GP Direct Access CT
A normal or near normal CXR result does not necessarily rule out cancer.
GP Direct Access CT for exclusion of Lung Cancer is available for adult patients who have had a recent Chest Xray which showed no suspicion of cancer but where the combination of clinical symptoms and risk factors continue to cause concern.
If patients have a Chest X-Ray which shows any suspicion of cancer the patient will be automatically escalated onto a suspected cancer pathway.
Referral Criteria
- Patient must have had a recent Normal chest X-Ray which shows no suspicion of cancer
Clinical symptoms and risk factors that continue to cause concern. Adults with:
- Unexplained and/or persistent haemoptysis
- 2 or more of the following unexplained symptoms or
- Have EVER SMOKED and have 1 or more of the following unexplained symptoms or
- Have been EXPOSED TO ASBESTOS and have 1 or more of the following unexplained symptoms:
- Cough
- Fatigue
- Shortness of breath
- Chest pain
- Weight loss
- Appetite loss
- Or any of the following:
- Persistent or recurrent chest infection
- Finger clubbing
- Supraclavicular lymphadenopathy or persistent cervical lymphadenopathy
- Chest signs consistent with lung cancer or pleural disease
- Thrombocytosis
Please note: eGFR must be recorded within the last 10 weeks
For adult patients with normal CXR with clinical suspicion of lung cancer who do not meet referral criteria consider use of respiratory advice and guidance:
Guidance for the use of contrast media in patients with renal impairment can be found on the ICE requesting system.
