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Lungs & breathing
Low-dose CT: who should and shouldn’t
Annual LDCT lung-cancer screening for everyone? The evidence only supports high-risk groups.
- 1USPSTF 2021: aged 50–80, ≥20 pack-years, current smoker or quit <15 years → yearly
- 2NLST: in heavy smokers, LDCT cut lung-cancer mortality by 20% (relative)
- 3The cost: 24% of scans positive, 96% of those turn out not to be cancer
- 4Overdiagnosis is about 18% of detected cancers
- 5Never-smokers without family history: no randomised trial shows lower mortality
- 6LDCT uses no contrast — no direct effect on kidney function
Taiwan’s public programme also covers family history — check the Health Promotion Administration for criteria. Quitting beats any screening.
게시글 문구(바로 붙여넣기)
Annual LDCT lung-cancer screening for everyone? The evidence only supports high-risk groups. 1. USPSTF 2021: aged 50–80, ≥20 pack-years, current smoker or quit <15 years → yearly 2. NLST: in heavy smokers, LDCT cut lung-cancer mortality by 20% (relative) 3. The cost: 24% of scans positive, 96% of those turn out not to be cancer 4. Overdiagnosis is about 18% of detected cancers 5. Never-smokers without family history: no randomised trial shows lower mortality 6. LDCT uses no contrast — no direct effect on kidney function Taiwan’s public programme also covers family history — check the Health Promotion Administration for criteria. Quitting beats any screening. 출처(카드의 각 항목과 대응): NLST — Reduced lung-cancer mortality with LDCT — N Engl J Med 2011; USPSTF 2021 — Screening for lung cancer 확인일: 2026-10-17 카드와 대본은 공개 임상 가이드라인에 근거한 일반 건강 교육 정보이며 개인 의료 조언이 아니고 의사·약사·영양사의 평가를 대신하지 않습니다. 공유 시 출처와 이 안내를 유지해 주세요. 최신판은 이 페이지가 기준입니다. https://beyondckd.com/ko/cards/who-should-get-ldct
60초 숏폼 영상 대본
장면과 내레이션. 세로 9:16, 자막은 하단 1/3에. 각 내레이션은 왼쪽 출처와 대응.
| 초 | 화면 | 내레이션 |
|---|---|---|
| 0–5 | CT scanner | Should you get a low-dose CT every year? |
| 5–25 | USPSTF criteria | US guidance: aged 50 to 80, 20 pack-years, still smoking or quit under 15 years ago — once a year. |
| 25–45 | 24% positive → 96% false | NLST cut lung-cancer deaths by 20%, but a quarter of scans were positive and 96% of those were not cancer. |
| 45–60 | Never-smoker question mark | For never-smokers, no randomised trial shows yearly LDCT helps. Family history? Talk to your doctor. |
출처(카드의 각 항목과 대응)
- NLST — Reduced lung-cancer mortality with LDCT — N Engl J Med 2011
- USPSTF 2021 — Screening for lung cancer
확인일: 2026-10-17