Where Do I Go?

How do I decide?

Ideally, the decision on whether to be screened or not should be made with the help of your primary care doctor. Your doctor knows your history and possible risk factors best. And, your doctor can help guide you to the right site and ask questions of the site in advance on your behalf.

Some screening sites require a doctor’s prescription in advance for a scan. Other sites will do an evaluation without a prescription to determine if an individual’s history and risk factors warrant a scan.

If you work at a facility that has a screening program that follows the National Framework for Excellence in Lung Cancer Screening and Continuum of Care, we would like you listed as a screening partner. Please contact Kim Woods Smith, kwsmith@lungcanceralliance.org, for more information.

Only go to an experienced site:

That follows an organized plan - a proven regimen or protocol – that is updated to incorporate new technology and knowledge, such as the one developed by International Early Lung Cancer Action Program (I-ELCAP)**, for subsequent diagnostic testing when a nodule is found on the screening scan;
That has a commitment to a high-quality screening program with adequate staff and resources;
That will have the scans read by an American Board of Radiology board certified radiologist with special training and expertise in lung cancer screening;
That is accredited in CT by a certifying organization, such as the American College of Radiology;
That has modern multi-slice CT scanning equipment managed to provide high-quality, low-dose, and non-contrast spiral CT scans.
That is part of or affiliated with a health care facility which has expertise and excellence in radiographic and/or endoscopic biopsy techniques and which has board certified pulmonary medicine and thoracic surgical practitioners with special interest and expertise in the diagnosis and treatment of lung cancers diagnosed in screening programs.

You will need a prescription from your primary care doctor who can also help guide you to the right site and ask questions of the site in advance on your behalf.

Experienced Sites

Experienced sites include:

All National Cancer Institute Cancer Center sites:
http://cancercenters.cancer.gov/cancer_centers/cancer-centers-list.html
All International Early Lung Cancer Action program (I-ELCAP) sites:
http://www.ielcap.org/members/memberlist.php

Certain VA Sites

The Phoenix VA Legacy-ELCAP Study
Phoenix VA Health Care System
650 E. Indian School Road (RS/151)
Phoenix, AZ 85012-1892
http://www.phoenix.va.gov

Arizona

Coordinating Center
Arizona State University, The Biodesign Institute
1001 S. McAllister Avenue
Tempe, AZ 85287-5901

Claudia Henschke, Ph.D., M.D., Principal Investigator
coordinator@ielcap.org
Radiologists@ieclap.org

Phoenix VA Health Care System
650 East Indian School Road
Phoenix, AZ 85012
Sam Aguayo, MD , Principal Investigator
Contact Person:
Christopher Kuramoto
Christopher.Kuramoto@va.gov
(602) 277-5551

St. Joseph’s Hospital and Medical Center
Center for Thoracic and Esophageal Disease
350 West Thomas Road
Phoenix, Arizona 85013
1- 855-LUNG-SCREEN (1-855-586-4727)
http://www.stjosephs-phx.org/Medical_Services/Center_for_Thoracic_and_Esophageal_Disease/219499

California

Alta Bates Summit Comprehensive Cancer Center
2001 Dwight Way
Berkeley, CA 94704
Gary R. Cecchi, M.D. , Principal Investigator
Contact Person:
Study Coordinator
Carmencita C. Mercado-Poe, RN, EdD, APRN-BC, OCN
poec2@sutterhealth.org
(510) 204-4783

Eisenhower Lucy Curci Cancer Center Coordinating Site
39000 Bob Hope Drive
Rancho Mirage, CA 92270
Davood Vafai, M.D. , Principal Investigator
Contact Person:
Study Coordinator
Stephanie Farrell
sfarrell@emc.org
(760) 674-3644

Stanford Hospital & Clinics
300 Pasteur Drive, H-0115
MC 5623
Stanford, CA 94305
http://stanfordhospital.org/clinicsmedServices/medicalServices/imaging/services_ct_lung_cancer.html

Radiology Scheduling Center at (650) 723-6855 for appointments

St. Joseph Hospital—The Center for Cancer Prevention and Treatment
1000 West La Veta Ave
Orange, CA 92867
714-633-3627

UCLA Health System
Ronald Reagan UCLA Medical Center
200 Medical Plaza, Suite #120
(310) 794-7333
Los Angeles, CA 90095
http://lungcancer.ucla.edu/lung_screening_clinic.html

