Pub Date : 2025-12-01DOI: 10.1016/j.jacr.2025.05.019
Vanhvilai L. Douangchai Wills MSc , Liora Sahar PhD , Lauren Rosenthal MPH , Ella A. Kazerooni MD, MS , Kim Lori Sandler MD , Carey Thomson MD, MPH , Robert A. Smith PhD
Purpose
Lung cancer (LC) is the leading cause of cancer death in women, yet LC screening (LCS) rates remain low. Identifying women eligible for LCS who are undergoing screening mammography has been shown to increase LCS in this population. We aim to evaluate the proximity of mammography facilities to LCS facilities to further leverage screening mammography on a national level to increase LCS uptake among women.
Methods
A geospatial approach was used to assess the proximity of mammography and LCS facilities at graduated short distances of 0, 0.5, and 1 mile. Public data were used to calculate the estimated women aged 50 to 74, women who have undergone mammography, and the estimated women eligible for LCS within these distances. Bivariate maps were created to highlight potential areas for intervention.
Results
Almost 40% of mammography facilities are within 1 mile of LCS facilities, and many of these facilities (59.5%) are “nearby facilities” (0 miles or share an address) that are mostly in more urban areas, presenting a disparity in access between rural and urban areas. Although <25% of all mammography facilities are within 0 miles of LCS facilities, they are in counties in which most of the women eligible for LCS and most of the women who have undergone mammography reside.
Conclusion
High mammography prevalence coupled with the alignment of the distribution of facilities, women eligible for LCS, and women who have undergone mammography provide an opportunity to reach women at risk for LC to assess eligibility and offer convenient screening near the time of their mammograms.
{"title":"Leveraging High Mammography Screening Prevalence to Increase Lung Cancer Screening Among Women—a Geospatial Perspective","authors":"Vanhvilai L. Douangchai Wills MSc , Liora Sahar PhD , Lauren Rosenthal MPH , Ella A. Kazerooni MD, MS , Kim Lori Sandler MD , Carey Thomson MD, MPH , Robert A. Smith PhD","doi":"10.1016/j.jacr.2025.05.019","DOIUrl":"10.1016/j.jacr.2025.05.019","url":null,"abstract":"<div><h3>Purpose</h3><div>Lung cancer (LC) is the leading cause of cancer death in women, yet LC screening (LCS) rates remain low. Identifying women eligible for LCS who are undergoing screening mammography has been shown to increase LCS in this population. We aim to evaluate the proximity of mammography facilities to LCS facilities to further leverage screening mammography on a national level to increase LCS uptake among women.</div></div><div><h3>Methods</h3><div>A geospatial approach was used to assess the proximity of mammography and LCS facilities at graduated short distances of 0, 0.5, and 1 mile. Public data were used to calculate the estimated women aged 50 to 74, women who have undergone mammography, and the estimated women eligible for LCS within these distances. Bivariate maps were created to highlight potential areas for intervention.</div></div><div><h3>Results</h3><div>Almost 40% of mammography facilities are within 1 mile of LCS facilities, and many of these facilities (59.5%) are “nearby facilities” (0 miles or share an address) that are mostly in more urban areas, presenting a disparity in access between rural and urban areas. Although <25% of all mammography facilities are within 0 miles of LCS facilities, they are in counties in which most of the women eligible for LCS and most of the women who have undergone mammography reside.</div></div><div><h3>Conclusion</h3><div>High mammography prevalence coupled with the alignment of the distribution of facilities, women eligible for LCS, and women who have undergone mammography provide an opportunity to reach women at risk for LC to assess eligibility and offer convenient screening near the time of their mammograms.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 12","pages":"Pages 1526-1535"},"PeriodicalIF":5.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.jacr.2025.10.012
Ella A. Kazerooni MD, MS , Douglas E. Wood MD , Robert A. Smith PhD
