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Lung and Thoracic cancer
Strategies to Improve Smoking Cessation for Participants in Lung Cancer Screening Program: Analysis of Factors Associated with Smoking Cessation in Korean Lung Cancer Screening Project (K-LUCAS)
Yeol Kim, Jaeho Lee, Eunju Lee, Juntae Lim, Yonghyun Kim, Choon-Taek Lee, Seung Hun Jang, Yu-Jin Paek, Won-Chul Lee, Chan Wha Lee, Hyae Young Kim, Jin Mo Goo, Kui Son Choi, Boyoung Park, Duk Hyoung Lee, Hong Gwan Seo
Cancer Res Treat. 2024;56(1):92-103.   Published online August 7, 2023
DOI: https://doi.org/10.4143/crt.2022.1598
AbstractAbstract PDFPubReaderePub
Purpose
Smoking cessation intervention is one of the key components of successful lung cancer screening program. We investigated the effectiveness and related factors of smoking cessation services provided to the participants in a population-based lung cancer screening trial.
Materials and Methods
The Korean Lung Cancer Screening Project (K-LUCAS) is a nationwide, multi-center lung cancer screening trial that evaluates the feasibility of implementing population-based lung cancer screening. All 5,144 current smokers who participated in the K-LUCAS received a mandatory smoking cessation counseling. Changes in smoking status were followed up using a telephone survey in 6 months after lung cancer screening participation. The lung cancer screening’s impact on smoking cessation is analyzed by variations in the smoking cessation interventions provided in screening units.
Results
Among 4,136 survey responders, participant’s motivation to quit smoking increased by 9.4% on average after lung cancer screening. After 6 months from the initial screening, 24.3% of participants stopped smoking, and 10.6% of participants had not smoked continuously for at least 6 months after screening. Over 80% of quitters stated that participation in lung cancer screening motivated them to quit smoking. Low-cost public smoking cessation program combined with lung cancer screening increased the abstinence rates. The smokers were three times more likely to quit smoking when the smoking cessation counseling was provided simultaneously with low-dose computed tomography screening results than when provided separately.
Conclusion
A mandatory smoking cessation intervention integrated with screening result counselling by a physician after participation in lung cancer screening could be effective for increasing smoking cessation attempts.

Citations

Citations to this article as recorded by  
  • p53 Genetics and Biology in Lung Carcinomas: Insights, Implications and Clinical Applications
    Dixan A. Benitez, Guadalupe Cumplido-Laso, Marcos Olivera-Gómez, Nuria Del Valle-Del Pino, Alba Díaz-Pizarro, Sonia Mulero-Navarro, Angel Román-García, Jose Maria Carvajal-Gonzalez
    Biomedicines.2024; 12(7): 1453.     CrossRef
  • Problems and Alternatives for Korea National Lung Cancer Screening Program for Smoking Cessation: Analysis of a Survey Involving Experts
    Cheol Min Lee, Sil Vi Han Park, Jinri Kim, Bumjo Oh, Kiheon Lee, Yeol Kim, Yu-Jin Paek
    Journal of the Korean Society for Research on Nicotine and Tobacco.2024; 15(2): 49.     CrossRef
  • The pros and cons of lung cancer screening
    Roberta Eufrasia Ledda, Georg-Christian Funk, Nicola Sverzellati
    European Radiology.2024; 35(1): 267.     CrossRef
  • Effective Smoking Cessation Counseling for Participants in a Lung Cancer Screening
    Choon-Young Kim, Yeol Kim, Cheol Min Lee
    Journal of the Korean Society for Research on Nicotine and Tobacco.2024; 15(3): 88.     CrossRef
  • 3,368 View
  • 224 Download
  • 2 Web of Science
  • 4 Crossref
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Lung cancer
Genetic Alterations in Preinvasive Lung Synchronous Lesions
Soyeon Ahn, Jisun Lim, Soo Young Park, Hyojin Kim, Hyun Jung Kwon, Yeon Bi Han, Choon-Taek Lee, Sukki Cho, Jin-Haeng Chung
Cancer Res Treat. 2020;52(4):1120-1134.   Published online June 5, 2020
DOI: https://doi.org/10.4143/crt.2020.307
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Purpose
Despite advances in treatment, lung cancer remains the leading cause of cancer mortality. This study aimed to characterise genome-wide tumorigenesis events and to understand the hypothesis of the multistep carcinogenesis of lung adenocarcinoma (LUAD)
Materials and Methods
We conducted multiregion whole-exome sequencing of LUAD with synchronous atypical adenomatous hyperplasia (AAH), adenocarcinoma in situ, or minimally invasive adenocarcinoma of 19 samples from three patients to characterize genome-wide tumorigenesis events and validate the hypothesis of the multistep carcinogenesis of LUAD. We identified potential pathogenic mutations preserved in preinvasive lesions and supplemented the finding by allelic variant level from RNA sequencing.