UCSF Helen Diller Comprehensive Cancer Center, San Francisco, CA

(415) 514-8787 to schedule an appointment

CT Scan:
UC Imagine Center
1 Irving Street - P Level of parking garage, Room AC-05
San Francisco, CA 94143
(415) 353-2506

Your visit with a pulmonologist will take place at the UCSF Chest Clinic. For more information, please contact:

UCSF Chest Clinic
400 Parnassus Ave, 5th floor
San Francisco, CA 94143
(415) 353-2961
http://www.ucsfhealth.org/programs/lung_cancer_screening_program/index.html

USC Norris Cancer Hospital
1441 Eastlake Ave.
Los Angeles, CA 90033
800-700-3956
http://www.uscnorriscancerhospital.org/

Connecticut

Norwalk Radiology Center
East Avenue, Suite 1R
Norwalk, CT 06856
203-838-4886
http://www.norwalkhospital.org/CTLung/

Yale Cancer Center
20 York Street
New Haven, CT 06510
Lung Cancer Screening Program Intake:
1-203-688-LUNG

District of Columbia

MedStar Health: call 888-666-3432 for information on screening at the following MedStar Health Hospitals:
http://www.medstarhealth.org/body.cfm?id=557085

Georgetown University Hospital
3800 Reservoir Road, NW | Washington, DC 20007 | 202-342-2400

Washington Hospital Center
110 Irving Street, NW · Washington, DC 20010 · (202) 877-7000

Florida

Cancer Center of Putnam
600 Zeagler Drive
Palatka, FL 32177
904-824-5189

Baptist Medical Center/Baptist Cancer Institute
Lung Cancer Program
800 Prudential Drive
Jacksonville, FL 32207
Bridget M. Rossi, RN,MSN,CCRN,OCN, Clinical Nurse Specialist
(904) 202-4077

Ft. Walton Beach Medical Center
1000 Mar-Walt Dr.
Ft. Walton Beach, FL 32547
www.fwbmc.com
850-864-0213

Gulf Coast Regional Medical Center
449 W. 23rd St.
Panama City, FL 32405
850-747-7101
www.gcmc-pc.com

Jackson Memorial Hospital University of Miami
1611 N.W. 12th Ave.
Miami, FL 33136-1094
Richard Thurer, MD , Principal Investigator
Contact Person:
Marie J. Charles, ARNP
Mcharles4@med.miami.edu
(305) 243-5302 or (877) 243-1056

Jupiter Medical Center
Thoracic Surgery and Lung Center
1240 South Old Dixie Hwy, Ste. 202
Jupiter, Florida 33458
561-741-5560
http://www.jupitermed.com/body.cfm?id=957

MD Anderson Orlando
Lung Cancer Screening Program
1400 S. Orange Ave.
Orlando, FL 32806
Intake for Referral: 321-843-7020

Moffitt Cancer Center
12902 Magnolia Drive, Tampa, FL 33612
http://www.moffitt.org/Site.aspx?spid=9A87540E3F1E48BFB124669B46B01AC7
813-745-3980 or 1-888-860-2778

Orange Park Cancer Center,
2161 Kingsley Ave, Suite 100
Orange Park, FL 32073
904-276-2303

Southside Cancer Center
5742 Booth Road
Jacksonville, FL 32207
904-636-6911

Sylvester Comprehensive Cancer Center
1475 N.W. 12th Avenue
Miami, FL 33136
Richard Thurer, MD , Principal Investigator
Contact Person:
Marie J. Charles, ARNP
Mcharles4@med.miami.edu
(305) 243-5302 or (877) 243-1056

Tallahassee Memorial Health Care Cancer Center
1775 One Healing Place
Tallahassee, FL 32308
(850) 431-ICAN

Georgia

Emory University Hospital
Various sites
Atlanta. Georgia
404-686-LUNG (404-686-5864)
http://www.emoryhealthcare.org/radiology/procedures/lung-ct/index.html

St. Joseph's Hospital
5665 Peachtree Dunwoody Road Northeast
Atlanta, GA 30342
404-851-5175
http://www.stjosephsatlanta.org/medical_services/cancer_care_and_research/ct-lung-screening-frequently%20asked-questions.html

