Western Australian cigarette smokers have fewer small lung nodules than North Americans on CT screening for lung cancer
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作者:
Murray, C. P.
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Univ Western Australia, Royal Perth Hosp, Dept Intervent & Diagnost Radiol, Perth, WA 6009, AustraliaUniv Western Australia, Royal Perth Hosp, Dept Intervent & Diagnost Radiol, Perth, WA 6009, Australia
Murray, C. P.
[1
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Wong, P. M.
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Univ Western Australia, Sch Med & Pharmacol, Perth, WA 6009, AustraliaUniv Western Australia, Royal Perth Hosp, Dept Intervent & Diagnost Radiol, Perth, WA 6009, Australia
Wong, P. M.
[2
]
Louw, J.
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Univ Western Australia, Royal Perth Hosp, Dept Intervent & Diagnost Radiol, Perth, WA 6009, AustraliaUniv Western Australia, Royal Perth Hosp, Dept Intervent & Diagnost Radiol, Perth, WA 6009, Australia
Louw, J.
[1
]
Waterer, G. W.
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Univ Western Australia, Sch Med & Pharmacol, Perth, WA 6009, AustraliaUniv Western Australia, Royal Perth Hosp, Dept Intervent & Diagnost Radiol, Perth, WA 6009, Australia
Waterer, G. W.
[2
]
机构:
[1] Univ Western Australia, Royal Perth Hosp, Dept Intervent & Diagnost Radiol, Perth, WA 6009, Australia
[2] Univ Western Australia, Sch Med & Pharmacol, Perth, WA 6009, Australia
P>To determine the prevalence of small lung nodules on low-dose helical computed tomography (CT) in a Western Australian cohort of asymptomatic long-term cigarette smokers and to compare this with a large, similarly derived cohort of North Americans from the Mayo Clinic Lung Cancer Screening Trial. Forty-nine asymptomatic long-term cigarette smokers of minimum age 50 years underwent a low-dose 64-slice helical CT of the lungs. Images were viewed on a soft copy reporting station with thin section axial and coronal images, maximum intensity projection images, and advanced image manipulation tools. The prevalence of all nodules was 39%, significantly lower than the Mayo Clinic cohort prevalence of 51% (P < 0.01, Fisher's exact test), despite the use of more advanced imaging technology and image manipulation designed to increase the sensitivity for nodules. The prevalence of small nodules in asymptomatic long-term cigarette smokers in Western Australia is high, though significantly less than that found in a large study in North America. The authors postulate this is due to the relatively low rates of mycobacterium tuberculosis and soil-derived fungal pulmonary infections in Western Australia, as well as a lower degree of urban air pollution.
机构:
European Inst Oncol, Div Epidemiol & Biostat, I-20141 Milan, Italy
Univ Milano Bicocca, Dept Stat, Milan, ItalyEuropean Inst Oncol, Div Epidemiol & Biostat, I-20141 Milan, Italy
Bagnardi, Vincenzo
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Bellomi, Massimo
Veronesi, Giulia
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European Inst Oncol, Early Diag & Lung Canc Prevent Res Unit, I-20141 Milan, ItalyEuropean Inst Oncol, Div Epidemiol & Biostat, I-20141 Milan, Italy
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Harvard Med Sch, Brigham & Womens Hosp, Dept Radiol, 75 Francis St, Boston, MA 02115 USAHarvard Med Sch, Brigham & Womens Hosp, Dept Radiol, 75 Francis St, Boston, MA 02115 USA
Hammer, Mark M.
Byrne, Suzanne C.
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Harvard Med Sch, Brigham & Womens Hosp, Dept Radiol, 75 Francis St, Boston, MA 02115 USAHarvard Med Sch, Brigham & Womens Hosp, Dept Radiol, 75 Francis St, Boston, MA 02115 USA
机构:
Univ Groningen, Univ Med Ctr Groningen, Ctr Med Imaging North East Netherlands, Groningen, NetherlandsUniv Groningen, Univ Med Ctr Groningen, Ctr Med Imaging North East Netherlands, Groningen, Netherlands
Walter, Joan E.
Heuvelmans, Marjolein A.
