Lung Cancer Screening (basics for patients)

[@jeffnc]

I'm neither a medic nor a patient (I hope!) but a medical researcher working on diagnostics with CT and found this to be a very useful video, thanks!

[@johnodonnell6030]

Thank you so much for this video . After angiogram on my artery in my leg I had an incidental finding of a growth on my kidney which has now possibly spread to my lungs .I have a lung biopsy in a weeks time and this has made me feel more positive that I maybe get a better result than I was expecting .

[@ThoracicRadiology]

Best of luck!

[@luckypenny4263]

Excellent video ! Well explained and I do hope you make more of the chest ct and pet scans on how to read them for the in school medical people along with the types of lung cancer treatments surgeries biopsies what to expect the findings after the LDCT is positive etc … love these series

[@betsylynn6737]

Another great video.This has really helped me. I'm going for a CT scan next week because some pulmonary nodules showed up on my cardiac calcium screening test, result was zero. I've never smoked, so these videos have eased my concerns about it being lung cancer.

[@ThoracicRadiology]

Thanks Betsy. I think most people don't know how common lung nodules are. The overwhelming majority are benign, but we follow them to be on the safe side. Congrats on the "0" calcium score!

[@Stella20450]

Lots of information about nodules are about solitary there are very few on information about multiple.. On the internet it says that more nodules (multiple) the most common cause is metastasis from a cancer. Is this really true?

[@luzsufficiencia4555]

Thanks for sharing, very educational video. GOD BLESS.

[@jr.6199]

Most helpful for those looking for preventative health screenings. Somehow 20% of those dying of lung cancer in the US wer non smokers. Current US corporations medical staff cannot have these conversations with Patients, to the detriment of health care. I don't blame the doctors and nurses, this falls on the Corporate executives who create the policy of care for citizens. Keep up this level of videos for us and U.S..

[@cherokeeusdi4363]

I need help to stop smoking Dr said I have small cancer on out side wall of my lung got 2 go have removed on June 16 2022 next Thursday can u talk 2 me IAM scared 😨 IAM 61 years old

[@JohnnyCatFitz]

Fwiw, my parent is 79y, and had radiation therapy for a small nodule at age 77 ( never even biopsied apparently, so small), and neglected to take charge and schedule a 12 month follow up. The doctor's office had a computer glitch in automatic scheduling for that far out and it is now 2yrs out from that original treatment and now has had to do additional PET scan and has a new, cancerous 3.5cm mass in the opposite lung. PLEASE DO YOUR FOLLOW UP AND DON'T BE BLASE OR EXPECT THE DOCTOR TO SCHEDULE IT. My parent would have a *much, much* smaller tumor if this had been only 1 year and not 2! Now serious surgery is going to be required ( at least lobectomy we think) and the risk of spreading cells is far greater. The worry is greater too. They quit a 2 pk a day habit over 20 years ago.

[@ThoracicRadiology]

Thank you for sharing that story. Hope your parent gets better. Yes, a delay of 1 year can make a big difference in the stage of a lung cancer.

[@timsolomon8352]

How did the patient turn out?

[@armnazmulislamfahim1645]

It was helpful. Warmth respect from Bangladesh. ❤️

[@AlecFlackie]

Thank you for your video, I have my first lung cancer screening appointment on Saturday. iI live in the UK so no need for insurance here and got a triage phone call automatically as I am high risk, but I imagine the medical reasoning is the same. By the by I'm a nurse and work in GI so deal with patients being screened for bowel cancer so understand the concerns for the patient.

[@ThoracicRadiology]

thank you for sharing and good luck to you, sir!

[@user-ht4fy6we7d]

Amazing lecture! Thank you😊

[@samuelwatson291]

I’ve been having slight chest pain in the middle line of my chest and I had to get a CT scan because they seen a spot and when my results came in they think it’s fibrosis but they don’t know for sure so I’m getting another one to see for sure it’s not lung cancer.

[@samuelwatson291]

I’m only 20

[@jefferyyounce5372]

@@samuelwatson291 did you smoke weed and Tabaco?

[@andreabakas6274]

Excellent, thanks! ❤

[@user-bd4ce9is9x]

Thankyou.

[@elkypmtarot9098]

I’m just home from my second scan one year on from them finding a node. Can I just say that Year was horrendous and I think their planning needs reviewed. Also I would have preferred to get my result then and there instead of the gp knowing first.

[@petezegreat]

Great video, very informative

[@philipkreutzer6774]

Do imaging centers normally have the results forwarded to a family doctor or does the radiologist explain directly with patient ? The reason I ask is that I do not have a family doctor . In Orlando Florida AdventHealth Imaging does not have the special designation for lung cancer screening . Is the designation significant ? Thank-you for your video .

[@ThoracicRadiology]

The results usually go to your primary care physician (usually family doctor or internal medicine). I would recommend finding one bc they would need to make referrals if something is found. You can certainly get the report directly from the imaging center but the radiologist does not usually go over the results with you. The accreditation thing is good if it is there but if it is not, it does not necessarily mean the center is doing anything wrong. It may be something as simple as not filling out the paperwork to get the accreditation.

