Evidence map›Paper›PMID 42147591›Full record

ReviewCureus2026

Artificial Intelligence in Low-Dose Computed Tomography Lung Cancer Screening: Clinical Integration, Validation, and Translational Challenges.

Valeria Vanessa Varela Betancourt, Archana Acharya, Nusrat Jahan, Udit Kapahi, Insharah Khalid, Syed M Shah, Hassan Ibrahim, Bushra Nawaz, Shazma Shayan, Maia Valls Palacios Reese and 2 more

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Valeria Vanessa Varela BetancourtGeneral Medicine, Universidad Nacional de Colombia, Bogota, COL.
Archana AcharyaGeneral Surgery, Sri Ramachandra Bhanja Medical College, Cuttack, IND.
Nusrat JahanInternal Medicine, Kent and Medway Mental Health NHS Trust, Kent, GBR.
Udit KapahiInternal Medicine, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, IND.
Insharah KhalidInternal Medicine, Nishtar Medical University, Multan, PAK.
Syed M ShahNeuroscience, Kansas City University College of Osteopathic Medicine, Kansas, USA.
Hassan IbrahimInternal Medicine, Darent Valley Hospital, Dartford, GBR.
Bushra NawazMedicine and Surgery, Islamic International Medical College, Rawalpindi, PAK.
Shazma ShayanInternal Medicine, Hull University Teaching Hospitals, Hull, GBR.
Maia Valls Palacios ReeseInternal Medicine, Ponce Health Sciences University, School of Medicine, Ponce, PRI.
Sheeza NadeemInternal Medicine, Doncaster and Bassetlaw Hospital NHS Foundation Trust, Doncaster, GBR.
Manju RaiBiotechnology, Shri Venkateshwara University, Uttar Pradesh, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lung cancer remains the leading cause of cancer-related mortality worldwide, largely due to late-stage diagnosis. Low-dose computed tomography (LDCT) screening has demonstrated significant mortality reduction in high-risk populations; however, its widespread implementation is limited by high false-positive rates, inter-reader variability, and substantial workflow burden. Artificial intelligence (AI) has emerged as a promising adjunct to address these challenges by enhancing diagnostic consistency, efficiency, and risk stratification in LDCT-based screening. This narrative review aims to synthesize current evidence on AI methodologies, clinical applications, validation studies, and translational challenges in LDCT-based lung cancer screening. A structured literature search was conducted across PubMed, Scopus, Embase, and the Cochrane Library for studies published between January 2010 and September 2025, using relevant keywords related to AI, radiomics, and lung cancer screening. Studies were selected based on their focus on AI applications in LDCT, including detection, characterization, risk prediction, and workflow optimization. Recent advances in deep learning and radiomics have enabled automated detection, segmentation, and characterization of pulmonary nodules with performance comparable to expert radiologists. Hybrid AI models that integrate imaging-derived features with clinical and demographic data further improve individualized risk prediction and support tailored screening strategies. AI-supported workflows have demonstrated improved efficiency by reducing interpretation time while maintaining diagnostic accuracy. Despite these advances, translation into routine clinical practice remains inconsistent due to limitations in external validation, generalizability, interpretability, and workflow integration. Radiologists' trust and human-AI interaction further influence real-world adoption. This review highlights the need to shift focus from algorithmic performance to clinical integration and human-AI collaboration to ensure meaningful improvements in lung cancer screening outcomes.

Indexed as

artificial intelligencedeep learninglow-dose computed tomographypulmonary nodulesradiomicsrisk prediction

Identifiers

PMID42147591
PMCPMC13175521

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.