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Why make follow-up CT scans?
•
Detect Local Recurrence (~10% at 5 years)
•
Detect Salvageable Regional Recurrence
•
New Lung Primaries (3-6% per year)
•
ESMO recommendations: CT scans every 3-6 months
for 2-3 years, annually thereafter, especially in patients
suitable for salvage
•
NCCN guidelines: CT q6-12 months for two years than
annually
•
AATS guidelines –patients should have annual low
dose CT as per result of NLST