{"id":3317,"date":"2025-08-09T20:20:31","date_gmt":"2025-08-09T19:20:31","guid":{"rendered":"https:\/\/hub.solacelung.eu\/professionals\/set-de-instrumente-de-implementare\/calea-de-screening-pentru-cancerul-pulmonar\/"},"modified":"2025-10-15T20:21:56","modified_gmt":"2025-10-15T19:21:56","slug":"calea-de-screening-pentru-cancerul-pulmonar","status":"publish","type":"professionals","link":"https:\/\/hub.solacelung.eu\/ro\/professionals\/set-de-instrumente-de-implementare\/calea-de-screening-pentru-cancerul-pulmonar\/","title":{"rendered":"Calea de screening pentru cancerul pulmonar"},"content":{"rendered":"<div class=\"site-padding\">\n<h3 class=\"wp-block-heading\">Calea de mai jos prezint\u0103 etapele esen\u021biale ale screeningului. Aceasta acoper\u0103 identificarea \u0219i invitarea participan\u021bilor eligibili p\u00e2n\u0103 la interpretarea scan\u0103rii, gestionarea rezultatelor \u0219i integrarea sprijinului pentru renun\u021barea la fumat. Fiecare etap\u0103 poate fi extins\u0103 pentru a ob\u021bine orient\u0103ri practice, instrumente \u0219i standarde care s\u0103 sprijine profesioni\u0219tii \u00een realizarea unui screening eficient al cancerului pulmonar.  <br\/><br\/><\/h3>\n<\/div><div class=\"pathway-launcher \">\n    <div class=\"site-padding\"><div class=\"page-width\"><div class=\"wp-minflow-chart\"  id=\"wp-minflow-1435-4fb290b3-1adb-46e1-9ff7-469960f2649f\" data-flowchart-id=\"1435\" data-auto-height=\"1\" data-auto-scale=\"0\"><\/div><\/div><\/div><script>window.wp_minflow_data = window.wp_minflow_data || {};window.wp_minflow_data[\"wp-minflow-1435-4fb290b3-1adb-46e1-9ff7-469960f2649f\"] = {\"nodes\":[{\"id\":1,\"x\":517,\"y\":7,\"w\":320,\"h\":60,\"label\":\"Identification and invitation:\",\"details\":\"<ul><li>Identify high-risk individuals using demographic and clinical records.&nbsp;<\\\/li><li>Provide clear invitation materials that explain the purpose, benefits, and risks of lung cancer screening.<\\\/li><li>Personalised invitations can improve uptake and equity.<\\\/li><li>Ensure pathways for consent and opt-out are transparent.&nbsp;<\\\/li><\\\/ul><p><\\\/p><ul>\\n<\\\/ul><p>\\n\\n<\\\/p><p><a href=\\\"https:\\\/\\\/hub.solacelung.eu\\\/professionals\\\/implementation-toolkit\\\/invitation-methods\\\/\\\" rel=\\\"noopener noreferrer\\\">Access strategies and resources for invitation methods.&nbsp;<\\\/a><\\\/p><p><\\\/p>\"},{\"id\":2,\"x\":517,\"y\":209,\"w\":320,\"h\":60,\"label\":\"Assessment of eligibility\",\"details\":\"<p><\\\/p><ul><li>Assess each participant\\u2019s lung cancer risk using age, smoking exposure and validated models (e.g., PLCOm2012, LLP).&nbsp;<\\\/li><li>Confirm fitness for LDCT \\u2014 exclude those with contraindications such as recent chest CT, active pneumonia, or pregnancy.&nbsp;<\\\/li><li>Consider performance status and comorbidities to ensure likely benefit.<\\\/li><li>Use shared decision-making to align screening with patient values before referral.<\\\/li><\\\/ul><p><\\\/p><ul>\\n<\\\/ul><p>\\n\\n<\\\/p><a href=\\\"https:\\\/\\\/hub.solacelung.eu\\\/professionals\\\/implementation-toolkit\\\/eligibility-and-risk-assessment\\\/\\\" rel=\\\"noopener noreferrer\\\">Find out more about risk models and eligibility criteria.&nbsp;<\\\/a>\"},{\"id\":3,\"x\":517,\"y\":412,\"w\":320,\"h\":60,\"label\":\"CT technical standards\",\"details\":\"<ul><li>Low-dose CT scans should follow international technical standards to balance sensitivity with minimal radiation exposure.<br><\\\/li><li>Standardisation ensures comparability across centres and long-term programme quality.<br><\\\/li><\\\/ul><br><a href=\\\"https:\\\/\\\/hub.solacelung.eu\\\/professionals\\\/implementation-toolkit\\\/clinical-guidelines-technical-standards\\\/\\\" rel=\\\"noopener noreferrer\\\">Read the latest evidence-based clinical guidelines and technical standards.<\\\/a><br>\"},{\"id\":5,\"x\":3,\"y\":663,\"w\":320,\"h\":60,\"label\":\"Negative finding\",\"details\":\"<ul><li>Return to routine screening.<br><\\\/li>\\n<\\\/ul>\"},{\"id\":7,\"x\":613,\"y\":913,\"w\":320,\"h\":60,\"label\":\"Positive finding\",\"details\":\"<ul><li>Refer to a specialist lung cancer service for diagnostic work-up and management (see \\u2018management of screen-detected positive nodules\\u2019).&nbsp;<\\\/li>\\n<\\\/ul>\"},{\"id\":10,\"x\":596,\"y\":1130,\"w\":355,\"h\":60,\"label\":\"Screen-detected positive nodules\",\"details\":\"<p><\\\/p><ul><li>Multidisciplinary evaluation is essential.