title: The American College of Radiology Lung Imaging Reporting and Data System: Potential Drawbacks and Need for Revision.
abstract: Lung cancer screening using low-dose CT scanning reduces lung-cancer-specific and overall mortality in high-risk patients. A significant limitation of lung cancer screening is the false-positive rate. The American College of Radiology Lung Imaging Reporting and Data System (Lung-RADS) was designed to standardize reporting of low-dose lung cancer screening results and to decrease the false-positive rate without significantly compromising sensitivity. Implementing Lung-RADS can also improve cost-effectiveness. However, Lung-RADS has never been studied in a prospective fashion. It also does not have a specific reporting category for patients with isolated hilar and mediastinal adenopathy or pleural effusion in the absence of lung nodules. We report four such cases from our lung cancer screening program. We believe that this is a significant limitation of Lung-RADS and should be revised in its new version.
authors: Division of Pulmonary, Critical Care, and Sleep Medicine, University of Florida, College of Medicine, Gainesville, FL. Electronic address: hiren.mehta@medicine.ufl.edu.
authors: Hiren J
authors: HJ
authors: Mehta
authors: Department of Radiology, University of Florida, College of Medicine, Gainesville, FL.
authors: Tan-Lucien
authors: TL
authors: Mohammed
authors: Division of Pulmonary, Critical Care, and Sleep Medicine, University of Florida, College of Medicine, Gainesville, FL.
authors: Michael A
authors: MA
authors: Jantz
mesh_terms: D000230:Adenocarcinoma / Q000000981:diagnostic imaging*; D000368:Aged; D018287:Carcinoma, Large Cell / Q000000981:diagnostic imaging*; D004282:Documentation / Q000592:standards*; D055088:Early Detection of Cancer; D005189:False Positive Reactions; D005260:Female; D006689:Hodgkin Disease / Q000000981:diagnostic imaging*; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008175:Lung Neoplasms / Q000000981:diagnostic imaging*; D000072281:Lymphadenopathy / Q000000981:diagnostic imaging; D008297:Male; D008479:Mediastinal Neoplasms / Q000000981:diagnostic imaging*; D008482:Mediastinum / Q000000981:diagnostic imaging; D008875:Middle Aged; D016066:Pleural Effusion, Malignant / Q000000981:diagnostic imaging*; D011871:Radiology / Q000592:standards*; D012015:Reference Standards; D012107:Research Design; D012955:Societies, Medical; D014057:Tomography, X-Ray Computed; D014481:United States
keywords: Lung-RADS; lung cancer screening; mediastinal and hilar adenopathy