[@normariccobene6932]

Ct scans one pet scan then a rushed through bronscopy then opps another pet scan opps your terminal opps get your affairs in order opps stage 4 small cell lung cancer. That's how quickly it went with my late mother.

[@dannahtaft3108]

Excellent video

[@HongKongTravelCamView]

thank you for the sharing. i have a question. Since plain ct thorax is enough to look for lung nodules, what is the use of contrast media in ct thorax?

[@ThoracicRadiology]

It is helpful to make the lymph nodes in the chest more visible. Also if your doctor is concerned about other issues like a blood clot in the lung, then contrast is needed.

[@HongKongTravelCamView]

@@ThoracicRadiology What phase is the best for contrast CT Thorax for Ca lung? Late arterial phase or Portal Venous phase?

[@blackieratt7170]

Great work, very informative! Question, on the "small nodule" section, and on the 1st nodule, you circle a nodule that looks exactly the same coloring or maybe shape as the other white (I assume) vessels in the lung, which are shown as lines or small spots. How can you tell that this is a nodule? Is it steady and in the same spot from picture to picture in a CT, or there's another way to verify? Thanks!

[@ThoracicRadiology]

Yup, that's right, on the slice right next to it, it is in the same spot and it is not contiguous with the linear structures which are vessels.

[@raymondwalsh7520]

Very informative.

[@josephsybniefski660]

Sir,i watch your videos and i subscribed so i stay informed about your next videos. Please answer me that simple question: I have a tickle chest and found 6-7 times last month,blood in my saliva,coming from my neck. I did a Ct scan without contrast liquid.how possible is the CT missed a lung or trachea cancer?? Please.

[@clepropp5780]

Hello and thank you so much for this video. Your soothing voice put me at ease. I am 65, a lifelong smoker, and am having my first scan next week. If nothing shows up in the screening, do you still have to go every year? Or would that be highly unlikely that nothing will show up because of false positives? That happened when I had my first mammogram and after the second one, it was fine. Are false positives the norm rather than the exception regarding lung cancer screenings?

[@ThoracicRadiology]

Hi, yes it is recommended that you come back for screening yearly even if nothing is seen. That's bc it is possible to have a cancer grow in the time between 1 year to the next. More often than not, we see small nodules that require a 1 year follow up, but if it is your first study, we might see something that we can't say for sure and recommend a 3 month or 6 month follow up, just like your first mammogram. After your first study (what we call the baseline), false positives are not very common. Good luck to you! 🤞

[@clepropp5780]

@@ThoracicRadiology Hi there and I hope you can give me some clarity. I got the results from my first Low Dose CT lung cancer screening and this is confusing. There is a solid irregular nodule at the right lung apex measuring 10 x 7 mm. A low dose diagnostic CT is Recommended in 3 mos OR a PET-CT can be considered at this time if the solid component is at least .8 cm. Is 10 x 7 mm the same as .85 cm? My doctor said if I got the PET I would know for sure so she thought that would be best but she left it up to me. The cost is the same. Personally, I am leaning toward the CT scan.

[@ThoracicRadiology]

@@clepropp5780 either one would work. the only thing I would say about PET is that it images the whole body, so a lot of times there are other incidental findings on a PET that may pop up but not mean anything. The CT is the same exact test you just had so less likely to see these incidental findings.

[@vivekkumarmishra9778]

Sir recently i had hrct done what is showing in it plz .how can I share to you

[@rajwinderkaur8586]

Could anyone explain me what is this?, Broncovascular bundles in both the lung fields with fibrotic bands Complications are coming like shortness breath,

[@ThoracicRadiology]

Sounds like fibrosis but it can be from many causes. Important you see your doctor about it.

[@jackryan9711]

can doctors predict the risk of getting lung cancer if person is exposed to high doses of radiation , say 2 cat scans in one year and 4 chest xrays , how long before damage shows up from all this radiation ?

[@ThoracicRadiology]

it is difficult to predict the risk for very small amounts of radiation like 2 CT scans and 4 CXRs. In the US, the radiation dose limit for a person working with radiation is 50 mSv. The radiation from these studies would be far less than that.

[@k.b.9716]

🙏

[@mikemalak2120]

How can we contact with you?

[@marinstefanov5270]

hey i really enjoy your videos can you explain how to read brain tomographys

[@ThoracicRadiology]

Thanks. I don't really do Neuro so prob should find another resource. I'm a chest radiologist.

[@ferhlouiza7814]

How often should we do the screening CT low dose ?

[@ThoracicRadiology]

Should be every year

[@gailsullivan5109]

That CMS CT LCD is absurd!

[@rajwinderkaur8586]

Is this cause of cancer?

[@ThoracicRadiology]

It is probably not cancer, but I can't say for sure just based on what you've told me. You should talk to your doctor.