&nbsp;<\\\/li><li>Confirm findings with diagnostic imaging, biopsy, or molecular testing as indicated.<\\\/li><li>Ensure patients receive rapid referral into lung cancer care pathways.&nbsp;<\\\/li><li>Treatment options should be tailored to stage, comorbidities, and patient preference.<\\\/li><\\\/ul><p><\\\/p><ul>\\n<\\\/ul>\"},{\"id\":11,\"x\":1056,\"y\":209,\"w\":389,\"h\":60,\"label\":\"In parallel: smoking status and cessation\",\"details\":\"<ul>\\n <li>Every\\n     participant should have their smoking status assessed. Offer\\n     evidence-based smoking cessation support (counselling, NRT,\\n     pharmacotherapy). Integrating cessation within screening maximises health\\n     benefits and cost-effectiveness of programmes.<\\\/li>\\n<\\\/ul><p>\\n\\n<\\\/p><p><a href=\\\"https:\\\/\\\/hub.solacelung.eu\\\/professionals\\\/implementation-toolkit\\\/smoking-cessation\\\/\\\" rel=\\\"noopener noreferrer\\\">Access\\nour smoking cessation resources.<\\\/a><\\\/p>\"},{\"id\":12,\"x\":517,\"y\":663,\"w\":320,\"h\":60,\"label\":\"LDCT Reading\",\"details\":\"<ul><li>Interpret scans using structured protocols such as Lung-RADS 2022.&nbsp;<\\\/li><li>Measure nodules by volumetry or diameter, with double reading or consensus review where possible.&nbsp;<\\\/li><li>Incorporate AI tools to support detection and measurement, while ensuring radiologist oversight.&nbsp;<\\\/li><li>Record incidental findings systematically and use structured reporting for clarity and audit.<\\\/li><li>Base follow-up intervals on scan findings (see next steps).&nbsp;<\\\/li><\\\/ul><ul>\\n<\\\/ul><p>Access resources for <a href=\\\"https:\\\/\\\/hub.solacelung.eu\\\/professionals\\\/implementation-toolkit\\\/results-communication\\\/\\\" rel=\\\"noopener noreferrer\\\">results communication<\\\/a> and <a href=\\\"https:\\\/\\\/hub.solacelung.eu\\\/professionals\\\/implementation-toolkit\\\/follow-up\\\/\\\" rel=\\\"noopener noreferrer\\\">follow-up strategies<\\\/a>.&nbsp;<\\\/p>\"},{\"id\":16,\"x\":230,\"y\":912,\"w\":320,\"h\":60,\"label\":\"Indeterminate finding\",\"details\":\"<ul><li>Schedule\\n     shorter-interval LDCT follow-up.<\\\/li>\\n<\\\/ul>\"},{\"id\":17,\"x\":1055,\"y\":663,\"w\":380,\"h\":60,\"label\":\"Incidental finding, clinically irrelevant\",\"details\":\"<ul><li>Not all incidental findings require action. Small, benign-appearing abnormalities (such as tiny non-calcified nodules, mild scarring, or common age-related changes) should be documented but not acted upon.<br><\\\/li><li>A clear classification system avoids unnecessary investigations and reduces patient anxiety, while maintaining confidence that findings were appropriately reviewed.<br><\\\/li><\\\/ul>\"},{\"id\":18,\"x\":1054,\"y\":828,\"w\":320,\"h\":60,\"label\":\"Incidental finding\",\"details\":\"<ul><li>Some incidental findings may be unrelated to lung cancer but still clinically important. This could include chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, or suspicious extrapulmonary lesions.<br><\\\/li><li>In these cases, results should be communicated promptly to the referring clinician, with recommendations for follow-up or referral to the appropriate specialist service. &nbsp;<br><\\\/li><li>Structured reporting and agreed referral pathways help ensure that patients receive timely, appropriate care without overwhelming screening services.<br><\\\/li><\\\/ul>\"}],\"edges\":[{\"from\":1,\"to\":2,\"fa\":\"bottom\",\"ta\":\"top\"},{\"from\":2,\"to\":3,\"fa\":\"bottom\",\"ta\":\"top\"},{\"from\":12,\"to\":7,\"ta\":\"top\",\"fa\":\"bottom\"},{\"from\":7,\"to\":10,\"fa\":\"bottom\",\"ta\":\"top\"},{\"from\":3,\"to\":12,\"fa\":\"bottom\",\"ta\":\"top\"},{\"from\":12,\"to\":5,\"fa\":\"left\",\"ta\":\"right\"},{\"from\":5,\"to\":2,\"fa\":\"top\",\"ta\":\"left\"},{\"from\":2,\"to\":11,\"fa\":null},{\"from\":12,\"to\":16,\"fa\":\"bottom\",\"ta\":\"top\"},{\"from\":16,\"to\":3,\"fa\":\"top\"},{\"from\":12,\"to\":17,\"fa\":null},{\"from\":12,\"to\":18,\"fa\":\"right\",\"ta\":\"left\"}]};<\/script><\/div><div class=\"site-padding\">\n<p><\/p>\n<\/div>","protected":false},"featured_media":0,"parent":3246,"menu_order":1,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-3317","professionals","type-professionals","status-publish","format-standard","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.9 - 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