Lung Cancer Screening (FAMRI-IELCAP) for Non-Smokers

FAMRI-IELCAP Collaborative Network
Screening Available to those with Secondhand Smoke Exposure

Many non-smokers are regularly subjected to secondhand smoke. To help address related health concerns, the Flight Attendant Medical Research Institute (FAMRI) has provided grant money to fund the FAMRI-IELCAP Collaborative Network. This network features a multidisciplinary research and clinical program to enhance early detection and treatment of diseases related to secondhand-smoke exposure, including emphysema, chronic bronchitis, asthma, cardiovascular diseases and lung cancer.

As an affiliate site for the I-ELCAP (International Early Lung Cancer Action Program) since 2001, Swedish Medical Center has been chosen to recruit 250 non-smokers exposed to secondhand smoke who will undergo a single low-dose CT screening of the chest with scans performed at Seattle Radiologists. The initial chest CT scan is paid for by the study. Participants are eligible to continue annual screening exams with an out-of-pocket cost of $300 per scan.

Who is eligible?

If you are over the age of 40, have never smoked - meaning you have smoked fewer than 100 cigarettes in your entire life - and you have had significant exposure to secondhand smoke, you may be eligible for this study.

What happens when someone enrolls?

People who participate in the study will receive a free non-invasive low-dose CT scan. In addition, a brief interview will be conducted to determine past medical history and secondhand smoke exposure. If an abnormality is found in the CT scan and further procedures are required, your health insurance should cover it.

How do I schedule a test or get more information?

We would be happy to talk with you further about this research study. For more information, call our office at (206) 292-7700. You may also e-mail inquiries to cbuchanan@searad.com.

What Happens During the Test, and How Long Does it Take?

You should allow at least 30 minutes for the entire appointment, but you will be in the CT room for only five to 10 minutes. The actual scanning time is less than one minute. Radiation exposure from the scan is minimal, similar to that of a mammogram. The test, which is simple and painless, requires that you lie down on a special exam table. Within a few seconds, the CT scan will take multiple pictures of your lungs.

When Will I Find Out the Results?

An experienced radiologist will examine your scan. If it is determined to be normal, the study coordinator will send the results, usually within a week.

What if an Abnormality is Found?

If your scan is determined to be abnormal, we will promptly inform you and your doctor. One of the study physicians will personally speak to your doctor about your situation and discuss recommendations for follow-up. Clarifying the findings frequently requires an additional diagnostic CT scan. Subsequent diagnostic testing is covered by most insurance plans. Please keep in mind that most abnormalities will not turn out to be lung cancer.

Research Study Physicians:
Ralph W. Aye, M.D.
Swedish Cancer Institute

Kristin Manning, M.D.
Seattle Radiologists

FAMRI was established as a result of a Class Action Suit in October 1991 in Dade County Circuit Court (Miami) against the tobacco industry. The suit sought damages for diseases and deaths caused to flight attendants by exposure to secondhand tobacco smoke in airline cabins. Among other considerations, the settlement included the establishment of a not-for-profit medical research foundation with funding by the tobacco industry of $300 million. FAMRI's mission is to sponsor scientific and medical research for early detection, prevention, treatment and cure of diseases and medical conditions caused from exposure to tobacco smoke and to ensure that health-care providers ask the right questions to patients about secondhand-smoke exposure.