Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot16110.32687/0869-866X-2019-27-si1-630-636Научная статьяMoscow Screening: Lung Cancer Screening With Low-Dose Computed TomographyMorozovS. P.-KuzminaE. S.-VetshevaN. N.-GombolevskiyV. A.gombolevskiy@npcmr.ruLantukhZ. A.-PolishukN. S.-LaipanA. Sh.-ErmolaevS. O.-PaninaE. V.-BlokhinI. A.-Research and Practical Clinical Center of Diagnostics and Telemedicine Technologies151220192763063606042021Copyright © 2019,2019For the first time in Moscow and Russia, a program of selective lung cancer screening has been implemented with a comprehensive approach, including organizational, management, medical, technical and educational aspects and quality control. Unique ultra-low-dose protocols (ultra-LDCT) have been developed to implement the screening program. These protocols allow performing high-quality chest computed tomography for lung nodule detection with an effective dose of less than 1 mSv. The possibility of using neural networks (“artificial intelligence”) for quality control of screening results has been proven for the first time.lung cancerlow-dose computed tomographydetectabilitypatient routingскрининг ракарак легкогонизкодозовая компьютерная томографиявыявляемостьмаршрутизациясancer screening[The top 10 causes of death. World Health Organization. 24 May 2018. Режим доступа: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death][Bray F., Ferlay J., Soerjomataram I., Siegel R. L., Torre L. A., Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer. J. Clin. 2018 Nov; 68(6):394-424. doi: 10.3322/caac.21492][Каприн А. Д., Старинский В. В., Петрова Г. В. Состояние онкологической помощи населению России в 2016 году. М.; 2017. С. 236.][Каприн А. Д., Старинский В. В., Петрова Г. В. Злокачественные новообразования в России в 2016 г. (заболеваемость и смертность). М.; 2018. С. 250.][Gohagan J. K., Prorok P. C., Hayes R. B., Kramer B. S. Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial Project Team. The Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial of the National Cancer Institute: history, organization, and status. Control. Clin. Trials. 2000;21:251-72.][Nelson Lung Cancer Screening Study Confirms NLST Results. ACR. 25 September 2018. Режим доступа: https://www.acr.org/Media-Center/ACR-News-Releases/2018/Nelson-Lung-Cancer-Screening-Study-Confirms-NLST-Results?fbclid=IwAR15uesIASg_ 8I8RH3Tak2LRuy3CUBXmAl1MbjBlSn2xuYQfpKrrsTuEzpU][Рекомендации по ранней диагностике рака легкого для врачей первичного звена. Вестник рентгенологии и радиологии. 2016;97(2):69-78.][Lung-RADS™ Version 1.0 Assessment Categories Release. 28 April 2014. Режим доступа: https://www.acr.org/-/media/ACR/Files/RADS/Lung-RADS/LungRADS_AssessmentCategories.pdf?la= en][Rembold C. M. Number needed to screen: development of a statistic for disease screening. B. M. J. 1998 Aug 1;317(7154):307-12.][Morozov S., Guseva E., Ledikhova N., Vladzymyrskyy A., Safronov D. Telemedicine-based system for quality management and peer review in radiology. Insights Imaging. 2018 Jun;9(3):337-41. doi: 10.1007/s13244-018-0629-y]