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Early detection of lung cancer – a radiological challenge

Diagnostic Radiology

Every year there are around 54,000 deaths in Germany (approx. 54 % men, 46 % women) from bronchial carcinoma (lung cancer). This makes bronchial carcinoma the cancer with the highest number of deaths.

Smokers are around 15 times more at risk than non-smokers. Exposure to asbestos is the second greatest risk factor. Early detection measures result in a better chance of survival. The Anti-Lung Cancer Association Project (ALCA) showed that computed tomography is able to detect most primary cancers at a screening examination in an early phase.

This can improve the 5-year survival rate from below 15% to a maximum of 80%.

Early stage of bronchial  carcinoma in CT

Early stage of bronchial carcinoma in CT

Late stage of bronchial  carcinoma in CT

Late stage of bronchial carcinoma in CT

Technique

Computed tomography is performed in approx. four seconds with a low radiation dose. The radiation exposure is roughly equivalent to a normal X-ray of the lung in two planes.