CT Lung Cancer Screening Program

CT lung cancer screening uses radiology tools to detect the earliest signs of lung cancer in at-risk patients, when the disease is potentially more treatable and curable.

Highlights

CT lung cancer screening was shown by the National Lung Screening Trial to reduce lung cancer deaths up to 20%
Early detection via CT may benefit smokers ages 55–80, or those who quit within the last 15 years
Offers the earliest detection which allows more treatment options
Proven to reduce lung cancer deaths in at-risk groups
Low-dose protocols greatly reduce radiation exposure
UCSF is a pioneer in the field
Quick and painless procedure

Optimal Candidates

55 - 80 years of age (Note: Certain insurance plans don't cover lung cancer CT screening for this full age range; please check with your insurance provider to verify coverage.)
Greater or equal to 30 pack/year smoking history
Current or former smoker who has quit within the last 15 years
No clinical signs/symptoms of lung cancer (e.g., hemoptysis)

What is the procedure like?

The CT lung cancer screening process is a completely painless procedure.

You will start by checking in with the front desk and will be asked to fill out standard paperwork.

A technologist will then take you to a dressing room/waiting area in the back. If your clothing contains metal, you may be asked to wear a gown.

The tech will then take you to the CT scanner, where they will position you with arms overhead. The table will slowly move in and out of the scanner opening as it takes images. During this process, the machine will alert you to either hold your breath for a 4-8 second period or breathe normally. This is a short procedure.

Criteria for inclusion include all of the below, which must be documented in the patient’s chart:

55-80 years old (with variation based on insurance coverage)
> or equal to 30 pack/year smoking history
Current or former smoker who has quit within the last 15 years
No clinical signs/symptoms of lung cancer (e.g., hemoptysis)

In addition, the chart must also include:

Documentation of shared decision-making at which time the risks and benefits of screening are discussed with the patient.
Documentation that smoking cessation resources were offered to the patient.

*For non-UCSF physicians, the process begins with faxing a referral to Central Scheduling 415-353-7299. For additional questions, please contact [email protected] or call Karen Brandon at 415-502-3066.