Early imaging biomarkers of lung cancer, COPD and coronary artery disease in the general population: rationale and design of the ImaLife (Imaging in Lifelines) Study

Lung cancer, chronic obstructive pulmonary disease (COPD), and coronary artery disease (CAD) are expected to cause most deaths by 2050. State-of-the-art computed tomography (CT) allows early detection of lung cancer and simultaneous evaluation of imaging biomarkers for the early stages of COPD, base...

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Veröffentlicht in:European journal of epidemiology 2020-01, Vol.35 (1), p.75-86
Hauptverfasser: Xia, Congying, Rook, Mieneke, Pelgrim, Gert Jan, Sidorenkov, Grigory, Wisselink, Hendrik J., van Bolhuis, Jurjen N., van Ooijen, Peter M. A., Guo, Jiapan, Oudkerk, Matthijs, Groen, Harry, van den Berge, Maarten, van der Harst, Pim, Dijkstra, Hildebrand, Vonder, Marleen, Heuvelmans, Marjolein A., Dorrius, Monique D., De Deyn, Peter Paul, de Bock, Geertruida H., Dotinga, Aafje, Vliegenthart, Rozemarijn
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container_issue 1
container_start_page 75
container_title European journal of epidemiology
container_volume 35
creator Xia, Congying
Rook, Mieneke
Pelgrim, Gert Jan
Sidorenkov, Grigory
Wisselink, Hendrik J.
van Bolhuis, Jurjen N.
van Ooijen, Peter M. A.
Guo, Jiapan
Oudkerk, Matthijs
Groen, Harry
van den Berge, Maarten
van der Harst, Pim
Dijkstra, Hildebrand
Vonder, Marleen
Heuvelmans, Marjolein A.
Dorrius, Monique D.
De Deyn, Peter Paul
de Bock, Geertruida H.
Dotinga, Aafje
Vliegenthart, Rozemarijn
description Lung cancer, chronic obstructive pulmonary disease (COPD), and coronary artery disease (CAD) are expected to cause most deaths by 2050. State-of-the-art computed tomography (CT) allows early detection of lung cancer and simultaneous evaluation of imaging biomarkers for the early stages of COPD, based on pulmonary density and bronchial wall thickness, and of CAD, based on the coronary artery calcium score (CACS), at low radiation dose. To determine cut-off values for positive tests for elevated risk and presence of disease is one of the major tasks before considering implementation of CT screening in a general population. The ImaLife (Imaging in Lifelines) study, embedded in the Lifelines study, is designed to establish the reference values of the imaging biomarkers for the big three diseases in a well-defined general population aged 45 years and older. In total, 12,000 participants will undergo CACS and chest acquisitions with latest CT technology. The estimated percentage of individuals with lung nodules needing further workup is around 1–2%. Given the around 10% prevalence of COPD and CAD in the general population, the expected number of COPD and CAD is around 1000 each. So far, nearly 4000 participants have been included. The ImaLife study will allow differentiation between normal aging of the pulmonary and cardiovascular system and early stages of the big three diseases based on low-dose CT imaging. This information can be finally integrated into personalized precision health strategies in the general population.
doi_str_mv 10.1007/s10654-019-00519-0
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identifier ISSN: 0393-2990
ispartof European journal of epidemiology, 2020-01, Vol.35 (1), p.75-86
issn 0393-2990
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source Jstor Complete Legacy; MEDLINE; SpringerLink Journals
subjects Adult
Aged
Aged, 80 and over
Aging
Arteriosclerosis
Biomarkers
Calcification (ectopic)
Calcium
Cancer
Cardiology
Cardiovascular disease
Cardiovascular system
Chronic obstructive pulmonary disease
Computed tomography
Coronary artery
Coronary artery disease
Coronary Artery Disease - diagnostic imaging
Coronary vessels
Early Detection of Cancer
Epidemiology
Female
Heart diseases
Humans
Infectious Diseases
Lung - diagnostic imaging
Lung cancer
Lung diseases
Lung Neoplasms - diagnostic imaging
Lung nodules
Male
Mass Screening
Medical imaging
Medicine
Medicine & Public Health
Middle Aged
New Study
Nodules
Obstructive lung disease
Oncology
Population
Population Surveillance
Predictive Value of Tests
Public Health
Pulmonary Disease, Chronic Obstructive - diagnostic imaging
Radiation dosage
State of the art
Tomography, X-Ray Computed - methods
Wall thickness
title Early imaging biomarkers of lung cancer, COPD and coronary artery disease in the general population: rationale and design of the ImaLife (Imaging in Lifelines) Study
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