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CT Lung Cancer Screening Program

by Columbia Surgery on May 13, 2013

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The above image shows a lung nodule in a screening CT scan requested by the patient, a 69-year-old former smoker.

Lung cancer screening with computed tomography (CT) effectively detects lung cancer at an early stage when it has the best chances of being fully removed and cured. Screening is performed before the onset of any symptoms; patients who exhibit any symptoms undergo diagnostic testing prescribed by their doctors. Based on the landmark National Lung Screening Trials (NLST), it is now well-accepted that CT screening is far more effective at visualizing early, small tumors than chest X-ray, leading to significantly fewer deaths from lung cancer.

Who should be screened?

The American Lung Association recommends lung cancer screening for current or former smokers aged 55-74, people who have a strong family history of lung cancer, asbestos exposure, emphysema, or chronic obstructive pulmonary disease (COPD), and others who may be considered high risk on an individual basis by their physicians. In January 2013 the American Cancer Society issued recommendations for lung cancer screening with CT. According to these recommendations, ”Clinicians should ascertain the smoking status and smoking history of their patients aged 55 years to 74 years. Clinicians with access to high-volume, high-quality lung cancer screening and treatment centers should initiate a discussion about lung cancer screening with patients aged 55 years to 74 years who have at least a 30–pack-year smoking history, currently smoke, or have quit within the past 15 years, and who are in relatively good health.”

Low-Dose CT Screening at NYP/Columbia

The CT Lung Cancer Screening Program at NYP/Columbia offers high quality imaging with state-of-the-art low-dose CT equipment. Our program includes subspecialty-trained chest radiologists as well as Board-certified pulmonologists, oncologists, and thoracic surgeons. Our low-dose equipment delivers less than 20% of the radiation dose used in an average diagnostic chest CT exam.

In the State of New York a physician referral is required for CT lung screening. If you do not have a referral, please call our Pulmonary Nodule Assessment Program, and a pulmonary physician will determine if CT screening is right for you. If so, it can be performed the same day as your consultation. For patients who do not have their own doctors, and who have an abnormality detected during CT screening, our team provides seamless referrals for follow-up testing and treatment.

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154039018Last May, Kevin Rogers, a previously healthy 25 year-old, developed a life-threatening pneumonia that progressed to the point where his lungs and other organs completely failed.  His pneumonia was so severe and his oxygen level so low that even a mechanical ventilator and other intensive treatments could not keep him alive – Kevin was dying.  Just when it seemed there was nothing more that could be done for him, Kevin’s doctors contacted NewYork-Presbyterian Hospital, which was able to offer Kevin extracorporeal membrane oxygenation (ECMO), a cutting-edge, potentially life-saving technology that provides oxygen to the body when the lungs have failed and the mechanical ventilator isn’t enough.   Kevin was kept alive on ECMO for over 2 weeks, allowing time for his lungs and other organs to recover.

One year later, Kevin’s life has returned to normal.  Now Kevin, his family, and friends want to celebrate his good health and raise awareness for the ECMO technology and team responsible for saving his life, in hopes that many may share his good fortune.

Please join Kevin’s effort on May 22nd for a golf tournament and dinner benefiting the Shiland-Maringer Fund for the Advancement of Adult ECMO at NewYork-Presbyterian.

The shotgun start will be at noon, followed by a cocktail hour, dinner, and awards ceremony at 6:00pm.

For complete event details and to register, please visit the brochure at: Kevin Rogers Golf Outing & Dinner to Support the ECMO Team

Please contact Susan Tanzi Pfeifer, Medical ECMO Program Manager, at ecmo@nyp.org with any further questions.

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