Ditzels
l For nodules <10 mm: does early (< 12 month)
follow up allow earlier cancer dx?
l Retrospective look at ELCAP (NYC screening) data:
l For 378 nodules <5mm, none would have been
diagnosed as cancer based on early repeat CT.
l Uncertain or no growth seen on early repeat CT, or none
at 12 month follow up.
l For 238 nodules 5-9mm, 13 (5%) would have been
diagnosed as cancer based on early repeat CT.
l Argument for earlier follow up of nodules >5mm.
Henschke et al Radiology 2004;231:164-168