Downloads / Links
In Germany, systematic lung cancer screening using low-dose computed tomography is now permitted for heavy smokers from 50 to 75 years, even if the person to be examined does not show any symptom of a disease.
Screening using ionising radiation to detect a non-communicable disease is only permitted if provided for in an ordinance of the Federal Environment Ministry (BMUV) in accordance with section 84 (1) in conjunction with (2) of the Radiation Protection Act (Strahlenschutzgesetz) (Federal Law Gazette I, p. 1966). Beforehand, the Federal Office for Radiation Protection (BfS) has to come to the conclusion by way of a scientific evaluation that the benefits of the examination outweigh the risks associated with ionising radiation.
In the case of lung cancer screening using low-dose computed tomography the scientific evaluation of the BfS (Federal Gazette Official Section 6 December 2021 B4) has shown a positive risk-benefit-balance for heavy smokers between 50 and 75 years.
Therefore, the Federal Environment Ministry has issued the Lung Cancer Screening Ordinance. By this Ordinance the Ministry does not only allow lung cancer screening but also sets up requirements that ensure that risks are minimised and benefits maximised. It establishes requirements in relation to the technical equipment, the performance of the examination and the further training and continuing professional development of the medical doctors involved. Furthermore, it sets up a modern diagnostic review procedure including the compulsory use of a software for computer-assisted detection.