{"id":9926,"date":"2025-05-15T16:21:02","date_gmt":"2025-05-15T20:21:02","guid":{"rendered":"https:\/\/ciehaufr1i.wpdns.site\/lung-cancer-screening-cstr\/"},"modified":"2025-07-15T15:36:38","modified_gmt":"2025-07-15T15:36:38","slug":"depistage-du-cancer-du-poumon-cstr","status":"publish","type":"page","link":"https:\/\/car.ca\/fr\/communaute\/societes-affiliees-de-la-car\/cstr\/depistage-du-cancer-du-poumon-cstr\/","title":{"rendered":"D\u00e9pistage du cancer du poumon (CSTR)"},"content":{"rendered":"\n

D\u00e9pistage du cancer du poumon<\/h2>\n\n\n\n

Orientation<\/h3>\n\n\n\n

<\/span>

CAR\/CSTR Practice Guideline on CT Screening for Lung Cancer<\/span><\/h3>
Lignes directrices d\u00e9crivant les protocoles de d\u00e9pistage du cancer du poumon par TDM \u00e0 faible dose afin d'am\u00e9liorer la d\u00e9tection pr\u00e9coce, de normaliser les rapports et de soutenir la mise en \u0153uvre de programmes fond\u00e9s sur des donn\u00e9es probantes.\nDisponible en anglais seulement.<\/div><\/div><\/div><\/a><\/div><\/p>\n\n\n\n

Protocoles de d\u00e9pistage des maladies<\/strong> pulmonaires (en anglais seulement)<\/h3>\n\n\n\n
Scan Parameter<\/th>Description<\/th><\/tr><\/thead>
A. Patient Positioning<\/td>Scan is performed with breath hold at full inspiration. 
Scan participant centred on scan table supine, arms above head, landmark for chest imaging. 
*If patient factors preclude this position, the technologist must document why this position is not possible.
*If the patient is temporarily unable to be scanned in this position or with breath holding, the screening study should be rescheduled.<\/td><\/tr>
B. Localiser<\/td>Localiser images should be obtained as directed by the manufacturer to cover the area of the chest, not exceeding beyond the angle of the mandible superiorly and the iliac crest inferiorly<\/td><\/tr>
C. Scan Field of view<\/td>Include entire lung with quality measures in place to ensure over scanning is not routine. Note the scan field does not need to include the adrenals.<\/td><\/tr>
D. Display Field of View (DFOV)<\/td>1-3 cm beyond outer rib margins (smaller DFOV provides smaller voxel size)<\/td><\/tr>
E. Detector Array<\/td>\u2265 16 detector rows <\/td><\/tr>
F. Acquisition mode <\/td>Helical<\/td><\/tr>
G. KV<\/td>Adjust for patient size. Automatic Exposure Control (AEC) is recommended<\/td><\/tr>
H. mA, or effective mAs<\/td>Adjust for patient size. Automatic Exposure Control (AEC) is recommended<\/td><\/tr>
I. Slice Spacing<\/td>Slice spacing \u2264 slice thickness<\/td><\/tr>
J. Contrast Media<\/td>No contrast media<\/td><\/tr>
K. Lung\/Sharp algorithm (kernel)<\/td>Three planes: Transverse, coronal and sagittal<\/td><\/tr>
L. Soft algorithm (kernel) <\/td>Transverse at a minimum<\/td><\/tr>
M. Slice reconstruction thickness<\/td>Recommendation 1.25 mm or less. Maximum slice thickness not to exceed 2.5 mm<\/td><\/tr>
N. Radiation Dose Management<\/td>CTDIvol must be \u2264 3.0 mGy for a standard sized patient. By definition, a standard sized patient is approximately 5’7″ and 155 pounds or 170 cm and 70 kg<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"

D\u00e9pistage du cancer du poumon Orientation Protocoles de d\u00e9pistage des maladies pulmonaires (en anglais seulement) Scan Parameter Description A. Patient Positioning Scan is performed with breath hold at full inspiration. Scan participant centred on scan table supine, arms above head, landmark for chest imaging. *If patient factors preclude this position, the technologist must document why this position 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