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Univ Groningen, Univ Med Ctr Groningen, Ctr Med Imaging North East Netherlands, Groningen, Netherlands
Med Spectrum Twente, Dept Pulmonol, Enschede, NetherlandsUniv Groningen, Univ Med Ctr Groningen, Ctr Med Imaging North East Netherlands, Groningen, Netherlands
Heuvelmans, Marjolein A.
de Bock, Geertruida H.
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Univ Groningen, Univ Med Ctr Groningen, Dept Epidemiol, Groningen, NetherlandsUniv Groningen, Univ Med Ctr Groningen, Ctr Med Imaging North East Netherlands, Groningen, Netherlands
de Bock, Geertruida H.
Yousaf-Khan, Uraujh
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Erasmus MC, Dept Publ Hlth, Rotterdam, NetherlandsUniv Groningen, Univ Med Ctr Groningen, Ctr Med Imaging North East Netherlands, Groningen, Netherlands
Yousaf-Khan, Uraujh
Groen, Harry J. M.
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Univ Groningen, Univ Med Ctr Groningen, Dept Pulm Dis, Groningen, NetherlandsUniv Groningen, Univ Med Ctr Groningen, Ctr Med Imaging North East Netherlands, Groningen, Netherlands
Groen, Harry J. M.
van der Aalst, Carlijn M.
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Erasmus MC, Dept Publ Hlth, Rotterdam, NetherlandsUniv Groningen, Univ Med Ctr Groningen, Ctr Med Imaging North East Netherlands, Groningen, Netherlands
van der Aalst, Carlijn M.
Nackaerts, Kristiaan
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Katholieke Univ Leuven, Dept Pulm Med, Univ Hosp Leuven, Herestr 49, B-3000 Leuven, BelgiumUniv Groningen, Univ Med Ctr Groningen, Ctr Med Imaging North East Netherlands, Groningen, Netherlands
Nackaerts, Kristiaan
van Ooijen, Peter M. A.
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Univ Groningen, Univ Med Ctr Groningen, Ctr Med Imaging North East Netherlands, Groningen, NetherlandsUniv Groningen, Univ Med Ctr Groningen, Ctr Med Imaging North East Netherlands, Groningen, Netherlands
van Ooijen, Peter M. A.
de Koning, Harry J.
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Erasmus MC, Dept Publ Hlth, Rotterdam, NetherlandsUniv Groningen, Univ Med Ctr Groningen, Ctr Med Imaging North East Netherlands, Groningen, Netherlands
de Koning, Harry J.
Vliegenthart, Rozemarijn
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Univ Groningen, Univ Med Ctr Groningen, Ctr Med Imaging North East Netherlands, Groningen, NetherlandsUniv Groningen, Univ Med Ctr Groningen, Ctr Med Imaging North East Netherlands, Groningen, Netherlands
Vliegenthart, Rozemarijn
Oudkerk, Matthijs
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Univ Groningen, Univ Med Ctr Groningen, Ctr Med Imaging North East Netherlands, Groningen, NetherlandsUniv Groningen, Univ Med Ctr Groningen, Ctr Med Imaging North East Netherlands, Groningen, Netherlands
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Icahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USAIcahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USA
Yankelevitz, David F.
Yip, Rowena
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Icahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USAIcahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USA
Yip, Rowena
Smith, James P.
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Weill Cornell Med Coll, Dept Med, New York, NY USAIcahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USA
Smith, James P.
Liang, Mingzhu
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Icahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USA
Sun Yat Sen Univ, Affiliated Hosp 5, Dept Radiol, Zhuhai, Peoples R ChinaIcahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USA
Liang, Mingzhu
Liu, Ying
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Icahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USA
Chinese Acad Med Sci, Canc Hosp, Dept Diagnost Radiol, Beijing 100730, Peoples R China
Natl Canc Ctr China, Beijing, Peoples R ChinaIcahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USA
Liu, Ying
Xu, Dong Ming
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Icahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USAIcahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USA
Xu, Dong Ming
Salvatore, Mary M.
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Icahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USAIcahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USA
Salvatore, Mary M.
Wolf, Andrea S.
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Icahn Sch Med Mt Sinai, Dept Thorac Surg, New York, NY 10029 USAIcahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USA
Wolf, Andrea S.
Flores, Raja M.
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Icahn Sch Med Mt Sinai, Dept Thorac Surg, New York, NY 10029 USAIcahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USA
Flores, Raja M.
Henschke, Claudia I.
