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Welcome back to senate house call you know every week we take a look for new studies that you should know about and this one just came out and it finds that cat scans are more effective than X rays when it comes along cancer screenings and that raises the question doctor -- Who should be screened for lung cancer just smokers well.
If you are between the age of 55 to seven before and you smoked one pack a day for thirty years.
Or if -- ex smoker that have smoked for about fifteen years and you stuff.
You should listen up to this segment because you need to be screened now historically we always -- chest X read.
Or psychology to find out if there's any kind of it's cancer.
Now this study from New England Journal medicine and we actually mentioned it few months ago.
Now they're definitely telling you that load those cat -- can detect a lot of lesions that can go undetected by chest X rays for chest X is normal no longer a good test for screening.
And so cats can they looked at 26000.
People who got -- 626009.
But cats -- Cats can actually detected 27% vs -- percent and came up on top the other big news is that actually you always talk about death rates so.
We've -- cat -- and there was reduction of 20% listen up this is important 20% reduction.
In death from lung cancer.
We know that long because is it deadly disease a 150000.
People die from this doesn't give a second chance and screening in this particular population -- risk.
Are very important and they need to be looked upon.
But that doctor they've been discussions about you know what lesions can show up that it could operate on a need to and the other issue has to deal with radiation mark you've discussed that.
We talk about this cat cat scans and too much radiation.
-- this is the national lung screening trial published in The New England Journal of Medicine actually the first part of this was published in 2011.
As David said 20% reduction of cat scans over -- to more more -- are saying hey I should have a catch him but then there was a huge uproar saying one about the radiation risk as you mentioned -- What about the high cost.
And now the second part of this comes out where they say that only one procedure follows that -- -- so in other words the cat scan is more sensitive.
It might overdo it you might come up with people that actually don't have lung cancer.
So everyone's worried you gonna do too many tasks but the study shows that the average is only one follow up tests.
But Eric here's how I look at it it's up to the physician David and I always talking on the show it's not the test.
It's not some protocol it's what the position does with the information.
And I believe.
The more information you have about it so if I have a smoker or former smoker I don't wanna do an -- caused by the time might diagnosed lung cancer on and that's very.
The horses are out of the bar in the fingers spread already fight diagnose it early with a cat scan and I get -- -- stage one lung cancer.
I have a 60% chance of cure.
You know there's a 150000.
People dying every year -- here we have to diagnose them early so you do the cat scan and then you figure out what to do -- -- doesn't mean an automatic.
-- so David what -- what I tell my doctor and how -- -- -- it's if it's low dose of these these machines are huge and how do you know what I'm lower -- search is a -- about secondhand.
-- -- Risk factors and I think you know you you don't you shouldn't be asking them your doctor should be advising you -- to find out what is the risk and benefit.
And and so when you scream yes see there are going to be lesions that we're going to find out that maybe in Poland and not affect you.
But if you are at risk if you're a smoker secondhand smoking if you're exposed to raid on our expenses.
High risk patients in those categories should be screened would -- those cats that I know there's a lot of debate about this.
And I know that some people would say that it would increase the cost and some hospitals are even lowering the cost of this so people will get it.
But the bottom line is if you practice good medicine.
You wanna make sure that you detect this because -- rhythm a -- diseases heart and a deadly disease that I just knowing how don't get a second chance with lung -- house thanked the doctors just thank you.
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