Recent Trends in the Identification of Incidental Pulmonary Nodules
Pulmonary nodules are common incidental findings, but information about their incidence in the era of computed tomography (CT) is lacking. To examine recent trends in pulmonary nodule identification. We used electronic health records and natural language processing to identify members of an integrat...
Uloženo v:
| Vydáno v: | American journal of respiratory and critical care medicine Ročník 192; číslo 10; s. 1208 - 1214 |
|---|---|
| Hlavní autoři: | , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
United States
American Thoracic Society
15.11.2015
|
| Témata: | |
| ISSN: | 1073-449X, 1535-4970 |
| On-line přístup: | Získat plný text |
| Tagy: |
Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
|
| Abstract | Pulmonary nodules are common incidental findings, but information about their incidence in the era of computed tomography (CT) is lacking.
To examine recent trends in pulmonary nodule identification.
We used electronic health records and natural language processing to identify members of an integrated health system who had nodules measuring 4 to 30 mm. We calculated rates of chest CT imaging, nodule identification, and receipt of a new lung cancer diagnosis within 2 years of nodule identification, and standardized rates by age and sex to estimate the frequency of nodule identification in the U.S. population in 2010.
Between 2006 and 2012, more than 200,000 adult members underwent 415,581 chest CT examinations. The annual frequency of chest CT imaging increased from 1.3 to 1.9% for all adult members, whereas the frequency of nodule identification increased from 24 to 31% for all scans performed. The annual rate of chest CT increased from 15.4 to 20.7 per 1,000 person-years, and the rate of nodule identification increased from 3.9 to 6.6 per 1,000 person-years, whereas the rate of a new lung cancer diagnosis remained stable. By extrapolation, more than 4.8 million Americans underwent at least one chest CT scan and 1.57 million had a nodule identified, including 63,000 who received a new lung cancer diagnosis within 2 years.
Incidental pulmonary nodules are an increasingly common consequence of routine medical care, with an incidence that is much greater than recognized previously. More frequent nodule identification has not been accompanied by increases in the diagnosis of cancerous nodules. |
|---|---|
| AbstractList | Pulmonary nodules are common incidental findings, but information about their incidence in the era of computed tomography (CT) is lacking.
To examine recent trends in pulmonary nodule identification.
We used electronic health records and natural language processing to identify members of an integrated health system who had nodules measuring 4 to 30 mm. We calculated rates of chest CT imaging, nodule identification, and receipt of a new lung cancer diagnosis within 2 years of nodule identification, and standardized rates by age and sex to estimate the frequency of nodule identification in the U.S. population in 2010.
Between 2006 and 2012, more than 200,000 adult members underwent 415,581 chest CT examinations. The annual frequency of chest CT imaging increased from 1.3 to 1.9% for all adult members, whereas the frequency of nodule identification increased from 24 to 31% for all scans performed. The annual rate of chest CT increased from 15.4 to 20.7 per 1,000 person-years, and the rate of nodule identification increased from 3.9 to 6.6 per 1,000 person-years, whereas the rate of a new lung cancer diagnosis remained stable. By extrapolation, more than 4.8 million Americans underwent at least one chest CT scan and 1.57 million had a nodule identified, including 63,000 who received a new lung cancer diagnosis within 2 years.
Incidental pulmonary nodules are an increasingly common consequence of routine medical care, with an incidence that is much greater than recognized previously. More frequent nodule identification has not been accompanied by increases in the diagnosis of cancerous nodules. RATIONALEPulmonary nodules are common incidental findings, but information about their incidence in the era of computed tomography (CT) is lacking.OBJECTIVESTo examine recent trends in pulmonary nodule identification.METHODSWe used electronic health records and natural language processing to identify members of an integrated health system who had nodules measuring 4 to 30 mm. We calculated rates of chest CT imaging, nodule identification, and receipt of a new lung cancer diagnosis within 2 years of nodule identification, and standardized rates by age and sex to estimate the frequency of nodule identification in the U.S. population in 2010.MEASUREMENTS AND MAIN RESULTSBetween 2006 and 2012, more than 200,000 adult members underwent 415,581 chest CT examinations. The annual frequency of chest CT imaging increased from 1.3 to 1.9% for all