Although screening for lung cancer with CT is not highly evidence based or widely advocated, many incidental nodules (as well as occasional non-neoplastic incidental abnormalities) are picked up on cardiac CT imaging. A recent paper in JACC reported high cost and low yield, and reached the following conclusions regarding such incidentalomas:
Although noncardiac IF are common, clinically significant or indeterminate IF are less prevalent. Rates of death were similar in patients with and without IF, and IF was not an independent predictor of noncardiac death. The investigation of IF is not without cost or risk. Larger studies are required to assess the potential mortality benefit of identifying IF.
1 comment:
A reasonable compromise might be to let the patient make an informed decision.
Not really. Tough as it may be, this is something doctors are really going to have to pull together on to make substantive recommendations.
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