WellStar Health System
Lung Cancer Screening Program
522 North Ave
Marietta, Georgia 30060
Program Coordinator: Vickie Beckler, RN 678-594-4302
Email: vickie.beckler@wellstar.org

Lung screening available at Austell, Douglasville, East Cobb, Hiram,
Marietta and Woodstock.
http://www.wellstar.org/education/pages/low-dose-ct-lung-cancer-screening.aspx
Call 770-956-STAR (7827)

Illinois

Rush University
600 South Paulina Street
Chicago, IL 60612
Mark Yoder, M.D., Principal Investigator
Contact Person:
Josephine Volgi, RN
josephine_volgi@rush.edu
312-563-2741

Iowa

Helen G. Nassif Community Cancer Center
St. Luke’s Hospital
1026 A Avenue NE
Cedar Rapids, Iowa 52402
319-369-7836
Fax 319-369-7337
www.communitycancercenter.org

Kentucky

James Graham Brown Cancer Center at University of Louisville Hospital
530 S Jackson St.
Louisville, KY 40202
Contact Person:
Nurse Navigator-Dana Lee
502-562-HOPE (4673)

Maine

Central Maine Medical Center
300 Main Street
Lewiston, ME 04240
Carmine Frumiento, M.D. , Principal Investigator
Contact Person:
Study Coordinator
Crystal Nayock
nayockcr@cmhc.org
(207) 795-5654

Massachusetts

Lahey Clinic Medical Center
41 Mall Road
Burlington, MA
781-744-5100
www.lahey.org

Maryland

MedStar Health Hospitals:
http://www.medstarhealth.org/body.cfm?id=557085
call 888-666-3432 for information on screening at the following

Franklin Square Hospital Center
9000 Franklin Square Drive
Baltimore, MD 21237

Good Samaritan Hospital of Maryland
5601 Loch Raven Boulevard
Baltimore, MD 21239 | 443.444.8000

Harbor Hospital
3001 S. Hanover St
Baltimore, MD 21225

Holy Cross Hospital
1500 Forest Glen Road
Silver Spring, MD 20910
301-754-7695

Montgomery General Hospital
18101 Prince Philip Drive
Olney, Maryland 20832
http://www.montgomerygeneral.org/body.cfm?id=455

St. Mary's Hospital
25500 Point Lookout Road
Leonardtown, Maryland 20650
301-475-8981
http://www.medstarhealth.org/body.cfm?id=557085

Union Memorial Hospital
201 East University Parkway
Baltimore, MD 21218 410.554.2000

Massachusetts

Brigham and Women’s Hopsital
Harvard Medical School
Coolidge Corner Imaging
356 Harvard Street
Brookline, MA 02446
for lung screening call: 617-383-6585
http://www.brighamandwomens.org/Departments_and_Services/radiology/ClinicalTrials/default.aspx

Michigan

University of Michigan
East Ann Arbor Health Center
4260 Plymouth Road
Ann Arbor, MI 48109

University of Michigan Hospital
1500 E. Medical Center Dr.
Ann Arbor, MI 48109

Telephone for intake:
UM Cancer Center: 800-865-1125
UM Study Coordinators: 855-303-5760 or email COPDresearch@umich.edu
Physician only referrals (M-line 800-962-3555, ask for Dr. Arenberg)
Ann Arbor VA Lung Cancer Risk Clinic (734-845-5800, Dr. Nithya Ramnath)
http://www.uofmhealth.org/find+a+physician/286

Missouri

St. Joseph Health Center
300 Capitol Drive
St. Charles, MO 63301
Dan Luedke, M.D. , Principal Investigator
Contact Person:
Study Coordinator
Ellen Brennan RN, BSN
Ellen_Brennan@ssmhc.com
1-877-946-LUNG
(636) 947-5503

Nebraska

Nebraska Methodist Hospital
8303 Dodge Street
Omaha, NE 68114
Patrick Meyers, M.D. , Principal Investigator
Contact Person:
Deb Meyers
Deb.Meyers@nmhs.org
(402) 354-5882

New Jersey

Atlantic Health
100 Madison Ave
Morristown, NJ 07962
(908) 522-6104
Mark Widmann, M.D. , Principal Investigator
Contact Person:
Study Coordinator
Christine Koranyi BS,MS,RN
christine.koranyi@atlantichealth.org
(908) 522- 6104