Results
Overall, independent mutational profiles were observed per patient and between patients. Some shared mutations including epidermal growth factor receptor (EGFR , p.L858R) were present across synchronous lesions.
Conclusion
Here, we show that there are driver gene mutations in AAH, and they may exacerbate as a sequence in a histological continuum, supporting the Darwinian evolution model of cancer genome. The intertumoral and intratumoral heterogeneity of synchronous LUAD implies that multi-biomarker strategies might be necessary for appropriate treatment.

Citations

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  • Gene Expression Profiles of Multiple Synchronous Lesions in Lung Adenocarcinoma
    Jisun Lim, Yeon Bi Han, Soo Young Park, Soyeon Ahn, Hyojin Kim, Hyun Jung Kwon, Choon-Taek Lee, Sukki Cho, Jin-Haeng Chung
    Cells.2021; 10(12): 3484.     CrossRef
  • 8,477 View
  • 153 Download
  • 2 Web of Science
  • 1 Crossref
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Clinical Significance of Pleural Attachment and Indentation of Subsolid Nodule Lung Cancer
Hyung-Jun Kim, Jun Yeun Cho, Yeon Joo Lee, Jong Sun Park, Young-Jae Cho, Ho Il Yoon, Jin-Haeng Chung, Sukki Cho, Kwhanmien Kim, Kyung Won Lee, Jae Ho Lee, Choon-Taek Lee
Cancer Res Treat. 2019;51(4):1540-1548.   Published online March 25, 2019
DOI: https://doi.org/10.4143/crt.2019.057
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Purpose
Lung cancers presenting as subsolid nodule commonly have peripheral location, making the cancer-pleura relationship noteworthy. We aimed to evaluate the effect of pleural attachment and/or indentation on visceral pleural invasion (VPI) and recurrence-free survival.
Materials and Methods
Patients who underwent curative resection of lung cancer as subsolid nodules from April 2007 to January 2016 were retrospectively evaluated. They were divided into four groups according to their relationship with the pleura. Clinical, radiographical, and pathological findings were analyzed.
Results
Among 404 patients with malignant subsolid nodule, 120 (29.7%) had neither pleural attachment nor indentation, 26 (6.4%) had attachment only, 117 (29.0%) had indentation only, and 141 (34.9%) had both. VPI was observed in nodules of 36 patients (8.9%), but absent in nonsolid nodules and in those without pleural attachment and/or indentation. Compared to subsolid nodules with concurrent pleural attachment and indentation, those with attachment only (odds ratio, 0.12; 95% confidence interval [CI], 0.02 to 0.98) and indentation only (odds ratio, 0.10; 95% CI, 0.03 to 0.31) revealed lower odds of VPI. On subgroup analysis, the size of the solid portion was associated with VPI among those with pleural attachment and indentation (p=0.021). Such high-risk features for VPI were associated with earlier lung cancer recurrence (adjusted hazard ratio, 3.31; 95% CI, 1.58 to 6.91).
Conclusion
Concurrent pleural attachment and indentation are risk factors for VPI, and the odds increase with larger solid portion in subsolid nodules. Considering the risk of recurrence, early surgical resection could be encouraged in these patients.