adult members, whereas the frequency of nodule identification increased from 24 to 31% for all scans performed. The annual rate of chest CT increased from 15.4 to 20.7 per 1,000 person-years, and the rate of nodule identification increased from 3.9 to 6.6 per 1,000 person-years, whereas the rate of a new lung cancer diagnosis remained stable. By extrapolation, more than 4.8 million Americans underwent at least one chest CT scan and 1.57 million had a nodule identified, including 63,000 who received a new lung cancer diagnosis within 2 years.CONCLUSIONSIncidental pulmonary nodules are an increasingly common consequence of routine medical care, with an incidence that is much greater than recognized previously. More frequent nodule identification has not been accompanied by increases in the diagnosis of cancerous nodules. |
| Author | Suh, David E. Liu, In-Lu Amy Di Fiore, Jamie L. Zheng, Chengyi Tang, Tania Lee, Janet Danforth, Kim N. Gould, Michael K. Kosco, Anne E. |
| Author_xml | – sequence: 1 givenname: Michael K. surname: Gould fullname: Gould, Michael K. organization: Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California – sequence: 2 givenname: Tania surname: Tang fullname: Tang, Tania organization: Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California – sequence: 3 givenname: In-Lu Amy surname: Liu fullname: Liu, In-Lu Amy organization: Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California – sequence: 4 givenname: Janet surname: Lee fullname: Lee, Janet organization: Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California – sequence: 5 givenname: Chengyi surname: Zheng fullname: Zheng, Chengyi organization: Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California – sequence: 6 givenname: Kim N. surname: Danforth fullname: Danforth, Kim N. organization: Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California – sequence: 7 givenname: Anne E. surname: Kosco fullname: Kosco, Anne E. organization: Kaiser Permanente Los Angeles Medical Center, Los Angeles, California – sequence: 8 givenname: Jamie L. surname: Di Fiore fullname: Di Fiore, Jamie L. organization: Kaiser Permanente Baldwin Park Medical Center, Baldwin Park, California; and – sequence: 9 givenname: David E. surname: Suh fullname: Suh, David E. organization: Kaiser Permanente West Los Angeles Medical Center, Los Angeles, California |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26214244$$D View this record in MEDLINE/PubMed |
| BookMark | eNp9kT1LBDEQhoMonqf-AQtZsLFZnXxtLqUcfhyIiijYhWw2wchuoslu4b8352ljYTXDy_MOM_PO0XaIwSJ0hOEM44adJ2OGMwKYA69BSrhfbqE9zCmvmRSwXXoQtGZMvszQPOc3AEwWGHbRjDQEM8LYHlo-WmPDWD0lG7pc-VCNr7ZadUXzzhs9-hiq6KpVMH4t6r56mPohBp0-q7vYTb3NB2jH6T7bw5-6j56vLp-WN_Xt_fVqeXFbG0rxWNPGWcfNQnfQauMaB6zjDbfCgKEL7oQzRBfVasqx1VrIlslO4Ea0hHPe0n10upn7nuLHZPOoBp-N7XsdbJyywoJSSUFgWdCTP-hbnFIo260p1hAJGAp1_ENN7WA79Z78UO5Sv-8pwGIDmBRzTtYp48fvn4xJ-15hUOsk1DoJtUlCbZIoVvLH-jv9H9MXae6L6A |
| CitedBy_id | crossref_primary_10_1148_radiol_2018180711 crossref_primary_10_1007_s00192_021_04779_x crossref_primary_10_1164_rccm_202506_1374ED crossref_primary_10_1097_RTI_0000000000000263 crossref_primary_10_1183_23120541_00993_2023 crossref_primary_10_1097_MCP_0000000000001021 crossref_primary_10_1007_s15033_022_3432_x crossref_primary_10_1016_j_jacr_2023_07_008 crossref_primary_10_3390_cancers14061524 crossref_primary_10_1053_j_seminoncol_2022_07_002 crossref_primary_10_1097_MCP_0000000000000287 crossref_primary_10_1097_LBR_0000000000001011 crossref_primary_10_1148_radiol_2017161659 crossref_primary_10_1513_AnnalsATS_202301_075OC crossref_primary_10_1038_s43856_023_00388_5 crossref_primary_10_1016_j_rmed_2022_106737 crossref_primary_10_69882_adba_cem_2025012 crossref_primary_10_1007_s00330_022_08942_w crossref_primary_10_1007_s11547_019_01011_1 crossref_primary_10_1016_j_athoracsur_2018_09_016 crossref_primary_10_1016_j_jtho_2022_09_220 crossref_primary_10_1111_1759_7714_13425 crossref_primary_10_1186_s12885_016_3029_z crossref_primary_10_1016_j_jacr_2020_10_003 crossref_primary_10_1007_s00330_021_08343_5 crossref_primary_10_3389_fonc_2024_1492571 crossref_primary_10_1016_j_chest_2024_12_011 crossref_primary_10_3390_diagnostics13061049 crossref_primary_10_1183_16000617_0046_2024 crossref_primary_10_3389_fonc_2021_701598 crossref_primary_10_1016_j_ajog_2019_09_006 crossref_primary_10_1186_s12911_021_01533_7 crossref_primary_10_1016_j_jacr_2022_06_018 crossref_primary_10_1634_theoncologist_2019_0519 crossref_primary_10_1016_j_lungcan_2023_02_022 crossref_primary_10_1016_j_lungcan_2024_107930 crossref_primary_10_1016_j_jacr_2023_08_024 crossref_primary_10_1097_LBR_0000000000001026 crossref_primary_10_1097_LBR_0000000000001029 crossref_primary_10_1055_a_2185_8714 crossref_primary_10_1513_AnnalsATS_201609_727OC crossref_primary_10_7717_peerj_16539 crossref_primary_10_1016_j_ejrad_2021_109874 crossref_primary_10_1016_j_jacr_2018_05_040 