Atlantic Medical Imaging
72 West Jimmie Leeds Road
Galloway, NJ 08205
Robert M. Glassberg, M.D. , Principal Investigator
Contact Person:
Tony Baccafurni
Wayne Martyn, RN
abuccafurni@atlanticmedicalimaging.com
wmartyn@atlanticmedicalimaging.com
(609) 652-1624

Atlantic Health
99 Beauvoir Ave
Summit, NJ 07901
Mark Widmann, M.D., Principal Investigator
Contact Person:
Study Coordinator
Christine Koranyi BS,MS,RN
christine.koranyi@atlantichealth.org
(908) 522-6104

Newark Beth Israel Medical Center
201 Lyons Avenue at Osborne Terrace
Newark, NJ 07112
Jeremy Green, M.D.
Principal Investigator
Contact Person:
Stephanie Concannon
SConcannon@barnabashealth.org
(973) 926-2345

Steeplechase Cancer Center at Somerset Medical Center
30 Rehill Ave.
Somerville, NJ 08870
(908)-927-8778
http://www.steeplechasecancercenter.com/lung-cancer-screening-center

New York

CBNS, City University of New York at Queens College
65-30 Kissena Blvd. - Remsen 311
Flushing, NY 11367
Steve Markowitz, M.D. , Principal Investigator
Contact Person:
Study Coordinator
Amy Manowitz
amanowitz@qc.cuny.edu
(718) 670-4194 (DOE-funded study currently for US Department of Energy (DOE) workers only)

Comprehensive Thoracic Oncology Program of Continuum Cancer Centers of NY
1000 Tenth Avenue, Suite 2B-07
New York, NY 10019
Cliff P. Connery, M.D. , Principal Investigator
Contact Person:
Research Project Coordinator
Andy Nabong
rnabong@chpnet.org
(212) 636-3333

Mercy Medical Center
1000 North Village Avenue
Rockville Centre, NY 11570
Gary Herzog, M.D. , Principal Investigator
Contact Person:
David Flomenhaft, LCSW, Ph.D.
david.flomenhaft@chsli.org
(516) 705-2772

Mount Sinai School of Medicine
One Gustave L. Levy Place
Box 1234
New York, NY 10029
Claudia Henschke, Ph.D., M.D. , Principal Investigator
coordinator@ielcap.org
212-241-2420

Roswell Park Cancer Center
Radiology Department
Elm & Carlton Streets
Buffalo, NY 14263
1-877-ASK-RPCI (1-877-275-7724)

North Carolina

Duke Cancer Institute
20 Medicine Circle
Durham, NC 27710
Toll Free: 1-855-623-8132
Local: 919-613-4318

Duke Raleigh Cancer Center
3404 Wake Forest Road
Raleigh, NC 27609
919-954-3877

http://dukecancerinstitute.org/CTLungScreening

Wake Forest Baptist Medical Center
Medical Center Boulevard
Winston-Salem, NC 27157
call: 1-877-243-0563.
http://www.wakehealth.edu/Imaging/Services/CT-Lung-Screening-FAQ.htm

Ohio

The University of Toledo Medical Center
3000 Arlington Avenue
Toledo, OH 43614
James Willey, M.D. , Principal Investigator
Contact Person:
Adele Griffin, RN
Adele.Griffin@utoledo.edu
(419) 383-3539

Tennessee

Vanderbilt-Ingram Cancer Center
2220 Pierce Avenue
Nashville, TN 37232
615-322-4100
Program Contact: Anel Muterspaugh
www.nashvillelungscreening.com

Texas

Baylor Charles A. Sammons Cancer Center at Dallas
3500 Gaston Ave.
Dallas, TX 75246
Edson H. Cheung, M.D. , Principal Investigator
Contact Person:
Debra Kee, RN
debra.kee@baylorhealth.edu
(214) 818-8325

MD Anderson Cancer Center
1515 Holcombe Blvd.
Houston, TX 77030
call first for pre-screening information: 1-877-MDA-6789
http://www.mdanderson.org/patient-and-cancer-information/cancer-information/cancer-topics/prevention-and-screening/cancer-screening-guidelines/lung-cancer.html

Utah

Huntsman Cancer Institute
1950 Circle of Hope
Salt Lake City, UT 84112
888-424-2100
801-581-6365

