Computed Tomography with Computer-aided Detection for Lung Cancer Screening

Note: The following ratings and comments reflect the opinions and consensus of an expert panel convened by ECRI Institute to review information on this topic.

Anticipated Utilization: 1(Expected to be used by 0% to 20% of eligible patients)

Clinical guidelines recommend low-dose computed tomography (LDCT) to screen high-risk patients for lung cancer; however, they are silent on enhancing LDCT with computer-aided detection (CADe) systems. Some manufacturers report that the slow initial adoption is unlikely to change without extra reimbursement or new clinical data showing that CADe improves outcomes or cost-effectiveness of LDCT. Over time, more radiologists might adopt software that automatically tracks changes to radiologist-identified lung nodules to facilitate lung cancer screening. However, that assumption would depend on...