crossref_primary_10_3390_cancers15133418 crossref_primary_10_1148_radiol_222904 crossref_primary_10_3389_fmed_2025_1585005 crossref_primary_10_3390_diagnostics11122304 crossref_primary_10_1007_s13665_024_00367_8 crossref_primary_10_1111_1759_7714_13406 crossref_primary_10_1186_s12890_024_03280_7 crossref_primary_10_1016_j_jtcvs_2023_07_009 crossref_primary_10_1002_ijc_70066 crossref_primary_10_1016_j_thorsurg_2023_04_008 crossref_primary_10_1016_j_thorsurg_2023_04_009 crossref_primary_10_1016_j_jacr_2021_11_019 crossref_primary_10_1007_s00330_023_10348_1 crossref_primary_10_1097_LBR_0000000000000592 crossref_primary_10_5858_arpa_2023_0458_RA crossref_primary_10_1513_AnnalsATS_202410_1035ED crossref_primary_10_1371_journal_pone_0191590 crossref_primary_10_1007_s00432_021_03648_w crossref_primary_10_1136_bmjresp_2024_002734 crossref_primary_10_1007_s00330_024_10969_0 crossref_primary_10_1371_journal_pone_0196910 crossref_primary_10_1016_j_ejrad_2020_109062 crossref_primary_10_1513_AnnalsATS_201511_745OC crossref_primary_10_1016_j_cllc_2025_05_011 crossref_primary_10_1186_s12911_025_03067_8 crossref_primary_10_1016_j_compmedimag_2024_102438 crossref_primary_10_1515_dx_2019_0008 crossref_primary_10_1016_j_mayocp_2018_06_011 crossref_primary_10_1016_j_chpulm_2024_100130 crossref_primary_10_1177_24715492221090762 crossref_primary_10_1016_j_chpulm_2024_100131 crossref_primary_10_1016_j_jtcvs_2022_08_042 crossref_primary_10_1159_000538910 crossref_primary_10_1002_rcr2_1092 crossref_primary_10_1053_j_ro_2025_04_002 crossref_primary_10_1007_s11136_024_03876_w crossref_primary_10_3390_cancers16122265 crossref_primary_10_1111_1759_7714_70128 crossref_primary_10_1097_MCP_0000000000001125 crossref_primary_10_1038_s41591_024_03211_3 crossref_primary_10_3390_jcm14155337 crossref_primary_10_1016_j_chest_2022_09_030 crossref_primary_10_3348_kjr_2022_0131 crossref_primary_10_1016_j_jacr_2024_02_034 crossref_primary_10_7759_cureus_42503 crossref_primary_10_1016_j_chest_2020_12_053 crossref_primary_10_12788_jhm_2757 crossref_primary_10_1016_j_jtho_2023_11_008 crossref_primary_10_3389_fonc_2022_1059999 crossref_primary_10_1080_17476348_2024_2359601 crossref_primary_10_1186_s12893_024_02753_0 crossref_primary_10_1371_journal_pone_0200496 crossref_primary_10_1164_rccm_202406_1168ST crossref_primary_10_1016_j_rmed_2022_106941 crossref_primary_10_1186_s13019_022_01934_3 crossref_primary_10_1097_MCP_0000000000000393 crossref_primary_10_1038_s41598_024_73542_1 crossref_primary_10_1016_j_cca_2022_07_010 crossref_primary_10_1007_s10067_025_07344_9 crossref_primary_10_1053_j_semtcvs_2020_08_008 crossref_primary_10_1164_rccm_201511_2163LE crossref_primary_10_1186_s12014_017_9158_9 crossref_primary_10_1186_s40359_023_01274_4 crossref_primary_10_1038_s41598_025_08860_z crossref_primary_10_1186_s12880_020_00469_0 crossref_primary_10_1186_s12879_018_3442_9 crossref_primary_10_1080_01459740_2023_2206966 crossref_primary_10_1111_1759_7714_13601 crossref_primary_10_1002_cam4_70545 crossref_primary_10_1016_j_cllc_2019_05_004 crossref_primary_10_1097_CPM_0000000000000231 crossref_primary_10_3390_medicina61020196 crossref_primary_10_1053_j_jvca_2025_09_019 crossref_primary_10_1164_rccm_202409_1846OC crossref_primary_10_2340_1651_226X_2025_42461 crossref_primary_10_1111_resp_14250 crossref_primary_10_1016_j_jtcvs_2017_09_041 crossref_primary_10_1177_02841851241265707 crossref_primary_10_1371_journal_pone_0177635 crossref_primary_10_1161_STROKEAHA_120_032073 crossref_primary_10_1016_j_chest_2024_02_030 crossref_primary_10_1016_j_ciresp_2023_03_002 crossref_primary_10_1097_XCS_0000000000001275 crossref_primary_10_1245_s10434_023_14677_9 crossref_primary_10_1016_j_jtho_2023_06_014 crossref_primary_10_1111_resp_14368 crossref_primary_10_1002_jso_27189 crossref_primary_10_1016_j_ccm_2024_02_003 crossref_primary_10_1155_2018_6032974 crossref_primary_10_1053_j_sult_2018_02_006 crossref_primary_10_1164_rccm_201902_0294OC crossref_primary_10_3389_fsurg_2020_596925 crossref_primary_10_1111_crj_70012 crossref_primary_10_3233_CBM_230054 crossref_primary_10_2217_fon_2020_0987 crossref_primary_10_1016_j_pulmoe_2021_12_003 crossref_primary_10_2217_fon_2020_0501 crossref_primary_10_1016_j_cpet_2016_08_008 crossref_primary_10_1088_1361_6560_aad97f crossref_primary_10_1186_s12931_018_0716_0 crossref_primary_10_1001_jamanetworkopen_2023_0787 crossref_primary_10_1007_s00330_023_10152_x crossref_primary_10_1007_s11764_023_01405_1 crossref_primary_10_1016_j_chest_2020_02_007 crossref_primary_10_1016_j_idc_2017_07_015 crossref_primary_10_1016_j_asjsur_2024_01_072 crossref_primary_10_1002_cncy_22278 crossref_primary_10_1016_j_jtcvs_2022_09_042 crossref_primary_10_1371_journal_pone_0197826 crossref_primary_10_1001_jamainternmed_2020_8250 crossref_primary_10_1016_j_ccm_2019_10_004 crossref_primary_10_1259_bjr_20201208 crossref_primary_10_1183_13993003_02485_2020 