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Imaging in Lung Cancer

  • Oncologic Imaging (S Delorme, Section Editor)
  • Published:
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Abstract

Purpose of Review

To describe the current role of imaging in the detection, staging, therapy planning and response assessment in lung cancer.

Recent Findings

Lung cancer screening using low-dose CT has been shown to reduce mortality in risk groups of active or former smokers and has, thus, been recommended by several societies and organisations worldwide. There remain, however, questions regarding optimum definition of risk factors and screening intervals. Staging criteria for lung cancer have been updated in the 8th edition of the TNM staging to better reflect prognosis. Preliminary research in radiomics in lung cancer has provided data that may add to identification of early lung cancer, prediction of prognosis and therapy response. Targeted systemic therapy has recently had a significant impact in advanced lung cancer both in terms of efficacy and toxicity, but radiologists need to be aware that response assessment criteria differ from those used for classic chemotherapy, and new side effects that may occur.

Summary

Modern imaging, particulary exploiting radiomics will improve early detection, classification, staging, therapy planning and ultimately, hopefully, prognosis in lung cancer.

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Correspondence to Stefan Diederich.

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Diederich, S., Giagounidis, A.A.N. Imaging in Lung Cancer. Curr Radiol Rep 7, 19 (2019). https://doi.org/10.1007/s40134-019-0330-z

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