Post by Jiwan Kwak

Low-Dose Chest CT Lung Cancer Screening for School Cafeteria Workers: A Position Paper from the Korean Society of Thoracic Radiology https://lnkd.in/gNZmbMRH Won Gi Jeong, MD1, Gong Yong Jin, MD2*, Se Ri Kang, MD3, Seung-Jin Yoo, MD4, Kyongmin Sarah Beck, MD5, Kum Ju Chae, MD2, Soyeoun Lim, MD6, Jin Young Yoo, MD7, Hee Kang, MD8, Hongseok Ko, MD9, Jae-Kwang Lim, MD10, Soo-Youn Ham, MD11, Ho Yun Lee, MD12,13, Yeon Joo Jeong, MD14, Kyung Nyeo Jeon, MD15, Jung Im Jung, MD5, Yun-Hyeon Kim, MD16, Jin Mo Goo, MD17 I’m one of those who want to see more people screened for lung cancer. At the same time, we owe it to the public to spend tax money wisely. A recent position paper from the Korean Society of Thoracic Radiology (KSTR) reminds us why both goals matter. Key takeaways from the KSTR paper: ▪️ Before launching a dedicated program for school cafeteria workers, Korea needs a Korea‑specific environmental and situational assessment (exposure levels, facility ventilation, comparable outcomes). ▪️ Any screening program should rest on evidence of mortality reduction, not detection alone. ▪️ There is no current evidence to apply Lung‑RADS specifically to this group; benefits and harms must be weighed carefully (early diagnosis and research value vs. unnecessary scans, radiation exposure, and financial burden). Why more research matters: Preliminary Ministry of Education data (2022) reported 0.58% suspicious nodules and 0.13% lung cancer among 24,065 screened workers. By contrast, Taiwan’s TALENT study in never‑smokers saw a 2.6% detection rate, but TALENT did not evaluate mortality reduction. The true bar for population screening. We need continuous, well‑designed studies to clarify who benefits, how much, and at what cost. As someone who supports broader screening and responsible public spending, I hope to see ongoing, multidisciplinary research that strengthens the evidence base and guides policy. 👉 In the field, Coreline Soft’s AVIEW LCS aims to support LDCT reading workflows and structured reporting, helping clinicians and programs operate in a more data‑driven, quality‑focused way, with clinical and policy decisions remaining squarely in the hands of the appropriate experts and institutions. #LungCancerScreening #LDCT #OccupationalHealth #EvidenceBasedPolicy #Coreline #AVIEWLCS