crossref_primary_10_1371_journal_pone_0268567 crossref_primary_10_1016_j_chest_2016_02_636 crossref_primary_10_1513_AnnalsATS_202401_052OC crossref_primary_10_1007_s00408_019_00207_6 crossref_primary_10_1177_1179173X19839059 crossref_primary_10_1245_s10434_022_11585_2 crossref_primary_10_3322_caac_21552 crossref_primary_10_1016_j_athoracsur_2020_05_101 crossref_primary_10_1513_AnnalsATS_201803_173CME crossref_primary_10_5858_arpa_2016_0307_RA crossref_primary_10_1016_j_jlb_2025_100313 crossref_primary_10_1016_j_jasc_2024_08_129 crossref_primary_10_2196_44537 crossref_primary_10_1016_j_jtho_2024_01_002 crossref_primary_10_7759_cureus_21081 crossref_primary_10_1016_j_jbi_2025_104837 crossref_primary_10_1007_s00330_021_07772_6 crossref_primary_10_1016_j_chest_2020_10_069 crossref_primary_10_5604_01_3001_0016_3153 crossref_primary_10_1007_s13665_023_00331_y crossref_primary_10_1016_j_copbio_2017_12_011 crossref_primary_10_1007_s00330_024_11256_8 crossref_primary_10_1016_j_cllc_2016_07_006 crossref_primary_10_1007_s12312_024_01358_1 crossref_primary_10_1007_s00330_022_09334_w crossref_primary_10_3390_jcm12237501 crossref_primary_10_1053_j_sart_2023_05_004 crossref_primary_10_1016_j_chpulm_2023_100033 crossref_primary_10_1097_MCP_0000000000000886 crossref_primary_10_1016_j_cpet_2021_09_001 crossref_primary_10_1148_rg_2019180183 crossref_primary_10_1183_13993003_01359_2018 crossref_primary_10_1007_s00330_023_09826_3 crossref_primary_10_1148_radiol_240650 crossref_primary_10_1016_j_chest_2021_05_048 crossref_primary_10_1093_ofid_ofab565 crossref_primary_10_1164_rccm_202012_4438OC crossref_primary_10_1016_j_jtho_2023_07_019 crossref_primary_10_1109_JSEN_2025_3580100 crossref_primary_10_1097_LBR_0000000000000766 crossref_primary_10_1097_IGC_0000000000001268 crossref_primary_10_3390_diagnostics13030384 crossref_primary_10_1016_j_rmed_2023_107277 crossref_primary_10_1148_rg_2018180182 crossref_primary_10_1164_rccm_201811_2188ED crossref_primary_10_1016_j_chest_2022_12_006 crossref_primary_10_3233_CBM_230360 crossref_primary_10_1007_s00259_020_05113_1 crossref_primary_10_1007_s11307_025_02029_w crossref_primary_10_1016_j_chest_2025_02_015 crossref_primary_10_1148_radiol_212182 crossref_primary_10_1097_LBR_0000000000000894 crossref_primary_10_1164_rccm_201903_0505OC crossref_primary_10_3851_IMP3090 crossref_primary_10_1016_j_jtho_2022_12_020 crossref_primary_10_1016_j_diii_2022_11_007 crossref_primary_10_1038_s41598_023_33098_y crossref_primary_10_1016_j_ejca_2024_115116 crossref_primary_10_1164_rccm_202004_1279ED crossref_primary_10_1136_bmjresp_2024_002687 crossref_primary_10_1016_j_ccm_2019_11_002 crossref_primary_10_1146_annurev_med_050922_060929 crossref_primary_10_1007_s13670_020_00321_x crossref_primary_10_1016_j_chest_2021_07_2168 crossref_primary_10_1016_j_cct_2022_106908 crossref_primary_10_1016_j_cllc_2023_09_003 crossref_primary_10_1186_s12871_025_03128_5 crossref_primary_10_1097_MCP_0000000000000780 crossref_primary_10_1183_13993003_01736_2023 crossref_primary_10_1016_j_jacr_2023_04_020 crossref_primary_10_1002_cam4_4606 crossref_primary_10_1016_j_chest_2020_08_2047 crossref_primary_10_1016_j_cllc_2023_12_006 crossref_primary_10_1186_s41512_018_0038_1 crossref_primary_10_1016_j_lungcan_2025_108646 crossref_primary_10_3390_life13020354 crossref_primary_10_1016_j_chest_2018_02_012 crossref_primary_10_1016_j_rmed_2024_107938 crossref_primary_10_1186_s12890_021_01772_4 crossref_primary_10_1016_j_compbiomed_2022_106113 crossref_primary_10_1164_rccm_201607_1436IM crossref_primary_10_1016_j_chest_2023_06_037 crossref_primary_10_1097_LBR_0000000000000950 crossref_primary_10_1186_s12890_020_1129_7 crossref_primary_10_1007_s00408_024_00695_1 crossref_primary_10_1016_j_radcr_2020_11_011 crossref_primary_10_1097_LBR_0000000000000711 crossref_primary_10_1109_JIOT_2024_3395364 crossref_primary_10_1016_j_ebiom_2022_104344 crossref_primary_10_1053_j_semnuclmed_2020_09_001 crossref_primary_10_1111_resp_14765 crossref_primary_10_1158_1078_0432_CCR_16_3187 crossref_primary_10_2174_0113892010298852240528123911 crossref_primary_10_3389_fonc_2024_1392398 crossref_primary_10_3892_etm_2016_3528 crossref_primary_10_1016_j_ejso_2024_108605 crossref_primary_10_1097_LBR_0000000000000969 crossref_primary_10_1016_j_athoracsur_2018_06_022 crossref_primary_10_1186_s41747_025_00579_w crossref_primary_10_1016_j_ejrad_2025_112053 crossref_primary_10_1016_j_rcl_2021_05_002 crossref_primary_10_1067_j_cpradiol_2020_07_006 crossref_primary_10_3390_diagnostics11081479 crossref_primary_10_1016_j_arbres_2024_05_027 crossref_primary_10_1177_0969141317727771 crossref_primary_10_1016_j_resinv_2025_06_009 crossref_primary_10_1016_j_socscimed_2021_113901 crossref_primary_10_1111_1759_7714_15383 crossref_primary_10_1186_s12931_022_02016_7 crossref_primary_10_1007_s00408_024_00706_1 crossref_primary_10_1172_JCI145973 crossref_primary_10_1259_bjr_20220230 crossref_primary_10_1186_s12890_016_0217_1 