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Nodule volume is a more reliable predictor of early growth and plays a crucial role in reducing false-positive results, defining optimal management of patients with lung nodules, and improving outcomes.39 Nodule volume measurement is currently recommended by the British Thoracic Society Guidelines, Fleishner Society Guidelines, European Position Statement Expert Group, and the latest version of Lung-RADS.4042 When applied to the NLST with a threshold of 6 mm, Lung-RADS allowed a 52 % reduction in false positives and a recall rate reduction to 12.8 % versus 26.3 % in round 1, and had good acceptance among radiologists.43 We recommend the use of a structured report and the Lung-RADS classification for the conclusion of the LCS report to standardise reporting and management of abnormal findings detected in LDCT.42 Board-certified radiologists with experience in pulmonary nodule imaging should be encouraged to pursue LCS Certification.34 Given that the implementation of an LCS program results in a significant increase in the workload of radiologists with the need for detailed nodule assessments, including volume duplication time, artificial intelligence (AI) solution aid is now widely recognised as beneficial for LCS programs.44 Frequency and end of screening The optimal interval between two screening CT scans remains a subject of debate
In early 1990s, the tobacco trade underreporting in Bangladesh was on the high tide and in late 1990s the wave was high enough to touch the highest possible number with US$5.42 million in the recent history
Due to its high volatility, nicotine can evaporate over time, losing some of its efficacy
