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Review
. 2019 Nov;60(11):554-559.
doi: 10.11622/smedj.2019145.

A practical and adaptive approach to lung cancer screening: a review of international evidence and position on CT lung cancer screening in the Singaporean population by the College of Radiologists Singapore

Charlene Jin Yee Liew  1 , Lester Chee Hao Leong  2 , Lynette Li San Teo  3 , Ching Ching Ong  3 , Foong Koon Cheah  2 , Wei Ping Tham  2 , Haja Mohamed Mohideen Salahudeen  2 , Chau Hung Lee  4 , Gregory Jon Leng Kaw  4 , Augustine Kim Huat Tee  5 , Ian Yu Yan Tsou  6 , Kiang Hiong Tay  2 , Raymond Quah  7 , Bien Peng Tan  4 , Hong Chou  8 , Daniel Tan  9 , Angeline Choo Choo Poh  1 , Andrew Gee Seng Tan  1
Affiliations
Review

A practical and adaptive approach to lung cancer screening: a review of international evidence and position on CT lung cancer screening in the Singaporean population by the College of Radiologists Singapore

Charlene Jin Yee Liew et al. Singapore Med J. 2019 Nov.

Abstract

Lung cancer is the leading cause of cancer-related death around the world, being the top cause of cancer-related deaths among men and the second most common cause of cancer-related deaths among women in Singapore. Currently, no screening programme for lung cancer exists in Singapore. Since there is mounting evidence indicating a different epidemiology of lung cancer in Asian countries, including Singapore, compared to the rest of the world, a unique and adaptive approach must be taken for a screening programme to be successful at reducing mortality while maintaining cost-effectiveness and a favourable risk-benefit ratio. This review article promotes the use of low-dose computed tomography of the chest and explores the radiological challenges and future directions.

Keywords: computed tomography; lung cancer; position paper; public health; screening.

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