Computed Tomography Screening for Lung Cancer, Emphysema, and Coronary Artery Disease. A program for smoking prevention and cessation.
Primary prevention. Never start smoking, stop smoking while young.
All recruits and officer candidates are non-smokers on the day they complete initial military training (Boot Camp/ Officer Indoctrination, etc). 32 % of military personnel smoke (vs. 20% in general population). Many begin during deployments and combat exposure.
The lifetime effects of smoking are greater than illness or injury incurred during combat.
Use information from Secondary prevention campaign to educate for primary prevention with images, statistics from our own population. Show these patients Lung Cancer Statistics from Naval Medical Center San Diego.
Secondary prevention. Maximize value of CT screening.
There is new scientific evidence of effectiveness. Stopping smoking, and early cancer detection in older population with greater than 30 pack year smoking history. (11,000 packs of cigarettes)
Screen with CT for lung cancer, coronary artery disease, and emphysema all as part of the same scan (one scan). This must be part of a larger coordinated program Individualize education for each high-risk patient that still smokes. Show them images of emphysema, lung nodules, and coronary artery calcifications in their own chest.
Why now? Modern technology and indications from recent research demonstrate that there is value in screening for lung cancer in High Risk individuals with CT (Computed Tomography, CAT Scan) imaging. This proposal is twofold. First: increase the benefit of lung cancer screening by also reporting asymptomatic coronary artery disease and emphysema from the same CT imaging data. Individualize reporting of these results with images directly to patients as a tool to further educate patients to stop smoking. Second: Use data derived from NMCSD lung cancer tumor registry and from patients scanned at high risk for lung cancer to educate younger individuals to stop smoking or never start.