Washington

Swedish Medical Center
5300 Tallman Ave. N.W.
Seattle, WA 98107-3932
call (206) 292-7700; e-mail inquiries:
http://www.swedish.org/Services/Thoracic-Surgery/Thoracic-Surgery-Services/Lung-Cancer-Screening/Current-Former-Smokers-ELCAP

Virginia

HCA Virginia Health System
7300 Beaufort Spring Drive
Richmond, VA 23225

For information on Lung Cancer Screening: 804-HCA-CARE (804-422-2273)

Scans can be done at the following sites:

Appomattox Imaging
930 South Avenue, Suite 1
Colonial Heights, Virginia 23834

John Randolph Medical Center
411 West Randolph Road
Hopewell, Virginia 23860

Chippenham Hospital
7101 Jahnke Road
Richmond, Virginia 23225

Johnston-Willis Hospital
1401 Johnston-Willis Drive
Richmond, Virginia 23235

Buford Road Imaging
2612 Buford Road
Richmond, Virginia 23235

Chesterfield Imaging
13636 Hull Street Road
Midlothian, Virginia 23112

Independence Park Imaging
9930 Independence Park Drive #100
Richmond, Virginia 23233

Henrico Doctors’ Hospital
1602 Skipwith Road
Richmond, Virginia 23229

Parham Doctors’ Hospital
7700 East Parham Road
Richmond, Virginia 23229

Retreat Doctors’ Hospital
2621 Grove Avenue
Richmond, Virginia 23220

Spotsylvania Regional Medical Center
4604 Spotsylvania Parkway
Fredericksburg, Virginia 22408

This list will be updated on a regular basis as information on additional sites following best practices is made available to us.

Is CT screening covered by insurance?

WellPoint, one of the largest commercial insurance companies in the country, announced in November, 2011 that CT scans for those at high risk for lung cancer would be covered as a benefit under their plans. For additional information: http://www.wellpoint.com.

Medicare does cover CT scans to diagnose lung cancer in a Medicare-eligible person with symptoms ($300 on average), but Medicare does not yet cover CT scans to screen a person without symptoms for lung cancer .

Insurance

This may change when the U.S.Preventive Services Task Force (USPSTF) revises its recommendations on CT screening for lung cancer. The current recommendation is neutral - an “I” rating -which stands for “insufficient evidence to recommend for or against.” (PSA testing for prostate cancer carries the same “I” recommendation.) However, since NCI’s large scale randomonized trial has shown such a positive mortality benefit for screening people at high risk for lung cancer, this 2004 rating must be changed.

Medicare and insurance companies generally follow USPSTF recommendations in making coverage decisions. The new healthcare law will make coverage mandatory only for procedures with an “A” or a “B” USPSTF recommendation.

In November, 2010, immediately after the results of the NLST were released, Lung Cancer Alliance asked the USPSTF for an immediate review of the new findings. In response, the USPSTF said a revised recommendation would be available for public comment in early 2012. LCA and others are continuing to press for expedited action.

Is CT screening cost effective?

The cost of treating late stage lung cancer is twice that of finding and curing early stage lung cancer, and almost inevitably futile. The cost and risk involved in screening a large block of people at high risk for lung cancer are high but must be weighed against the high treatment costs and the value of lives lost to late stage cancers.

An actuarial (insurance) study by Milliman Inc. commissioned by Lung Cancer Alliance and American Legacy Foundation demonstrated that CT screening for lung cancer could be more cost-effective (lower cost per year of live saved) than breast, cervical or colon cancer screening. The cost of including CT lung cancer screening as a covered benefit under commercial plans would be less than $1 per member per month.

Another previous actuarial study by Milliman of 350,000 lung cancer mortality records completed in 2009 demonstrated that early diagnosis would save 70,000 lives a year, and that those treated promptly would not only be cured but would be eligible for life insurance.

For information on the Milliman study, visit www.lungcanceralliance.org.

What will happen now with lung cancer screening?

We are in the midst of a healthcare cost and quality crisis. Lung cancer screening is a major new approach that could save many lives but present challenges to our current healthcare system. Additional research could allow a better understanding of how to most optimally deliver safe and effective lung cancer screening in routine care settings. This requires definition of who is best equipped to provide the care as well as what the best process is to deliver the service. Progress with these issues may reduce cost and ensure that high quality screening services can be provided to all at-risk individuals across our country.