Aakash Desai: How Incidental Nodule Programs Catch Lung Cancers Missed by Screening Criteria
Aakash Desai/LinkedIn

Aakash Desai: How Incidental Nodule Programs Catch Lung Cancers Missed by Screening Criteria

Aakash Desai, Associate Professor at UAB O’Neal Cancer Center, shared on LinkedIn:

“Most of the lung cancers this incidental nodule program found were in people screening criteria would have missed.
Lung Cancer Awareness Month data from Mount Sinai, in Lung Cancer Journal.

Two academic hospitals flagged nodules needing follow-up with natural language processing of radiology reports plus navigator review (Jan 2023 to Jan 2026, n=2,804):

  • 80.2% were not screening-eligible under 2021 USPSTF criteria
  • 73 lung cancers; 44 (60.3%) in screening-ineligible patients, 15 of them never-smokers
  • Of those 44: 81.8% stage 0-II, 47.7% definitively resected

Who should own incidental nodule follow-up in your system: radiology, primary care, or pulmonary?”

Aakash Desai: How Incidental Nodule Programs Catch Lung Cancers Missed by Screening Criteria

Title: Lung cancer detection beyond screening eligibility through an incidental lung nodule program

Authors: Hong Yu Wang, Christian Lo Cascio, Junyu Qi, Sascha Adler, Nicolette Lamb, Avinash Singh, Javier J. Zulueta, David Steiger

Read the full article.

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Aakash Desai: How Incidental Nodule Programs Catch Lung Cancers Missed by Screening Criteria