Citations

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  • A CT-based deep learning model: visceral pleural invasion and survival prediction in clinical stage IA lung adenocarcinoma
    Xiaofeng Lin, Kunfeng Liu, Kunwei Li, Xiaojuan Chen, Biyun Chen, Sheng Li, Huai Chen, Li Li
    iScience.2024; 27(1): 108712.     CrossRef
  • CT-Based Intratumoral and Peritumoral Radiomics Nomograms for the Preoperative Prediction of Spread Through Air Spaces in Clinical Stage IA Non-small Cell Lung Cancer
    Yun Wang, Deng Lyu, Lei Hu, Junhong Wu, Shaofeng Duan, Taohu Zhou, Wenting Tu, Yi Xiao, Li Fan, Shiyuan Liu
    Journal of Imaging Informatics in Medicine.2024; 37(2): 520.     CrossRef
  • Prognostic Analysis of Stage I Non-Small Cell Lung Cancer Abutting Adjacent Structures on Preoperative Computed Tomography
    Soohwan Choi, Sun Kyun Ro, Seok Whan Moon
    Journal of Chest Surgery.2024; 57(2): 136.     CrossRef
  • Nomogram using intratumoral and peritumoral radiomics for the preoperative prediction of visceral pleural invasion in clinical stage IA lung adenocarcinoma
    Yun Wang, Deng Lyu, Su Hu, Yanqing Ma, Shaofeng Duan, Yayuan Geng, Taohu Zhou, Wenting Tu, Yi Xiao, Li Fan, Shiyuan Liu
    Journal of Cardiothoracic Surgery.2024;[Epub]     CrossRef
  • Nomogram for predicting invasive lung adenocarcinoma in small solitary pulmonary nodules
    Mengchao Xue, Rongyang Li, Junjie Liu, Ming Lu, Zhenyi Li, Huiying Zhang, Hui Tian
    Frontiers in Oncology.2024;[Epub]     CrossRef
  • Analysis of postoperative recurrence-free survival in non–small cell lung cancer patients based on consensus clustering
    Q. Tian, S.-Y. Zhou, Y.-H. Qin, Y.-Y. Wu, C. Qin, H. Zhou, J. Shi, S.-F. Duan, F. Feng
    Clinical Radiology.2024; 79(10): e1214.     CrossRef
  • Predicting bone metastasis-free survival in non-small cell lung cancer from preoperative CT via deep learning
    Jia Guo, Jianguo Miao, Weikai Sun, Yanlei Li, Pei Nie, Wenjian Xu
    npj Precision Oncology.2024;[Epub]     CrossRef
  • The prognostic value of visceral pleural infiltration in ≤3 cm nonsmall cell lung cancer presenting with ground glass opacity: an inverse probability of treatment weighting study
    Zhenyu Yang, Yiming Li, Chenglin Guo, Yikai Xing, Chengwu Liu, Jian Zhang, Qiang Pu, Lunxu Liu
    International Journal of Surgery.2024; 110(12): 7871.     CrossRef
  • Tumour–pleura relationship on CT is a risk factor for occult lymph node metastasis in peripheral clinical stage IA solid adenocarcinoma
    Chengzhou Zhang, Liping Wang, Xiaoting Cai, Mengfei Li, Dandan Sun, Ping Wang
    European Radiology.2023; 33(5): 3083.     CrossRef
  • Analysis of the relevance between computed tomography characterization and pathology of pulmonary ground-glass nodules with different pathology types
    Zhang Youguo, Wang Chengye, Cheng Xiaofei, Zhang Xuefei, Liu Changhong
    Turkish Journal of Thoracic and Cardiovascular Surgery.2023; 31(1): 95.     CrossRef
  • Risk factors for loss of pulmonary function after wedge resection for peripheral ground-glass opacity dominant lung cancer
    Tomohiro Miyoshi, Hiroyuki Ito, Masashi Wakabayashi, Tadayoshi Hashimoto, Yuta Sekino, Kenji Suzuki, Masahiro Tsuboi, Yasumitsu Moriya, Ichiro Yoshino, Tetsuya Isaka, Aritoshi Hattori, Takahiro Mimae, Mitsuhiro Isaka, Tomohiro Maniwa, Makoto Endo, Hiroshi
    European Journal of Cardio-Thoracic Surgery.2023;[Epub]     CrossRef
  • Volumetric analysis of intravoxel incoherent motion diffusion-weighted imaging in preoperative assessment of non-small cell lung cancer
    Jianqin Jiang, Yigang Fu, Lili Zhang, Jia Liu, Xiaowen Gu, Weiwei Shao, Lei Cui, Gaofeng Xu
    Japanese Journal of Radiology.2022; 40(9): 903.     CrossRef
  • A Nomogram Combined Radiomics and Clinical Features as Imaging Biomarkers for Prediction of Visceral Pleural Invasion in Lung Adenocarcinoma
    Xinyi Zha, Yuanqing Liu, Xiaoxia Ping, Jiayi Bao, Qian Wu, Su Hu, Chunhong Hu
    Frontiers in Oncology.2022;[Epub]     CrossRef