{"title":"American Cancer Society National Lung Cancer Roundtable Introduction for JACR Lung Cancer Screening Issue","authors":"Ella A. Kazerooni MD, MS , Douglas E. Wood MD , Robert A. Smith PhD","doi":"10.1016/j.jacr.2025.10.012","DOIUrl":"10.1016/j.jacr.2025.10.012","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 12","pages":"Pages 1448-1450"},"PeriodicalIF":5.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.jacr.2025.08.024
Kasen Wong MS , Sean Johnson MD , Yannan Lin MD, MPH, PhD , Hannah S. Milch MD , Ashley E. Prosper MD
{"title":"REACHing for Patient-Centered Screening: Leveraging Mammography Pathways to Advance Lung Cancer Prevention","authors":"Kasen Wong MS , Sean Johnson MD , Yannan Lin MD, MPH, PhD , Hannah S. Milch MD , Ashley E. Prosper MD","doi":"10.1016/j.jacr.2025.08.024","DOIUrl":"10.1016/j.jacr.2025.08.024","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 12","pages":"Pages 1518-1520"},"PeriodicalIF":5.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.jacr.2025.08.027
Lauren E. Kearney MD , Jacquelyn N. Pendergast MS , Anushka Sista MS , Anna M. Barker MS , Steven Abrams BS , Fatima G. Wilder MD, MPH, MSc , Leslie Chatelain Jr. MPH , Johanne Eliacin PhD , Gemmae M. Fix PhD , Renda Soylemez Wiener MD, MPH
{"title":"What a Peer-Led, Community-Engaged Lung Cancer Screening Pilot Study Taught Us About Reaching Black Veterans","authors":"Lauren E. Kearney MD , Jacquelyn N. Pendergast MS , Anushka Sista MS , Anna M. Barker MS , Steven Abrams BS , Fatima G. Wilder MD, MPH, MSc , Leslie Chatelain Jr. MPH , Johanne Eliacin PhD , Gemmae M. Fix PhD , Renda Soylemez Wiener MD, MPH","doi":"10.1016/j.jacr.2025.08.027","DOIUrl":"10.1016/j.jacr.2025.08.027","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 12","pages":"Pages 1547-1551"},"PeriodicalIF":5.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.jacr.2025.07.022
Tali Amir MD , Molly P. Hogan MD , Varadan Sevilimedu DrPH , Elizabeth Schofield DrPH , Jamie Ostroff PhD , Lisa Carter-Bawa PhD, MPH, APRN
{"title":"A Pilot Study: Leveraging Mammography and Digital Outreach to Identify and Engage Women at Risk for Lung Cancer in Lung Cancer Screening","authors":"Tali Amir MD , Molly P. Hogan MD , Varadan Sevilimedu DrPH , Elizabeth Schofield DrPH , Jamie Ostroff PhD , Lisa Carter-Bawa PhD, MPH, APRN","doi":"10.1016/j.jacr.2025.07.022","DOIUrl":"10.1016/j.jacr.2025.07.022","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 12","pages":"Pages 1521-1525"},"PeriodicalIF":5.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.jacr.2025.09.019
Haley I. Tupper MD, MS, MPH , Florence X. Doo MD, MA , Yannan Lin MD, MPH, PhD , Patrick Chen MASc, MPH , Ashley E. Prosper MD , Gery W. Ryan PhD , Sha’Shonda L. Revels MD, MS
Background
Despite being the leading cause of cancer death, <20% of eligible, at-risk Americans undergo lung cancer screening. Lung cancer risk is concentrated in lower-income populations, but Medicaid-insured populations consistently have the lowest screening rates across cancers. To improve lung cancer screening rates and outcomes, we must understand the systemic challenges of orchestrating a complete episode of multidisciplinary care, from radiographic screening to treatment, in the resource-limited, safety-net environment.
Methods
We performed a qualitative case study of purposively sampled imaging-based cancer screening programs in safety-net organizations serving high-need populations in Los Angeles County, identified by geospatial techniques. Using a semistructured guide, organizational screening experts were prompted in hour-long telephone interviews between November 28, 2023, and February 12, 2024, to describe their organization’s imaging-based “screening pipeline,” including how they interfaced with external organizations to complete multidisciplinary screening to treatment. Audio was securely recorded, transcribed, and analyzed, using inductive thematic analysis.
Results
Four diverse organizations provided insight. Respondents highlighted two main resource-intensive systemic challenges: (1) fragmentation of care across multiple organizations and (2) siloed health information, particularly imaging. These interrelated challenges precluded simplification or automation of screening processes, prompting organizations to resort to manual, labor-intensive workarounds to partially overcome these systemic issues.
