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World J Radiol. Apr 28, 2014; 6(4): 116-118
Published online Apr 28, 2014. doi: 10.4329/wjr.v6.i4.116
Lung cancer screening-don’t forget the chest radiograph
Johannes Gossner
Johannes Gossner, Department of Clinical Radiology, Evangelisches Krankenhaus Göttingen-Weende, 37074 Göttingen, Germany
Author contributions: Gossner J contributed solely to this work.
Correspondence to: Johannes Gossner, MD, Department of Clinical Radiology, Evangelisches Krankenhaus Göttingen-Weende, An der Lutter 24, 37074 Göttingen, Germany.
Telephone: +49-551-50341762 Fax: +49-551-50341127
Received: November 1, 2013
Revised: January 18, 2014
Accepted: April 11, 2014
Published online: April 28, 2014
Core Tip

Core tip: Screening with computed tomography (CT) recently demonstrated a mortality reduction in selected patients with lung cancer, but there are several shortcomings of screening with CT (false positive findings, high costs, radiation burden, shortage of capacity). In contrast, chest radiography could be an ideal screening tool in the early detection of lung cancer. It is widely available, its radiation burden is negligible and there is only a low rate of false positive findings. In contrast to randomized controlled trials different large population- based cohort studies have shown a lung cancer mortality reduction using chest radiography. In conclusion, early detection of lung cancer is also possible with chest radiography.