  • Radiologists with and without deep learning–based computer-aided diagnosis: comparison of performance and interobserver agreement for characterizing and diagnosing pulmonary nodules/masses
    Tomohiro Wataya, Masahiro Yanagawa, Mitsuko Tsubamoto, Tomoharu Sato, Daiki Nishigaki, Kosuke Kita, Kazuki Yamagata, Yuki Suzuki, Akinori Hata, Shoji Kido, Noriyuki Tomiyama
    European Radiology.2022; 33(1): 348.     CrossRef
  • The value of CT radiomics features to predict visceral pleural invasion in ≤3 cm peripheral type early non-small cell lung cancer
    Shu-Hua Wei, Jin-Mei Zhang, Bin Shi, Fei Gao, Zhao-Xuan Zhang, Li-Ting Qian
    Journal of X-Ray Science and Technology.2022; 30(6): 1115.     CrossRef
  • Pathological components and CT imaging analysis of the area adjacent pleura within the pure ground-glass nodules with pleural deformation in invasive lung adenocarcinoma
    Yining Jiang, Ziqi Xiong, Wenjing Zhao, Di Tian, Qiuping Zhang, Zhiyong Li
    BMC Cancer.2022;[Epub]     CrossRef
  • Development and validation of a deep learning signature for predicting lymph node metastasis in lung adenocarcinoma: comparison with radiomics signature and clinical-semantic model
    Xiaoling Ma, Liming Xia, Jun Chen, Weijia Wan, Wen Zhou
    European Radiology.2022; 33(3): 1949.     CrossRef
  • Lung-RADS Version 1.1: Challenges and a Look Ahead, From the AJR Special Series on Radiology Reporting and Data Systems
    Lydia Chelala, Rydhwana Hossain, Ella A. Kazerooni, Jared D. Christensen, Debra S. Dyer, Charles S. White
    American Journal of Roentgenology.2021; 216(6): 1411.     CrossRef
  • Predicting pathological lymph node status in clinical stage IA peripheral lung adenocarcinoma
    Keiju Aokage, Kenji Suzuki, Masashi Wakabayashi, Tomonori Mizutani, Aritoshi Hattori, Haruhiko Fukuda, Shun-Ichi Watanabe
    European Journal of Cardio-Thoracic Surgery.2021; 60(1): 64.     CrossRef
  • Discriminating Small-Sized (2 cm or Less), Noncalcified, Solitary Pulmonary Tuberculoma and Solid Lung Adenocarcinoma in Tuberculosis-Endemic Areas
    Jingping Zhang, Tingting Han, Jialiang Ren, Chenwang Jin, Ming Zhang, Youmin Guo
    Diagnostics.2021; 11(6): 930.     CrossRef
  • Association of postoperative recurrence with radiological and clinicopathological features in patients with stage IA–IIA lung adenocarcinoma
    Yanyan Zhang, Fengnian Zhao, Minghao Wu, Yunqing Zhao, Ying Liu, Qian Li, Guiming Zhou, Zhaoxiang Ye
    European Journal of Radiology.2021; 141: 109802.     CrossRef
  • Characterization of Newly Detected Costal Pleura–attached Noncalcified Nodules at Annual Low-Dose CT Screenings
    Yeqing Zhu, Rowena Yip, Nan You, Qiang Cai, Claudia I. Henschke, David F. Yankelevitz, Claudia I. Henschke, David F. Yankelevitz, Rowena Yip, Dongming Xu, Mary Salvatore, Raja Flores, Andrea Wolf, David S. Mendelson, Dorothy I. McCauley, Mildred Chen, Dan
    Radiology.2021; 301(3): 724.     CrossRef
  • Clinicopathological and computed tomographic features associated with occult lymph node metastasis in patients with peripheral solid non-small cell lung cancer
    Xiao-Qun He, Tian-You Luo, Xian Li, Ji-Wen Huo, Jun-Wei Gong, Qi Li
    European Journal of Radiology.2021; 144: 109981.     CrossRef
  • Surgical Extent for Ground Glass Nodules
    Suk Ki Cho
    Journal of Chest Surgery.2021; 54(5): 338.     CrossRef
  • CT-guided microcoil localization for pulmonary nodules before VATS: a retrospective evaluation of risk factors for pleural marking failure
    Yanyan Xu, Lingchuan Ma, Hongliang Sun, Zhenguo Huang, Zhenrong Zhang, Fei Xiao, Qianli Ma, Chuandong Li, Xiaomeng Zhang, Sheng Xie
    European Radiology.2020; 30(10): 5674.     CrossRef
  • Management of Nodules Attached to the Costal Pleura at Low-Dose CT Screening for Lung Cancer
    Yeqing Zhu, Rowena Yip, Nan You, Claudia I. Henschke, David F. Yankelevitz
    Radiology.2020; 297(3): 710.     CrossRef
  • 9,623 View
  • 212 Download
  • 32 Web of Science
  • 26 Crossref
