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Change in smoking status after low-dose spiral chest CT screening for lung cancer: opportunity for smoking intervention
  1. Matthew M Clark1,
  2. James R Jett2,3
  1. 1
    Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA
  2. 2
    Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, USA
  3. 3
    Division of Medical Oncology, Mayo Clinic, Rochester, Minnesota, USA
  1. Dr J R Jett, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN55905, USA; jett.james{at}

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Several studies have examined the effectiveness of low-dose spiral chest CT scan screening for early detection of lung cancer. Currently, most patients with lung cancer are diagnosed at an advanced stage. Early detection of lung cancer could help reduce the high mortality rate associated with lung cancer. It is hoped that the advanced technology of this new screening procedure may prove to be comparable to the reduction in mortality associated with having the recommended mammographies for early detection of breast cancer.

However, unlike most cancers, lung cancer is associated with a specific behaviour—namely, smoking cigarettes. It has been proposed that informing cigarette smokers of negative lung cancer screening results could give them permission, licence …

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