Conclusion
Care and informatics fragmentation particularly deplete safety-net resources and cause organized cancer screening programs to be unduly labor-intensive in this setting. These challenges were prevalent even in well-established screening programs, like breast, reinforcing that comprehensive, equity-based screening solutions transcend individual organizations.
{"title":"Systemic Challenges to Lung Cancer Screening in the Safety-Net Setting: Care and Informatics Fragmentation","authors":"Haley I. Tupper MD, MS, MPH , Florence X. Doo MD, MA , Yannan Lin MD, MPH, PhD , Patrick Chen MASc, MPH , Ashley E. Prosper MD , Gery W. Ryan PhD , Sha’Shonda L. Revels MD, MS","doi":"10.1016/j.jacr.2025.09.019","DOIUrl":"10.1016/j.jacr.2025.09.019","url":null,"abstract":"<div><h3>Background</h3><div>Despite being the leading cause of cancer death, <20% of eligible, at-risk Americans undergo lung cancer screening. Lung cancer risk is concentrated in lower-income populations, but Medicaid-insured populations consistently have the lowest screening rates across cancers. To improve lung cancer screening rates and outcomes, we must understand the systemic challenges of orchestrating a complete episode of multidisciplinary care, from radiographic screening to treatment, in the resource-limited, safety-net environment.</div></div><div><h3>Methods</h3><div>We performed a qualitative case study of purposively sampled imaging-based cancer screening programs in safety-net organizations serving high-need populations in Los Angeles County, identified by geospatial techniques. Using a semistructured guide, organizational screening experts were prompted in hour-long telephone interviews between November 28, 2023, and February 12, 2024, to describe their organization’s imaging-based “screening pipeline,” including how they interfaced with external organizations to complete multidisciplinary screening to treatment. Audio was securely recorded, transcribed, and analyzed, using inductive thematic analysis.</div></div><div><h3>Results</h3><div>Four diverse organizations provided insight. Respondents highlighted two main resource-intensive systemic challenges: (1) fragmentation of care across multiple organizations and (2) siloed health information, particularly imaging. These interrelated challenges precluded simplification or automation of screening processes, prompting organizations to resort to manual, labor-intensive workarounds to partially overcome these systemic issues.</div></div><div><h3>Conclusion</h3><div>Care and informatics fragmentation particularly deplete safety-net resources and cause organized cancer screening programs to be unduly labor-intensive in this setting. These challenges were prevalent even in well-established screening programs, like breast, reinforcing that comprehensive, equity-based screening solutions transcend individual organizations.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 12","pages":"Pages 1598-1604"},"PeriodicalIF":5.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.jacr.2025.08.017
Christopher R. Caruso MD, MPH , Anil Vachani MD, MSCE , Roger Y. Kim MD, MSCE
{"title":"Monitoring the Harms of Lung Cancer Screening: Why the Nonmalignant Resection Rate Is Our Best Bet","authors":"Christopher R. Caruso MD, MPH , Anil Vachani MD, MSCE , Roger Y. Kim MD, MSCE","doi":"10.1016/j.jacr.2025.08.017","DOIUrl":"10.1016/j.jacr.2025.08.017","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 12","pages":"Pages 1569-1571"},"PeriodicalIF":5.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.jacr.2025.08.018
Shailly Pandey MD , Nicolas Anderson BS , Madison Snidarich BA , Ursula Tsosie MS , Brandon Omernik MS, CTTS , Meagan C. Brown PhD, MPH , Kristina Crothers MD , Casey Walsh PhD, MSW , Jehan Z. Budak MD , Elle Brooks MPH , Abigail Echo-Hawk MA , Matthew Triplette MD, MPH
Objective
Though lung cancer screening (LCS) has significant mortality benefits and has been recommended by the US Preventive Services Task Force since 2013, uptake has been low, especially in most underserved populations. The objective of this study was to harmonize qualitative data from three parallel studies focused on communities with historically high rates of tobacco use and who face lung cancer disparities—people with human immunodeficiency virus; individuals that identify as lesbian, gay, bisexual, transgender, queer or questioning, and others; and urban-dwelling American Indian or Alaska Native individuals—to understand common barriers and facilitators to LCS to inform clinical programming.
