Over a Quarter of Lung-RADS 0 Assignments in Lung Cancer Screening Reclassified

A retrospective review of 129 Lung-RADS 0 screening CTs found that radiologists reclassified 26.4% as Lung-RADS 2–4; no cancer diagnoses were delayed. 61.2% of findings resolved or improved.

• 73.6% of Lung-RADS 0 studies were deemed appropriately reported by reviewing radiologists.
• Two malignancies were diagnosed at follow-up, but neither was delayed by the Lung-RADS 0 classification.
• Resolution or improvement of findings occurred in 61.2% of cases, while 33.3% showed no change or worsening.

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