Updates on lung cancer screening for early detection

This review examines the current status and recent progress in lung cancer screening programs, focusing on low-dose computed tomography (LDCT) and emerging liquid biopsy technologies. In Korea, the National Lung Cancer Screening Program has shown promising results in reducing lung cancer mortality s...

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Main Authors: Se Hyun Kwak, Chi Young Kim, Sang Hoon Lee, Eun Young Kim, Eun Hye Lee, Yoon Soo Chang
Format: Article
Language:English
Published: The Korean Association of Internal Medicine 2025-07-01
Series:The Korean Journal of Internal Medicine
Subjects:
Online Access:http://kjim.org/upload/kjim-2025-008.pdf
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author Se Hyun Kwak
Chi Young Kim
Sang Hoon Lee
Eun Young Kim
Eun Hye Lee
Yoon Soo Chang
author_facet Se Hyun Kwak
Chi Young Kim
Sang Hoon Lee
Eun Young Kim
Eun Hye Lee
Yoon Soo Chang
author_sort Se Hyun Kwak
collection DOAJ
description This review examines the current status and recent progress in lung cancer screening programs, focusing on low-dose computed tomography (LDCT) and emerging liquid biopsy technologies. In Korea, the National Lung Cancer Screening Program has shown promising results in reducing lung cancer mortality since its implementation in 2019. This review discusses the LDCT screening in Korea, including reductions in short-term mortality, increased screening uptake, and enhanced smoking cessation rates. Results from major international trials, including the National Lung Screening Trial, Nederlands–Leuvens Longkanker Screenings Onderzoek trial, and Multicenter Italian Lung Detection studies, demonstrating the efficacy of LDCT in reducing lung cancer mortality, are reviewed. The potential of liquid biopsy as a complement to LDCT is explored, with a focus on multi-cancer early detection technologies. Notable advances include the Circulating Cell-free Genome Atlas study and the Galleri® test, which have shown promise in detecting cancer at early stages through blood-based screening. We also highlight the challenges and limitations of current screening methods, including the need to improve strategies for screening non-smokers and the importance of balancing benefits against risks. As lung cancer screening continues to advance, combining LDCT and liquid biopsy is anticipated to provide more comprehensive and effective early detection strategies.
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publisher The Korean Association of Internal Medicine
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spelling doaj-art-b9de0ed3b1ba431caf2a7e6c01ef7dd92025-08-20T03:32:04ZengThe Korean Association of Internal MedicineThe Korean Journal of Internal Medicine1226-33032005-66482025-07-0140454655610.3904/kjim.2025.008171029Updates on lung cancer screening for early detectionSe Hyun Kwak0Chi Young Kim1Sang Hoon Lee2Eun Young Kim3Eun Hye Lee4Yoon Soo Chang5 Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea Department of Internal Medicine, Yonsei University College of Medicine, Seoul, KoreaThis review examines the current status and recent progress in lung cancer screening programs, focusing on low-dose computed tomography (LDCT) and emerging liquid biopsy technologies. In Korea, the National Lung Cancer Screening Program has shown promising results in reducing lung cancer mortality since its implementation in 2019. This review discusses the LDCT screening in Korea, including reductions in short-term mortality, increased screening uptake, and enhanced smoking cessation rates. Results from major international trials, including the National Lung Screening Trial, Nederlands–Leuvens Longkanker Screenings Onderzoek trial, and Multicenter Italian Lung Detection studies, demonstrating the efficacy of LDCT in reducing lung cancer mortality, are reviewed. The potential of liquid biopsy as a complement to LDCT is explored, with a focus on multi-cancer early detection technologies. Notable advances include the Circulating Cell-free Genome Atlas study and the Galleri® test, which have shown promise in detecting cancer at early stages through blood-based screening. We also highlight the challenges and limitations of current screening methods, including the need to improve strategies for screening non-smokers and the importance of balancing benefits against risks. As lung cancer screening continues to advance, combining LDCT and liquid biopsy is anticipated to provide more comprehensive and effective early detection strategies.http://kjim.org/upload/kjim-2025-008.pdflung cancer screeninglow-dose computed tomographyliquid biopsymulti-cancer early detectionnational lung cancer screening program
spellingShingle Se Hyun Kwak
Chi Young Kim
Sang Hoon Lee
Eun Young Kim
Eun Hye Lee
Yoon Soo Chang
Updates on lung cancer screening for early detection
The Korean Journal of Internal Medicine
lung cancer screening
low-dose computed tomography
liquid biopsy
multi-cancer early detection
national lung cancer screening program
title Updates on lung cancer screening for early detection
title_full Updates on lung cancer screening for early detection
title_fullStr Updates on lung cancer screening for early detection
title_full_unstemmed Updates on lung cancer screening for early detection
title_short Updates on lung cancer screening for early detection
title_sort updates on lung cancer screening for early detection
topic lung cancer screening
low-dose computed tomography
liquid biopsy
multi-cancer early detection
national lung cancer screening program
url http://kjim.org/upload/kjim-2025-008.pdf
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AT sanghoonlee updatesonlungcancerscreeningforearlydetection
AT eunyoungkim updatesonlungcancerscreeningforearlydetection
AT eunhyelee updatesonlungcancerscreeningforearlydetection
AT yoonsoochang updatesonlungcancerscreeningforearlydetection