Methods
This qualitative study re-analyzed deidentified focus group transcripts from three recently conducted qualitative studies performed in partnership with these communities. Participants were all eligible, or near eligible, for LCS by US Preventive Services Task Force 2021 criteria. Transcripts were analyzed using inductive thematic analysis, with final themes mapped to the Health Equity Implementation Framework.
Results
A total of 26 focus groups or interviews were analyzed, including a total of 109 participants (people with human immunodeficiency virus, n = 43; individuals that identify as lesbian, gay, bisexual, transgender, queer or questioning, and others, n = 21; American Indian or Alaska Native, n = 45). Fifteen themes emerged that represented common determinants of LCS behavior across the domains of the Health Equity Implementation Framework. Themes demonstrated broad interest in LCS and preventive health care but multilevel barriers to LCS engagement and completion. Participants endorsed facilitators such as community engagement, patient-provider information sharing, and patient navigation to enhance LCS uptake.
Discussion
Despite several barriers to screening that contribute to low uptake, there are facilitators that could be used through multilevel interventions to support LCS in underserved high-risk populations.
{"title":"Common Determinants of Lung Cancer Screening Uptake in Three High-Risk and Underserved Communities","authors":"Shailly Pandey MD , Nicolas Anderson BS , Madison Snidarich BA , Ursula Tsosie MS , Brandon Omernik MS, CTTS , Meagan C. Brown PhD, MPH , Kristina Crothers MD , Casey Walsh PhD, MSW , Jehan Z. Budak MD , Elle Brooks MPH , Abigail Echo-Hawk MA , Matthew Triplette MD, MPH","doi":"10.1016/j.jacr.2025.08.018","DOIUrl":"10.1016/j.jacr.2025.08.018","url":null,"abstract":"<div><h3>Objective</h3><div>Though lung cancer screening (LCS) has significant mortality benefits and has been recommended by the US Preventive Services Task Force since 2013, uptake has been low, especially in most underserved populations. The objective of this study was to harmonize qualitative data from three parallel studies focused on communities with historically high rates of tobacco use and who face lung cancer disparities—people with human immunodeficiency virus; individuals that identify as lesbian, gay, bisexual, transgender, queer or questioning, and others; and urban-dwelling American Indian or Alaska Native individuals—to understand common barriers and facilitators to LCS to inform clinical programming.</div></div><div><h3>Methods</h3><div>This qualitative study re-analyzed deidentified focus group transcripts from three recently conducted qualitative studies performed in partnership with these communities. Participants were all eligible, or near eligible, for LCS by US Preventive Services Task Force 2021 criteria. Transcripts were analyzed using inductive thematic analysis, with final themes mapped to the Health Equity Implementation Framework.</div></div><div><h3>Results</h3><div>A total of 26 focus groups or interviews were analyzed, including a total of 109 participants (people with human immunodeficiency virus, n = 43; individuals that identify as lesbian, gay, bisexual, transgender, queer or questioning, and others, n = 21; American Indian or Alaska Native, n = 45). Fifteen themes emerged that represented common determinants of LCS behavior across the domains of the Health Equity Implementation Framework. Themes demonstrated broad interest in LCS and preventive health care but multilevel barriers to LCS engagement and completion. Participants endorsed facilitators such as community engagement, patient-provider information sharing, and patient navigation to enhance LCS uptake.</div></div><div><h3>Discussion</h3><div>Despite several barriers to screening that contribute to low uptake, there are facilitators that could be used through multilevel interventions to support LCS in underserved high-risk populations.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 12","pages":"Pages 1552-1566"},"PeriodicalIF":5.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.jacr.2025.09.003
Lauren E. Kearney MD , Julianne E. Brady MA , Jacquelyn Pendergast MS , Anna M. Barker MS , Gemmae M. Fix PhD , Tanner J. Caverly MD, MPH , Nichole T. Tanner MD, MSCR , Hannah Tosi MS , Amelia Tarren MS , Nhan V. Do MD , Danne Elbers PhD , Renda Soylemez Wiener MD, MPH
Background
Lung cancer screening (LCS) uptake is low and high-benefit patients often are not reached. This study developed and pilot tested a prediction-driven population management approach to proactively identify and engage high-benefit patients in LCS.
