Lung Cancer Screening Facts

Frequently Asked Questions about Low-Dose CT Lung Screening

Yearly lung screening with low-dose CT (LDCT) has been shown to save lives by finding lung cancer early, when it is easier to treat. This handout answers many questions that people have about LDCT lung screening. If you have other questions, please call 1-855-5-DELTA DOCS (1-855-533-5823)

What is the goal of LDCT lung screening?

The goal of LDCT lung screening is to save lives. Without LDCT lung screening, lung cancer is usually not found until a person develops symptoms. At that time, the cancer is much harder to treat.

Who should get an LDCT lung screening exam?

LDCT lung screening is recommended for the following groups of people who are at high risk for lung cancer. Those who have symptoms of a lung condition at the time of screening, such as a new cough or shortness of breath, are not eligible.

  1. Group 1: People ages 55?74 who have smoked at least an average of 1 pack a day for 30 years. This includes people who still smoke or have quit within the past 15 years.
  2. Group 2: People ages 50?74 who currently or in the past have smoked at least an average of 1 pack a day for 20 years. They must also have at least 1 other risk factor for lung cancer, not including exposure to secondhand smoke.

Risk factors for lung cancer include having cancer in the past, emphysema, pulmonary fibrosis, a family history of lung cancer and exposure to certain substances (including asbestos, arsenic, beryllium, cadmium, chromium, diesel fumes, nickel, radon, silica and uranium). Your health care provider can help you determine if you have one of these other risk factors.

Why does it matter if I have symptoms?

Certain symptoms can be a sign that you have a condition in your lungs that should be evaluated and treated, if necessary, by your health care provider. These symptoms include fever, chest pain, a new or changing cough, shortness of breath that you have never felt before, coughing up blood, or unexplained weight loss. Having any of these symptoms can greatly affect the results of lung screening and may actually delay the treatment you might need.  

I am in one of the high-risk groups but have been diagnosed with cancer in the past. Is LDCT lung screening appropriate for me?

It depends. In some cases, LDCT lung screening will not be appropriate, such as when your doctor is already following your cancer with CT scan studies. Your doctor will help determine if LDCT lung screening is right for you.

Do I need to have an LDCT lung screening exam every year?

Yes. If you are in one of the high-risk groups described on page 1, an LDCT lung screening exam is recommended every year until you are 74.

How effective is LDCT lung screening at preventing death from lung cancer?

Studies have shown that LDCT lung screening can lower the risk of death from lung cancer by 20% in people who are at high risk.

How is the exam performed?

LDCT lung screening is one of the easiest screening exams you can have. The exam takes only a few minutes. No medications are given, and no needles are used. You can eat before and after the exam. You do not even need to get changed as long as the clothing on your chest does not contain metal. You must, however, be able to hold your breath for at least 6 seconds while the chest scan is being taken.

Are there any risks to LDCT lung screening?

There are several risks and limitations of LDCT lung screening. We want to make sure that we have done a good job explaining these to you, so please let us know if you have any questions. Our Nurse Navigator will review the risks and limitations with you before your exam. The health care provider who ordered the screening may also want to talk with you more about this. Some of the risks and limitations are:

  1. Radiation exposure: LDCT lung screening uses radiation to create images of your lung. Radiation can increase a person’s risk of cancer. By using special techniques, the amount of radiation in LDCT lung screening is small—about the same amount a person would receive from a screening mammogram. Further, your doctor has determined that the benefits of the screening outweigh the risks of being exposed to the small amount of radiation from this exam.
  2. False negatives: No test, including LDCT lung screening, is perfect. It is possible that you may have a medical condition, including lung cancer that is not found during your exam. This is called a false negative.

False positives/additional testing: LDCT lung screening very often finds something in the lung that could be cancer but in fact is not. This is called a false positive. False positive tests often cause anxiety. In order to make sure these findings are not cancer, you may need to have more tests. These tests will be performed only if you give us permission. Occasionally, patients need a procedure, such as a biopsy, that can have potential side effects. For more information on false positives, see “What can I expect from the results?”

  1. Findings not related to lung cancer: Your LDCT lung screening exam also captures images of areas of your body next to your lungs. In a small percentage of cases (5%?10%), the CT scan will show an abnormal finding in one of these areas, such as your kidneys, adrenal glands, liver or thyroid. This finding may not be serious; however, you may need to be examined further. Your health care provider who ordered your exam can help determine what, if any, additional testing you may need.

How much does the screening cost?

Currently, LDCT lung screening is offered at a cost of $250. Any additional testing you may need, based on the results from the screening, will be billed to your insurance. Most insurance companies will cover the cost of these additional tests. If you need help understanding your insurance coverage and you are a Delta Medix patient, please contact one of our patient financial counselors at the Delta Medix Billing Office (570) 342-7864. If you do not have insurance, you will need to cover the cost of any additional testing. Our patient financial counselors can help you understand your payment options.

If you are unable to pay the $250 screening fee you may be eligible for a FREE screening through The Foundation for Cancer Care. Please call The Foundation for Cancer Care at 570- 558-3594 or1-855-5-DELTA DOCS (1-855-533-5823) to determine whether you are eligible for reduced or FREE screening. All conversations are completely confidential.

What can I expect from the results?

  1. About 1 out of 4 LDCT lung screening exams will find something in the lung that may require additional imaging or evaluation. Most of the time these findings are lung nodules.
    Lung nodules are very small collections of tissue in the lung. These nodules are very common, and the vast majorities—more than 97%—are not cancer (benign). Most are normal lymph nodes or small areas of scarring from past infections.
  2. Less commonly, lung nodules are cancer. If a small lung nodule is found to be cancer, the cancer can be cured more than 90% of the time. That is why we are screening you.
  3. To distinguish the large number of benign (noncancerous) nodules from the few nodules that are in fact cancer, we may need to get more images before your next yearly screening exam. If the nodule has suspicious features (for example, it is large, has an odd shape or grows over time), we will refer you to a specialist for further testing.

When will I get the results?

The results of your exam will be discussed with you when you meet with the Pulmonary physician.

Will my doctor also receive the results?

Yes. Your health care provider who ordered your exam will receive a copy of your results.

Where can I find help to quit smoking?

The best way to prevent lung cancer is to stop smoking. For help on quitting smoking, please call 1-855-5 DELTA DOCS (1-855-533-5823). If you have already quit smoking, congratulations and keep it up!

I think I qualify for LDCT lung screening. What should I do next?

Call 1-855-5-DELTA DOCS (1-855-533-5823) to see if you qualify and to schedule your exam. Please note that we will need an order for LDCT lung screening from your health care provider before your exam.