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Icahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USAIcahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USA
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Univ Nottingham, Div Primary Care, Floor 13,Tower Bldg,Univ Pk, Nottingham NG7 2RD, EnglandUniv Nottingham, Div Primary Care, Floor 13,Tower Bldg,Univ Pk, Nottingham NG7 2RD, England
Clark, Marcia E.
Bedford, Laura E.
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Univ Nottingham, Div Primary Care, Floor 13,Tower Bldg,Univ Pk, Nottingham NG7 2RD, EnglandUniv Nottingham, Div Primary Care, Floor 13,Tower Bldg,Univ Pk, Nottingham NG7 2RD, England
Bedford, Laura E.
Young, Ben
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Univ Nottingham, Div Primary Care, Floor 13,Tower Bldg,Univ Pk, Nottingham NG7 2RD, EnglandUniv Nottingham, Div Primary Care, Floor 13,Tower Bldg,Univ Pk, Nottingham NG7 2RD, England
Young, Ben
Robertson, John F. R.
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Univ Nottingham, Div Med Sci & Grad Entry Med, Nottingham, EnglandUniv Nottingham, Div Primary Care, Floor 13,Tower Bldg,Univ Pk, Nottingham NG7 2RD, England
Robertson, John F. R.
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das Nair, Roshan
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Vedhara, Kavita
Littleford, Roberta
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Univ Dundee, Tayside Clin Trials Unit, Dundee, ScotlandUniv Nottingham, Div Primary Care, Floor 13,Tower Bldg,Univ Pk, Nottingham NG7 2RD, England
Littleford, Roberta
Sullivan, Francis M.
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Univ St Andrews, Sch Med, St Andrews, Fife, ScotlandUniv Nottingham, Div Primary Care, Floor 13,Tower Bldg,Univ Pk, Nottingham NG7 2RD, England
Sullivan, Francis M.
Mair, Frances S.
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Univ Glasgow, Gen Practice & Primary Care, Glasgow, Lanark, ScotlandUniv Nottingham, Div Primary Care, Floor 13,Tower Bldg,Univ Pk, Nottingham NG7 2RD, England
Mair, Frances S.
Schembri, Stuart
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Univ Dundee, Scottish Ctr Resp Res, Dundee, ScotlandUniv Nottingham, Div Primary Care, Floor 13,Tower Bldg,Univ Pk, Nottingham NG7 2RD, England
Schembri, Stuart
Rauchhaus, Petra
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Univ Dundee, Tayside Clin Trials Unit, Dundee, ScotlandUniv Nottingham, Div Primary Care, Floor 13,Tower Bldg,Univ Pk, Nottingham NG7 2RD, England
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Univ Groningen, Univ Med Ctr Groningen, Dept Radiol, Ctr Med Imaging North East Netherlands, Groningen, NetherlandsUniv Groningen, Univ Med Ctr Groningen, Dept Radiol, Ctr Med Imaging North East Netherlands, Groningen, Netherlands
Walter, J.
Heuvelmans, M.
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Univ Groningen, Univ Med Ctr Groningen, Dept Radiol, Ctr Med Imaging North East Netherlands, Groningen, NetherlandsUniv Groningen, Univ Med Ctr Groningen, Dept Radiol, Ctr Med Imaging North East Netherlands, Groningen, Netherlands
Heuvelmans, M.
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Vliegenthart, R.
Ooijen, P.
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Univ Groningen, Univ Med Ctr Groningen, Dept Radiol, Ctr Med Imaging North East Netherlands, Groningen, NetherlandsUniv Groningen, Univ Med Ctr Groningen, Dept Radiol, Ctr Med Imaging North East Netherlands, Groningen, Netherlands
Ooijen, P.
De Koning, H.
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Univ Med Ctr Rotterdam, Erasmus MC, Dept Publ Hlth, Rotterdam, NetherlandsUniv Groningen, Univ Med Ctr Groningen, Dept Radiol, Ctr Med Imaging North East Netherlands, Groningen, Netherlands
De Koning, H.
Oudkerk, M.
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Univ Groningen, Univ Med Ctr Groningen, Dept Radiol, Ctr Med Imaging North East Netherlands, Groningen, NetherlandsUniv Groningen, Univ Med Ctr Groningen, Dept Radiol, Ctr Med Imaging North East Netherlands, Groningen, Netherlands