{"id":2579,"date":"2025-08-09T20:20:31","date_gmt":"2025-08-09T19:20:31","guid":{"rendered":"https:\/\/hub.solacelung.eu\/professionals\/%d0%bf%d1%83%d1%82-%d1%81%d0%ba%d1%80%d0%b8%d0%bd%d0%b8%d0%bd%d0%b3%d0%b0-%d0%b7%d0%b0-%d1%80%d0%b0%d0%ba-%d0%bf%d0%bb%d1%83%d1%9b%d0%b0\/"},"modified":"2025-10-15T20:18:24","modified_gmt":"2025-10-15T19:18:24","slug":"%d0%bf%d1%83%d1%82-%d1%81%d0%ba%d1%80%d0%b8%d0%bd%d0%b8%d0%bd%d0%b3%d0%b0-%d0%b7%d0%b0-%d1%80%d0%b0%d0%ba-%d0%bf%d0%bb%d1%83%d1%9b%d0%b0","status":"publish","type":"professionals","link":"https:\/\/hub.solacelung.eu\/sr\/professionals\/%d0%ba%d0%be%d0%bc%d0%bf%d0%bb%d0%b5%d1%82-%d0%b0%d0%bb%d0%b0%d1%82%d0%b0-%d0%b7%d0%b0-%d0%b8%d0%bc%d0%bf%d0%bb%d0%b5%d0%bc%d0%b5%d0%bd%d1%82%d0%b0%d1%86%d0%b8%d1%98%d1%83\/%d0%bf%d1%83%d1%82-%d1%81%d0%ba%d1%80%d0%b8%d0%bd%d0%b8%d0%bd%d0%b3%d0%b0-%d0%b7%d0%b0-%d1%80%d0%b0%d0%ba-%d0%bf%d0%bb%d1%83%d1%9b%d0%b0\/","title":{"rendered":"\u041f\u0443\u0442 \u0441\u043a\u0440\u0438\u043d\u0438\u043d\u0433\u0430 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<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-1435-46a94ec0-8e32-4dcb-9761-46d2b619b1dd\" 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-1435-46a94ec0-8e32-4dcb-9761-46d2b619b1dd\"] = {\"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":2950,"menu_order":1,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-2579","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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