.2 years and only three participants (1.2%) were female. The participants had a smoking history of 40.5 pack-year on average and 53.9% were current smokers. Among them, 86.3% had willing to participate in lung cancer screening again. The average willingness to quit smoking among current smokers was 12.7% higher than before screening. In Lung-RADS reports, 10 (3.9%) were grade 3 and nine (3.5%) were grade 4. One participant was diagnosed as lung cancer.
CONCLUSION
The protocol developed by this study is assessed to be feasible to perform K-LUCAS in multicenter nationwide scale.

Keyword

Lung neoplasms; Mass screening; Low-dose computed tomography; Smokers; Pilot test

MeSH Terms

Arm
Compliance
Diagnostic Errors
Early Detection of Cancer*
Female
Humans
Korea
Lung Neoplasms*
Lung*
Mass Screening*
Mortality
Pilot Projects
Smoke
Smoking
Smoking Cessation
Smoke

Figure

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  Fig. 1. A summary of lung cancer screening procedure in Korean Lung Cancer Screening Project (K-LUCAS). (A) A summary of lung cancer screening procedure for National Cancer Screening Program (NCSP) participants. (B) A summary of lung cancer screening procedure for smoking cessation clinic visitors. LDCT, low-dose computed tomography.

• 

  Fig. 2. Network-based diagnosis supporting system using computer-aided detection (CAD) program in Korean Lung Cancer Screening Project (K-LUCAS). CT, computed tomography.

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  Fig. 3. Participant flow to screening in pilot test. K-LUCAS, Korean Lung Cancer Screening Project.

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  Fig. 4. Anxiety of lung cancer before and after lung cancer screening.

Reference

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