The Tisch Cancer Institute at Mount Sinai Highlights Key Developments for Lung Cancer Awareness Month 2024
November is Lung Cancer Awareness Month, and the Center of Excellence for Thoracic Oncology at The Tisch Cancer Institute at Mount Sinai wants to share important updates about lung cancer prevention and treatment. This is an important awareness month because lung cancer is the leading cause of cancer death in the United States, making up about one in five cancer deaths. Alarmingly, more people die from lung cancer each year than from colon, breast, and prostate cancers combined.
The Center of Excellence for Thoracic Oncology, led by co-directors Fred R. Hirsch, MD, PhD, and Andrew J Kaufman, MD, and the entire team at Mount Sinai Health System have vast experience researching, detecting, and treating lung cancers. This year, we honor Lung Cancer Awareness Month by celebrating improved cure rates thanks to early detection of lung cancer through low-dose computed tomography (CT) scans and by raising awareness of lung cancer risk in “never smokers.” We will also highlight the role of artificial intelligence (AI) technology in finding lung cancer earlier and more accurately, as well as a recent study about alarming disparities in lung cancer testing.
Cure Rate From Early Detection
Research led by Claudia Henschke, MD, PhD, Professor of Diagnostic, Molecular and Interventional Radiology and Director of the Early Lung and Cardiac Action Program (ELCAP) at the Icahn School of Medicine at Mount Sinai, indicates that early detection works. In a multi-decade study (1992-2022) involving more than 31,000 people, those who detected lung cancer early through low-dose CT scans had an 81 percent survival rate after 20 years. The average five-year survival rate for all lung cancer patients is 28 percent, according to the American Cancer Society. However, only 23 percent of lung cancers are diagnosed at an early stage.
“Early detection is crucial in the fight against lung cancer,” said Dr. Henschke. “Our research shows that annual low-dose CT screening significantly increases survival rates by identifying cancers at their most treatable stages. We encourage individuals, especially those at higher risk, to take advantage of these screening opportunities.”
Lung Cancer in Never Smokers
According to the American Cancer Society, up to 20 percent of lung cancer cases occur in people who have never smoked. This fact helps us understand that lung cancer can affect anyone, not just smokers. Factors like exposure to secondhand smoke, radon, air pollution, asbestos, or a family history of lung cancer may increase your risk of lung cancer. Researchers estimate that second-hand smoke contributes to about 7,300 and radon to about 2,900 of these cases. Mount Sinai offers a program that allows individuals 40 and older to be screened even if they have little to no smoking history.
“Lung cancer is often associated with smoking, but it’s important to recognize that it can develop in people who have never smoked or have smoked very little—fewer than 100 cigarettes in their lifetime,” said Raja Flores, MD, Chair of Thoracic Surgery at the Mount Sinai Health System. “In fact, about 10-20 percent of lung cancers in the United States occur in individuals who have never smoked. Lung Cancer Awareness Month is an important time to highlight that many factors beyond smoking influence an individual’s lifetime risk for lung cancer. We need education about exposure and subsequent access to testing to improve early detection in all populations, regardless of smoking history.”
Using Artificial Intelligence (AI) in Screening
Icahn Mount Sinai is advancing the use of AI technology to find lung cancer earlier and more accurately. Recently developed by the I-ELCAP team, the Open Source Automated Image Reading System (AIRS) will analyze CT scans to spot nodules that might be missed by the human eye and assess a patient’s risk for lung cancer based on their medical history and other factors. Designed as a future "rule out" tool for annual repeat and follow-up low-dose CT scans, AIRS is expected to cut radiologists’ reading time by approximately 85 percent.
“Artificial intelligence is revolutionizing the way we approach lung cancer screening. By enhancing the analysis of CT scans, AI can help us detect growths earlier and more accurately than ever before,” said David F. Yankelevitz, MD, Director of the Lung Biopsy Service at Icahn Mount Sinai. “This technology is a tool not only to improve diagnostic precision but also to allow us to tailor screening protocols to individual patients, ultimately leading to better outcomes and survival rates.”
Disparities in Lung Cancer Testing
A new Mount Sinai study published in the Journal of the National Cancer Institute on September 10, 2024, has found that people with lung cancer face significant differences in getting important tests based on their race and income. This study, led by Emanuela Taioli, MD, PhD, and her team at the Institute for Translational Epidemiology at Icahn Mount Sinai, identifies a serious concern in cancer care.
“The results of this study are important because they show that if we can fix these gaps in testing, more people will be able to get the treatments they need and improve their chances of survival,” said Dr. Taioli. “For doctors, this means they need to make sure that everyone has equal access to these important tests. For patients, especially those from lower-income or minority backgrounds, it means there’s a need for better access to treatments that can improve their health and improve their chances of survival.”
Accessing Care at Mount Sinai
According to the Centers for Disease Control and Prevention, symptoms of lung cancer are the same whether or not you have smoked. Some people have general symptoms of not feeling well or feeling tired all the time. Some people cough frequently, cough up blood, or have chest pain, wheezing, or shortness of breath. These symptoms can happen with other illnesses. If you have any of these symptoms, talk to your doctor, who can help find the cause. Our team at Mount Sinai Health System has vast experience researching, detecting, and treating early lung cancers.
We have broad experience with a variety of diagnostic tools and some of the most advanced treatment options in the New York City area. Here are a few of our locations across New York City and Long Island:
- Multiple Myeloma Program at The Ruttenberg Treatment Center 1470 Madison Avenue
- The Blavatnik Family Chelsea Medical Center at Mount Sinai, 325 West 15th Street
- Mount Sinai Brooklyn, 3201 Kings Highway, Brooklyn, NY
- Lung and Thoracic Cancer Services at The Mount Sinai Hospital, 1190 Fifth Avenue
- Mount Sinai South Nassau, One Healthy Way, Oceanside, NY
- Mount Sinai Queens, 25-20 30th Avenue, Astoria, NY
For more information, please visit www.mountsinai.org/lungcancer
About the Mount Sinai Health System
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 600 research and clinical labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time—discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes approximately 9,000 primary and specialty care physicians and 11 free-standing joint-venture centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida. Hospitals within the System are consistently ranked by Newsweek’s® “The World’s Best Smart Hospitals, Best in State Hospitals, World Best Hospitals and Best Specialty Hospitals” and by U.S. News & World Report's® “Best Hospitals” and “Best Children’s Hospitals.” The Mount Sinai Hospital is on the U.S. News & World Report® “Best Hospitals” Honor Roll for 2024-2025.
For more information, visit https://www.mountsinai.org or find Mount Sinai on Facebook, Twitter and YouTube.
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