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Updated: Apr 30, 2026

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
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How to Translate Quality Standards Into Good Lung Cancer Screening Programmes: The UK Experience.

Amna Burzić1, Emma L O'Dowd1,2, David R Baldwin1,2

  • 1Division of Medicine, University of Nottingham, NG5 1PB Nottingham, UK.

British Journal of Hospital Medicine (London, England : 2005)
|April 29, 2026
PubMed
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Early lung cancer detection using low-dose computed tomography (LDCT) significantly lowers mortality. The UK is implementing a national targeted lung cancer screening program, emphasizing quality assurance for effective rollout.

Area of Science:

  • Oncology
  • Public Health
  • Radiology

Background:

  • Randomized controlled trials demonstrate that early lung cancer detection via low-dose computed tomography (LDCT) reduces lung cancer and all-cause mortality.
  • Health economic evaluations supported the UK National Screening Committee's (UKNSC) September 2022 recommendation for a national lung cancer screening program.
  • The National Health Service England (NHSE) Targeted Lung Health Check (TLHC) program, initiated in 2019, serves as the foundation for England's national screening initiative, with a full rollout anticipated by 2030.

Purpose of the Study:

  • To highlight the critical role of quality assurance in the uniform and regulated implementation of a national lung cancer screening program.
  • To describe the development of a comprehensive protocol and quality assurance standard for lung cancer screening.
  • To illustrate how quality assurance mechanisms function within the context of a national screening program.
Keywords:
lung cancerquality assurancescreening

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Main Methods:

  • Review of evidence supporting early lung cancer detection through LDCT.
  • Analysis of health economics evaluations informing national policy.
  • Description of the protocol and quality assurance standards developed for the NHSE TLHC program.

Main Results:

  • LDCT screening has been proven to reduce lung cancer and overall mortality.
  • A national lung cancer screening program is being implemented across the UK.
  • A comprehensive protocol and quality assurance standard are essential for high-quality, uniform program implementation.

Conclusions:

  • Quality assurance is paramount for the successful and equitable rollout of national lung cancer screening programs.
  • The established protocol and standards ensure a regulated and high-quality approach to lung cancer screening.
  • Effective quality assurance mechanisms are vital for maximizing the benefits of lung cancer screening initiatives.