Associations between CT characteristics of lung cancer lesions and histologic subtypes in lung cancer screening - Takeaways - MDSpire
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CT Features of Lung Cancer Lesions and Their Associations With Histologic Subtypes in Screening Programs

  • By

  • Erick Suazo-Zepeda

  • Geertruida H. de Bock

  • Noa Antonissen

  • Colin Jacobs

  • Firdaus A. A. Mohamed Hoesein

  • Hester A. Gietema

  • Grigory Sidorenkov

  • Rozemarijn Vliegenthart

  • Marjolein A. Heuvelmans

  • October 7, 2026

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  • 1

    This retrospective cohort study examined associations between CT nodule characteristics and histologic subtypes in lung cancers detected through the NELSON screening trial.

  • 2

    The study included high-risk current or recent smokers aged 50 to 74 years who underwent baseline LDCT and 3 subsequent screening rounds.

  • 3

    Blinded thoracic radiologists assessed nodule diameter, volume, attenuation, location, and volume doubling time using standardized NELSON protocols.

  • 4

    Histologic diagnoses were obtained from national pathology registries and classified according to the WHO classification of lung tumors.

  • 5

    Two experienced radiologists retrospectively matched cancer diagnoses to index nodules using anatomical and morphological criteria, resolving discrepancies by consensus.

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