crossref_primary_10_1186_s12890_020_01250_3 crossref_primary_10_1186_s12890_024_03374_2 crossref_primary_10_1016_j_resmer_2024_101121 crossref_primary_10_1055_s_0044_1782656 crossref_primary_10_1186_s12890_023_02433_4 crossref_primary_10_3389_fmed_2021_748168 crossref_primary_10_1111_resp_14542 crossref_primary_10_1513_AnnalsATS_201607_555OC crossref_primary_10_1016_j_ccm_2025_02_006 crossref_primary_10_1016_j_cireng_2023_03_013 crossref_primary_10_1259_bjr_20190762 crossref_primary_10_1016_j_chest_2022_12_044 crossref_primary_10_1016_j_chest_2023_05_025 crossref_primary_10_3390_diagnostics10090696 crossref_primary_10_1016_j_resmer_2024_101136 crossref_primary_10_1016_j_jtcvs_2024_07_028 crossref_primary_10_1513_AnnalsATS_201810_690RL crossref_primary_10_1097_LBR_0000000000000501 crossref_primary_10_1186_s13063_023_07863_3 crossref_primary_10_2196_64649 crossref_primary_10_3390_jof9060641 crossref_primary_10_1177_02841851231201514 crossref_primary_10_1159_000542966 crossref_primary_10_1053_j_ro_2017_06_005 crossref_primary_10_3390_jcm13237207 crossref_primary_10_1038_s41467_022_30265_z crossref_primary_10_1177_08465371241266785 crossref_primary_10_1371_journal_pone_0287409 crossref_primary_10_1016_j_jacr_2021_01_018 crossref_primary_10_3390_cancers16061179 crossref_primary_10_1016_j_clinimag_2022_08_016 crossref_primary_10_1159_000504181 crossref_primary_10_1016_j_cllc_2022_11_005 crossref_primary_10_1513_AnnalsATS_201711_856OC crossref_primary_10_2147_CMAR_S256719 crossref_primary_10_3390_diagnostics11050837 crossref_primary_10_1016_j_jtho_2020_09_024 crossref_primary_10_1111_resp_13471 crossref_primary_10_1016_j_acra_2018_06_002 crossref_primary_10_1016_j_chest_2017_01_018 crossref_primary_10_1016_j_ejro_2022_100435 crossref_primary_10_1097_LBR_0000000000000923 crossref_primary_10_1097_LBR_0000000000000803 crossref_primary_10_1016_j_cllc_2022_01_001 crossref_primary_10_1016_j_chest_2023_06_009 crossref_primary_10_1016_j_chest_2018_08_1026 crossref_primary_10_1016_j_ejrad_2025_112252 crossref_primary_10_2217_fon_2020_0789 crossref_primary_10_1007_s00330_024_10763_y crossref_primary_10_1164_rccm_201703_0451PP crossref_primary_10_3390_diagnostics14050483 crossref_primary_10_1016_j_ejrad_2025_112253 crossref_primary_10_1016_j_chest_2020_07_067 crossref_primary_10_1183_20734735_0275_2018 crossref_primary_10_3390_jcm10163671 crossref_primary_10_1007_s00408_022_00590_7 crossref_primary_10_1164_rccm_202212_2216ST crossref_primary_10_1111_imj_16502 crossref_primary_10_1016_j_diagmicrobio_2024_116651 crossref_primary_10_1093_jncics_pkae086 crossref_primary_10_1097_RCT_0000000000001413 crossref_primary_10_1007_s00408_021_00421_1 crossref_primary_10_1093_ejcts_ezaf223 crossref_primary_10_1002_jso_25897 crossref_primary_10_1164_rccm_201508_1665ED crossref_primary_10_1016_j_acra_2020_11_025 crossref_primary_10_1093_milmed_usad153 crossref_primary_10_1016_j_chest_2019_11_032 crossref_primary_10_4329_wjr_v16_i11_668 crossref_primary_10_1016_j_jtho_2016_08_143 crossref_primary_10_1038_s41416_023_02480_y crossref_primary_10_3389_fmed_2025_1572779 crossref_primary_10_1016_j_chest_2023_12_024 crossref_primary_10_3201_eid2311_170959 crossref_primary_10_1371_journal_pone_0274107 crossref_primary_10_1186_s12885_025_13683_2 crossref_primary_10_1016_j_athoracsur_2021_06_086 crossref_primary_10_1155_2017_3151694 crossref_primary_10_1097_LBR_0000000000000942 crossref_primary_10_1177_08465371241257910 crossref_primary_10_1001_jama_2021_24287 crossref_primary_10_3390_jcm10215064 crossref_primary_10_1056_NEJMoa2414059 crossref_primary_10_1016_j_soc_2025_03_010 crossref_primary_10_1080_20018525_2024_2313311 crossref_primary_10_1080_17476348_2020_1748012 crossref_primary_10_1089_thy_2022_0349 crossref_primary_10_1097_CPM_0000000000000283 crossref_primary_10_1186_s41747_024_00459_9 crossref_primary_10_1371_journal_pone_0206858 crossref_primary_10_1016_j_chest_2020_06_031 crossref_primary_10_1016_j_chest_2022_10_019 crossref_primary_10_1513_AnnalsATS_202111_1220OC crossref_primary_10_1111_resp_13609 crossref_primary_10_1186_s12890_021_01693_2 crossref_primary_10_1186_s12902_025_01857_9 crossref_primary_10_1159_000516629 crossref_primary_10_1016_j_chest_2022_10_038 crossref_primary_10_1148_radiol_231436 crossref_primary_10_1186_s12885_025_14449_6 crossref_primary_10_1164_rccm_201702_0433CI crossref_primary_10_1016_j_jtcvs_2019_09_030 crossref_primary_10_1089_aipo_2023_0011 crossref_primary_10_1164_rccm_201604_0898UP crossref_primary_10_1136_bmjoq_2018_000437 crossref_primary_10_1016_j_jacr_2020_12_031 crossref_primary_10_1177_17534666241277668 crossref_primary_10_1007_s11701_025_02640_7 crossref_primary_10_1016_j_urolonc_2025_01_013 crossref_primary_10_2147_RMHP_S379014 crossref_primary_10_3390_life13040936 crossref_primary_10_1186_s12890_023_02465_w crossref_primary_10_1259_bjr_20220994 crossref_primary_10_1016_j_ccm_2023_08_013 