Stanford Medcast Episode 92: Hot Topics Mini-Series - Improving Outcomes with Lung Cancer Screening

In this episode, we speak with Dr. Natalie Lui, Assistant Professor of Cardiothoracic Surgery at Stanford University, about lung cancer screening and the importance of early detection. Since lung cancer is often diagnosed in advanced stages, yearly low-dose computed tomography (LDCT) screening is crucial, especially for heavy smokers. We discuss risk factors, screening criteria from the U.S. Preventive Services Task Force, National Comprehensive Cancer Network, and the American Cancer Society, and why screening isn't universal despite its importance. Additionally, we explore current research, recent updates to guidelines, barriers to screening in underserved communities, and the potential of emerging technologies, such as AI, to enhance lung cancer screening in the future.

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1. Develop strategies to screen at risk patients before they have symptoms.
2. Utilize the recommendations outlined in the US Preventative Services Task Force criteria and the National Comprehensive Cancer Network guidelines.

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Credit Designation 
American Medical Association (AMA) 
Stanford Medicine designates this Enduring Material for a maximum of 0.50 AMA PRA Category 1 Credits^TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.  

Accessibility Statement
 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require accommodations, please contact the CME Office.

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: https://laneguides.stanford.edu/multicultural-health

References/Bibliography
1.American Cancer Society. (2024, January 29). Can Lung Cancer Be Found Early? American Cancer Society. https://www.cancer.org/cancer/types/lung-cancer/detection-diagnosis-staging/detection.html 
2.National Cancer Institute. (2024, March 28). Lung cancer screening (PDQ®). NIH National Cancer Institute. https://www.cancer.gov/types/lung/hp/lung-screening-pdq 
3.Wong, L.-Y., Choudhary, S., Kapula, N., Lin, M., Elliott, I. A., Guenthart, B. A., Liou, D. Z., Backhus, L. M., Berry, M. F., Shrager, J. B., & Lui, N. S. (2024, April 27). Barriers to completing low dose computed tomography scan for lung cancer screening. Clinical Lung Cancer, 25(5), 424–430. https://doi.org/10.1016/j.cllc.2024.04.014 

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     Email: [email protected]

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Mitigation of Relevant Financial Relationships

Stanford Medicine adheres to the Standards for Integrity and Independence in Accredited Continuing Education.

There are no relevant financial relationships with ACCME-defined ineligible companies for anyone who was in control of the content of this activity, except those listed in the table below. All of the relevant financial relationships listed for these individuals have been mitigated.

Member Information

Role in activity

Nature of Relationship(s) / Name of Ineligible Company(s)

Ruth Adewuya, MD
Managing Director
Stanford University

Course Director, Reviewer

Nothing to disclose

Natalie S. Lui, MD
Assistant Professor Of Cardiothoracic Surgery (Thoracic Surgery)
SHC

Faculty

Consulting Fee-Intuitive Surgical|Grant or research support-Centese (Relationship has ended)

Mary-Tyler Mosley
Medcast Intern

Planner

Nothing to disclose