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Development of Protocol for Korean Lung Cancer Screening Project (K-LUCAS) to Evaluate Effectiveness and Feasibility to Implement National Cancer Screening Program
Jaeho Lee, Juntae Lim, Yeol Kim, Hyae Young Kim, Jin Mo Goo, Choon-Taek Lee, Seung Hun Jang, Won-Chul Lee, Chan Wha Lee, Jin Young An, Ki Dong Ko, Min Ki Lee, Kui Son Choi, Boyoung Park, Duk Hyoung Lee
Cancer Res Treat. 2019;51(4):1285-1294.   Published online February 19, 2019
DOI: https://doi.org/10.4143/crt.2018.464
AbstractAbstract PDFPubReaderePub
Purpose
To reduce lung cancer mortality, lung cancer screening was recommended using low-dose computed tomography (LDCT) to high-risk population. A protocol for multicenter lung cancer screening pilot project was developed to evaluate the effectiveness and feasibility of lung cancer screening to implement National Cancer Screening Program in Korea.
Materials and Methods
Multidisciplinary expert committee was comprised to develop a standardized protocol for Korean Lung Cancer Screening Project (K-LUCAS). K-LUCAS is a population-based single arm trial that targets high-risk population aged 55-74 years with at least 30 pack-year smoking history. LDCT results are reported by Lung-RADS suggested by American Radiology Society. Network-based system using computer-aided detection program is prepared to assist reducing diagnostic errors. Smoking cessation counselling is provided to all currently smoking participants. A small pilot test was conducted to check the feasibility and compliance of the protocols for K-LUCAS.
Results
In pilot test, 256 were participated. The average age of participants was 63.2 years and only three participants (1.2%) were female. The participants had a smoking history of 40.5 pack-year on average and 53.9% were current smokers. Among them, 86.3% had willing to participate in lung cancer screening again. The average willingness to quit smoking among current smokers was 12.7% higher than before screening. In Lung-RADS reports, 10 (3.9%) were grade 3 and nine (3.5%) were grade 4. One participant was diagnosed as lung cancer.
Conclusion
The protocol developed by this study is assessed to be feasible to perform K-LUCAS in multicenter nationwide scale.

Citations

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    Asia-Pacific Journal of Oncology Nursing.2024; 11(1): 100332.     CrossRef
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    Yeon Wook Kim
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    Eui Jin Hwang, Jin Mo Goo, Hyae Young Kim, Soon Ho Yoon, Gong Yong Jin, Jaeyoun Yi, Yeol Kim
    European Radiology.2021; 31(5): 2845.     CrossRef
  • External validation and comparison of the Brock model and Lung-RADS for the baseline lung cancer CT screening using data from the Korean Lung Cancer Screening Project
    Hyungjin Kim, Hyae Young Kim, Jin Mo Goo, Yeol Kim
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  • Lung Screening Benefits and Challenges: A Review of The Data and Outline for Implementation
    Jacob Sands, Martin C. Tammemägi, Sebastien Couraud, David R. Baldwin, Andrea Borondy-Kitts, David Yankelevitz, Jennifer Lewis, Fred Grannis, Hans-Ulrich Kauczor, Oyunbileg von Stackelberg, Lecia Sequist, Ugo Pastorino, Brady McKee
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  • Optimum diameter threshold for lung nodules at baseline lung cancer screening with low-dose chest CT: exploration of results from the Korean Lung Cancer Screening Project
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    Stephen Lam, Martin Tammemagi
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  • Coronary artery calcium severity grading on non-ECG-gated low-dose chest computed tomography: a multiple-observer study in a nationwide lung cancer screening registry
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    Seung Hun Jang
    The Korean Journal of Medicine.2020; 95(2): 95.     CrossRef
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