crossref_primary_10_1016_j_jtcvs_2022_12_014 crossref_primary_10_1016_j_jtho_2024_12_018 crossref_primary_10_1016_j_trsl_2021_02_009 crossref_primary_10_1016_j_jacr_2019_04_026 crossref_primary_10_1513_AnnalsATS_201905_389PS crossref_primary_10_1007_s11547_025_02008_9 crossref_primary_10_1016_j_ccm_2017_11_016 crossref_primary_10_4103_jcrt_JCRT_377_20 crossref_primary_10_1093_ajcp_aqaa023 crossref_primary_10_4103_jcrt_jcrt_1485_21 crossref_primary_10_1097_MD_0000000000040014 crossref_primary_10_1016_j_rcl_2021_03_005 crossref_primary_10_1007_s13193_023_01783_z crossref_primary_10_1164_rccm_202401_0192ST crossref_primary_10_1016_j_jtho_2020_12_001 crossref_primary_10_1007_s11306_022_01929_0 crossref_primary_10_1016_j_chest_2017_10_013 crossref_primary_10_1159_000536271 crossref_primary_10_1016_j_jacr_2022_08_006 crossref_primary_10_1016_j_chest_2018_04_032 crossref_primary_10_1097_LBR_0000000000000905 crossref_primary_10_1016_j_lungcan_2024_107526 crossref_primary_10_1177_18758592241306682 crossref_primary_10_1016_j_rcl_2018_01_002 crossref_primary_10_7759_cureus_88245 crossref_primary_10_3390_diagnostics15091162 crossref_primary_10_1148_ryai_230506 crossref_primary_10_1016_j_jacr_2021_09_046 crossref_primary_10_1097_RCT_0000000000001118 crossref_primary_10_36469_jheor_2019_9674 crossref_primary_10_1513_AnnalsATS_201703_204PS crossref_primary_10_1016_j_lungcan_2023_107234 crossref_primary_10_1016_j_chest_2017_03_009 crossref_primary_10_3389_fonc_2024_1380527 crossref_primary_10_1016_j_chest_2023_11_036 crossref_primary_10_3389_fphys_2022_1005698 crossref_primary_10_3390_jcm11195894 crossref_primary_10_1513_AnnalsATS_201703_237OC crossref_primary_10_1016_j_jacr_2020_11_006 crossref_primary_10_1177_1753465817695981 crossref_primary_10_1097_RTI_0000000000000693 crossref_primary_10_1016_j_ctarc_2022_100626 crossref_primary_10_1136_bmj_2021_069008 crossref_primary_10_1513_AnnalsATS_201903_268SD crossref_primary_10_1055_s_0042_1747930 crossref_primary_10_1016_j_clinimag_2024_110116 crossref_primary_10_1016_j_jtho_2019_05_005 crossref_primary_10_2174_1573398X2103250120143602 crossref_primary_10_3390_reports7020026 crossref_primary_10_1016_j_jacr_2019_11_023 crossref_primary_10_1007_s00330_018_5939_4 crossref_primary_10_1016_j_athoracsur_2024_07_004 crossref_primary_10_5812_iranjradiol_149360 crossref_primary_10_3390_diagnostics13152580 crossref_primary_10_1016_j_jtho_2024_11_009 crossref_primary_10_1186_s12880_024_01413_2 crossref_primary_10_1007_s00432_025_06241_7 crossref_primary_10_1016_j_chest_2023_03_009 crossref_primary_10_1016_j_atssr_2023_02_010 crossref_primary_10_3389_fonc_2023_1085434 crossref_primary_10_1093_ejcts_ezac590 crossref_primary_10_1016_j_jtho_2016_01_018 crossref_primary_10_1186_s12890_019_0825_7 crossref_primary_10_1186_s13019_020_01279_9 crossref_primary_10_1080_24745332_2020_1819175 crossref_primary_10_1016_j_atssr_2024_10_019 crossref_primary_10_1001_jamanetworkopen_2022_4849 crossref_primary_10_1200_EDBK_25_100048 crossref_primary_10_1016_j_rmed_2020_106075 crossref_primary_10_1186_s12890_022_02181_x crossref_primary_10_1200_GO_23_00191 crossref_primary_10_1016_j_jacr_2019_11_013 crossref_primary_10_1007_s00330_022_08948_4 crossref_primary_10_1001_jamanetworkopen_2022_4840 crossref_primary_10_1067_j_cpradiol_2021_11_004 crossref_primary_10_1038_s41598_020_70629_3 crossref_primary_10_3390_diagnostics13050990 crossref_primary_10_1038_s41598_025_17911_4 crossref_primary_10_1097_MD_0000000000041798 crossref_primary_10_1016_j_athoracsur_2021_04_094 crossref_primary_10_1186_s12909_025_07576_y crossref_primary_10_1093_jjco_hyaf103 crossref_primary_10_1126_scitranslmed_aat5933 |
| Cites_doi | 10.1093/jnci/dju284 10.1377/hlthaff.27.6.1491 10.1097/JTO.0b013e31825bd9f5 10.1378/chest.12-2351 10.1001/jama.2012.5960 10.1148/radiol.2372041887 10.1378/chest.127.4.1136 10.7812/TPP/12-031 10.1001/jama.1958.02990030008003 10.1001/jama.2012.5521 10.1164/ajrccm.162.3.9812152 10.6004/jnccn.2012.0023 10.1016/S0140-6736(99)06093-6 10.7326/0003-4819-158-4-201302190-00004 10.3949/ccjm.55.1.68 10.1056/NEJMcp012290 |
| ContentType | Journal Article |
| Copyright | Copyright American Thoracic Society Nov 15, 2015 |
| Copyright_xml | – notice: Copyright American Thoracic Society Nov 15, 2015 |
| DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM 3V. 7RV 7X7 7XB 88E 8AO 8C1 8FI 8FJ 8FK ABUWG AFKRA AN0 BENPR CCPQU FYUFA GHDGH K9. KB0 M0S M1P NAPCQ PHGZM PHGZT PJZUB PKEHL PPXIY PQEST PQQKQ PQUKI PRINS 7X8 |
| DOI | 10.1164/rccm.201505-0990OC |
| DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Central (Corporate) Nursing & Allied Health Database Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) ProQuest Pharma Collection Public Health Database ProQuest Hospital Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central UK/Ireland British Nursing Database ProQuest Central ProQuest One Community College Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) ProQuest Health & Medical Collection Medical Database Nursing & Allied Health Premium ProQuest Central Premium ProQuest One Academic (New) ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic (retired) ProQuest One Academic UKI Edition ProQuest Central China MEDLINE - Academic |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) ProQuest One Academic Middle East (New) ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing ProQuest Pharma Collection ProQuest Central China ProQuest Central ProQuest Health & Medical Research Collection Health Research Premium Collection Health and Medicine Complete (Alumni Edition) Health & Medical Research Collection ProQuest Central (New) ProQuest Medical Library (Alumni) ProQuest Public Health ProQuest One Academic Eastern Edition British Nursing Index with Full Text ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest Medical Library ProQuest One Academic UKI Edition ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7RV name: Nursing & Allied Health Database url: https://search.proquest.com/nahs sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1535-4970 |
| EndPage | 1214 |
| ExternalDocumentID | 3871603901 26214244 10_1164_rccm_201505_0990OC |
| Genre | Research Support, Non-U.S. Gov't Journal Article General Information |
| GroupedDBID | --- -~X .55 0R~ 23M 2WC 34G 39C 53G 5GY 5RE 7RV 7X7 88E 8AO 8C1 8FI 8FJ 8FW 8R4 8R5 AAWTL AAYXX ABJNI ABOCM ABPMR ABUWG ACGFO ACGFS ADBBV AENEX AFCHL AFFHD AFKRA AHMBA ALMA_UNASSIGNED_HOLDINGS AN0 BAWUL BENPR BKEYQ BNQBC BPHCQ BVXVI C45 CCPQU CITATION CS3 DIK E3Z EBS EJD EMOBN EX3 F5P FRP FYUFA GX1 H13 HMCUK HZ~ IH2 J5H KQ8 L7B M1P M5~ NAPCQ O9- OBH OFXIZ OGEVE OK1 OVD OVIDX P2P PCD PHGZM PHGZT PJZUB PPXIY PQQKQ PROAC PSQYO Q2X RWL SJN TAE TEORI THO TR2 UKHRP W8F WH7 WOQ WOW X7M XRW YJK ZXP ~02 3V. ALIPV CGR CUY CVF ECM EIF NPM RPM 7XB 8FK K9. PKEHL PQEST PQUKI PRINS 7X8 PUEGO |
| ID | FETCH-LOGICAL-c331t-36fef5c8ad0bacf6f04d565e7c0c385f7fc2a6f0ea351eaa79b49d7167b2555b3 |
| IEDL.DBID | 7RV |
| ISICitedReferencesCount | 576 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000365142900014&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1073-449X |
| IngestDate | Fri Sep 05 09:12:01 EDT 2025 Mon Oct 06 18:12:22 EDT 2025 Thu Jan 02 22:19:49 EST 2025 Sat Nov 29 03:20:37 EST 2025 Tue Nov 18 22:15:54 EST 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 10 |
| Keywords | computed tomography lung cancer coin lesion |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c331t-36fef5c8ad0bacf6f04d565e7c0c385f7fc2a6f0ea351eaa79b49d7167b2555b3 |
| Notes | SourceType-Scholarly Journals-1 ObjectType-General Information-1 content type line 14 ObjectType-Article-1 ObjectType-Feature-2 content type line 23 |
| PMID | 26214244 |
| PQID | 1734629010 |
| PQPubID | 40575 |
| PageCount | 7 |
| ParticipantIDs | proquest_miscellaneous_1733930719 proquest_journals_1734629010 pubmed_primary_26214244 crossref_citationtrail_10_1164_rccm_201505_0990OC crossref_primary_10_1164_rccm_201505_0990OC |
| PublicationCentury | 2000 |
| PublicationDate | 2015-11-15 2015-Nov-15 20151115 |
| PublicationDateYYYYMMDD | 2015-11-15 |
| PublicationDate_xml | – month: 11 year: 2015 text: 2015-11-15 day: 15 |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States – name: New York |
| PublicationTitle | American journal of respiratory and critical care medicine |
| PublicationTitleAlternate | Am J Respir Crit Care Med |
| PublicationYear | 2015 |
| Publisher | American Thoracic Society |
| Publisher_xml | – name: American Thoracic Society |
| References | Holin SM (bib6) 1959; 79 bib15 bib12 bib13 bib10 bib11 bib20 bib9 bib7 bib8 bib5 bib18 bib19 bib3 bib16 bib4 bib17 bib1 26568237 - Am J Respir Crit Care Med. 2015 Nov 15;192(10):1149-50 |
| References_xml | – ident: bib20 doi: 10.1093/jnci/dju284 – ident: bib8 doi: 10.1377/hlthaff.27.6.1491 – ident: bib13 doi: 10.1097/JTO.0b013e31825bd9f5 – ident: bib17 doi: 10.1378/chest.12-2351 – ident: bib1 doi: 10.1001/jama.2012.5960 – ident: bib15 doi: 10.1148/radiol.2372041887 – ident: bib18 doi: 10.1378/chest.127.4.1136 – volume: 79 start-page: 427 year: 1959 ident: bib6 publication-title: Am Rev Tuberc – ident: bib12 doi: 10.7812/TPP/12-031 – ident: bib11 – ident: bib7 doi: 10.1001/jama.1958.02990030008003 – ident: bib10 doi: 10.1001/jama.2012.5521 – ident: bib3 doi: 10.1164/ajrccm.162.3.9812152 – ident: bib16 doi: 10.6004/jnccn.2012.0023 – ident: bib9 doi: 10.1016/S0140-6736(99)06093-6 – ident: bib19 doi: 10.7326/0003-4819-158-4-201302190-00004 – ident: bib5 doi: 10.3949/ccjm.55.1.68 – ident: bib4 doi: 10.1056/NEJMcp012290 – reference: 26568237 - Am J Respir Crit Care Med. 2015 Nov 15;192(10):1149-50 |
| SSID | ssj0012810 |
| Score | 2.651058 |
| Snippet | Pulmonary nodules are common incidental findings, but information about their incidence in the era of computed tomography (CT) is lacking.