Study design and methods
This four-phase feasibility study included (1) formative interviews with clinicians and patients; (2) LCS population management toolkit development including a site-level dashboard displaying unscreened, LCS-eligible patients arranged by predicted LCS benefit derived from a validated multivariable model; (3) toolkit pilot testing by LCS coordinators at five sites; and (4) postpilot interviews. To ensure the toolkit was patient-centered and met clinical needs, we interviewed 14 LCS program clinicians, 6 primary care providers, and 18 patients in formative interviews and 8 LCS program clinicians in postpilot interviews. Transcripts were analyzed using rapid content analysis. Following user-centered design principles and focusing on key intervention elements, findings were applied to population management toolkit development.
Results
Clinicians and patients endorsed LCS population management with proactive outreach. Clinicians valued LCS coordinators using their expertise to engage high-benefit patients while reducing strain on primary care. Patients appreciated additional touchpoints and recommended clear outreach using letters and telephone calls, emphasizing team-based care and nonstigmatizing language. These insights informed development and refinement of an adaptable toolkit. After pilot testing, LCS coordinators reported positive experiences and suggested toolkit refinements.
Interpretation
A prediction-driven approach to population management and proactive outreach is feasible and acceptable to clinicians and patients. Further studies should test the impact of this approach on LCS uptake and outcomes.
{"title":"Proactive, Prediction-Driven Outreach for Lung Cancer Screening: Development and Feasibility of a Population Management Toolkit","authors":"Lauren E. Kearney MD , Julianne E. Brady MA , Jacquelyn Pendergast MS , Anna M. Barker MS , Gemmae M. Fix PhD , Tanner J. Caverly MD, MPH , Nichole T. Tanner MD, MSCR , Hannah Tosi MS , Amelia Tarren MS , Nhan V. Do MD , Danne Elbers PhD , Renda Soylemez Wiener MD, MPH","doi":"10.1016/j.jacr.2025.09.003","DOIUrl":"10.1016/j.jacr.2025.09.003","url":null,"abstract":"<div><h3>Background</h3><div>Lung cancer screening (LCS) uptake is low and high-benefit patients often are not reached. This study developed and pilot tested a prediction-driven population management approach to proactively identify and engage high-benefit patients in LCS.</div></div><div><h3>Study design and methods</h3><div>This four-phase feasibility study included (1) formative interviews with clinicians and patients; (2) LCS population management toolkit development including a site-level dashboard displaying unscreened, LCS-eligible patients arranged by predicted LCS benefit derived from a validated multivariable model; (3) toolkit pilot testing by LCS coordinators at five sites; and (4) postpilot interviews. To ensure the toolkit was patient-centered and met clinical needs, we interviewed 14 LCS program clinicians, 6 primary care providers, and 18 patients in formative interviews and 8 LCS program clinicians in postpilot interviews. Transcripts were analyzed using rapid content analysis. Following user-centered design principles and focusing on key intervention elements, findings were applied to population management toolkit development.</div></div><div><h3>Results</h3><div>Clinicians and patients endorsed LCS population management with proactive outreach. Clinicians valued LCS coordinators using their expertise to engage high-benefit patients while reducing strain on primary care. Patients appreciated additional touchpoints and recommended clear outreach using letters and telephone calls, emphasizing team-based care and nonstigmatizing language. These insights informed development and refinement of an adaptable toolkit. After pilot testing, LCS coordinators reported positive experiences and suggested toolkit refinements.</div></div><div><h3>Interpretation</h3><div>A prediction-driven approach to population management and proactive outreach is feasible and acceptable to clinicians and patients. Further studies should test the impact of this approach on LCS uptake and outcomes.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 12","pages":"Pages 1536-1546"},"PeriodicalIF":5.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.jacr.2025.10.011
Lisa Carter-Bawa PhD, MPH, APRN , Ashley E. Prosper MD , Julie A. Barta MD
{"title":"Beyond Early Detection—Reframing Radiology’s Role in Lung Cancer Care","authors":"Lisa Carter-Bawa PhD, MPH, APRN , Ashley E. Prosper MD , Julie A. Barta MD","doi":"10.1016/j.jacr.2025.10.011","DOIUrl":"10.1016/j.jacr.2025.10.011","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 12","pages":"Pages 1445-1447"},"PeriodicalIF":5.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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