2.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 ; Lester Chee Hao LEONG ; Lynette Li San TEO ; Ching Ching ONG ; Foong Koon CHEAH ; Wei Ping THAM ; Haja Mohamed Mohideen SALAHUDEEN ; Chau Hung LEE ; Gregory Jon Leng KAW ; Augustine Kim Huat TEE ; Ian Yu Yan TSOU ; Kiang Hiong TAY ; Raymond QUAH ; Bien Peng TAN ; Hong CHOU ; Daniel TAN ; Angeline Choo Choo POH ; Andrew Gee Seng TAN
Singapore medical journal 2019;60(11):554-559
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.