To examine recent... RATIONALEPulmonary nodules are common incidental findings, but information about their incidence in the era of computed tomography (CT) is lacking.OBJECTIVESTo... |
| SourceID | proquest pubmed crossref |
| SourceType | Aggregation Database Index Database Enrichment Source |
| StartPage | 1208 |
| SubjectTerms | Adolescent Adult Age Distribution Aged Aged, 80 and over California - epidemiology Disease Progression Electronic Health Records Female Humans Incidence Incidental Findings Lung Neoplasms - diagnosis Lung Neoplasms - epidemiology Male Managed Care Programs - statistics & numerical data Middle Aged Multiple Pulmonary Nodules - diagnostic imaging Multiple Pulmonary Nodules - epidemiology Radiography, Thoracic Retrospective Studies Sex Distribution Solitary Pulmonary Nodule - diagnostic imaging Solitary Pulmonary Nodule - epidemiology Tomography, X-Ray Computed Young Adult |
| Title | Recent Trends in the Identification of Incidental Pulmonary Nodules |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/26214244 https://www.proquest.com/docview/1734629010 https://www.proquest.com/docview/1733930719 |
| Volume | 192 |
| WOSCitedRecordID | wos000365142900014&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVPQU databaseName: Health & Medical Collection customDbUrl: eissn: 1535-4970 dateEnd: 20190915 omitProxy: false ssIdentifier: ssj0012810 issn: 1073-449X databaseCode: 7X7 dateStart: 20030201 isFulltext: true titleUrlDefault: https://search.proquest.com/healthcomplete providerName: ProQuest – providerCode: PRVPQU databaseName: Nursing & Allied Health Database customDbUrl: eissn: 1535-4970 dateEnd: 20190915 omitProxy: false ssIdentifier: ssj0012810 issn: 1073-449X databaseCode: 7RV dateStart: 20030201 isFulltext: true titleUrlDefault: https://search.proquest.com/nahs providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Central customDbUrl: eissn: 1535-4970 dateEnd: 20190915 omitProxy: false ssIdentifier: ssj0012810 issn: 1073-449X databaseCode: BENPR dateStart: 20030201 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest – providerCode: PRVPQU databaseName: Public Health Database customDbUrl: eissn: 1535-4970 dateEnd: 20190915 omitProxy: false ssIdentifier: ssj0012810 issn: 1073-449X databaseCode: 8C1 dateStart: 20030201 isFulltext: true titleUrlDefault: https://search.proquest.com/publichealth providerName: ProQuest |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1LT-QwDLZYQCsuwALLDi8FiRuKaJpXe0IwAnFhGKEFza1K00RCGrXsPFbaf79OmxnEAS5ccmjTNIod-7MdxwBnZe4VAo2UIlzNqEi1pbk0igrjPfKU9bL0bbEJPRhko1E-jA63aTxWuZCJraCuGht85BdMc6FC0C-5fP1DQ9WoEF2NJTS-wRoL2Bj5WT8-L6MIaRZvI9CcCpGPFkkzSlxMrA156AiHJA2xoYf-e8X0Adpstc7t1lfnuw2bEW-Sq45BfsCKq3fg-32MqO9CH3Ej6h3SnY0lLzVBREi69F0f_Xmk8QTlSCg_ilCdDOdjHNxM_pFBU83HbroHT7c3v_t3NBZWoJZzNqNceeelzUyVlMZ65RNRIbBz2iaWZ9Jrb1ODT53hkjljdF6KvELLSpe4yrLkP2G1bmr3C4gqudHapYmwUmjLDZpXwqOcYFmAUkkP2GJVCxtvHQ_FL8ZFa30oUQRKFB0lio4SPThffvPa3bnxae-jBQGKuP-mxdvq9-B0-Rp3TgiHmNo187YPz1HEsbwH-x2Rl79LVdqmAB58PvghbIS5hNxEJo9gdTaZu2NYt39nL9PJScuMoR3pts2wzfrsBNaubwbDx_-tf-jx |
| linkProvider | ProQuest |
| linkToHtml | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1LT9wwEB5RioALfQDtUtoaqZyQRRK_kgOqqm0RCFg4gLS34Di2hLRKYB9U_Kn-RsZxsqiHcuPQa-I4mcz48zcejwfgW5E5iUQjoUhXU8oTZWgmtKRcO4c2ZZwoXFNsQg0G6XCYXSzAny4Xxm-r7DCxAeqyNn6NfD9WjEsf9Iu-395RXzXKR1e7EhrBLE7sw2902SYHxz9Rv7tJcvjrsn9E26oC1DAWTymTzjphUl1GhTZOuoiXyGqsMpFhqXDKmUTjVauZiK3WKit4VqJboQqURxQM-30FrxHHlXf21HDu4PmgVDj9QDHKeTbsknQk3x8b4_PekX4J6mNR5_2_J8J_sNtmljt887_9n7ew1vJp8iMMgHewYKv3sHzW7hhYhz7yYpxXSdj7S24qgoyXhPRk165XktoRxElfXhVdEXIxG6EwevxABnU5G9nJBly9iAibsFjVlf0IRBZMK2WTiBvBlWEa3UfuEAfj1FPFqAdxp8XctKeq--Ieo7zxriTPvebzoPk8aL4He_NnbsOZIs-23u4Unrf4MsmftN2DnfltRAYf7tGVrWdNG5YhhMdZDz4Eo5q_LpFJk-K49XznX2Hl6PLsND89Hpx8glX_XT4PMxbbsDgdz-xnWDL305vJ-EszEAhcv7RlPQJI9UQF |
| linkToPdf | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Lb9QwEB6VUlVcCn3RhUJdqZwqa5P4lRwQQltWVIXtHoq0t9RxbKnSKmn3UdS_xq9jHCeLONBbD1wTx4kzn8ffeGY8ACdF5iQSjYQiXU0pT5ShmdCScu0cYso4Ubim2IQajdLJJBuvwa8uF8aHVXY6sVHUZW38Hnk_VoxL7_SL-q4NixifDT_d3lFfQcp7WrtyGgEiF_bhJ5pv84_nZyjrD0ky_HI1-ErbCgPUMBYvKJPOOmFSXUaFNk66iJfIcKwykWGpcMqZRONVq5mIrdYqK3hWoomhChybKBj2-wyeKyaZN_zSwSq8xDuowkkIilHOs0mXsCN5f2aMz4FHKiao90tdDv5eFP_BdJsVb_jyf_5Xr2Cr5dnkc5gY27Bmqx3Y_N5GEuzCAPkyrrckxASTm4ogEyYhbdm1-5ikdgT1py-7iiYKGS-nOBg9eyCjulxO7XwPfjzJEPZhvaorewBEFkwrZZOIG8GVYRrNSu5QP8app5BRD-JOorlpT1v3RT-meWN1SZ57FOQBBXlAQQ9OV8_chrNGHm192Ak_b_XOPP8j-R4cr26jxvBuIF3Zetm0YRmq9jjrwesAsNXrEpk0qY9vHu_8CDYRUPm389HFW3jhP8unZ8biENYXs6V9BxvmfnEzn71v5gSB66cG1m9uIEyM |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Recent+Trends+in+the+Identification+of+Incidental+Pulmonary+Nodules&rft.jtitle=American+journal+of+respiratory+and+critical+care+medicine&rft.au=Gould%2C+Michael+K&rft.au=Tang%2C+Tania&rft.au=Liu%2C+In-Lu+Amy&rft.au=Lee%2C+Janet&rft.date=2015-11-15&rft.eissn=1535-4970&rft.volume=192&rft.issue=10&rft.spage=1208&rft_id=info:doi/10.1164%2Frccm.201505-0990OC&rft_id=info%3Apmid%2F26214244&rft.externalDocID=26214244 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1073-449X&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1073-449X&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1073-449X&client=summon |