Original Title: Efectividad, seguridad e indicaciones de la tecnología radiológica de supresión de hueso para la detección de cáncer de pulmón

Authors' objectives: To assess the effectiveness and safety of bone suppression technology for the detection of lung cancer and indications for its use

Authors' results and conclusions: We retrieved six studies related to the research question. The quality of the studies retrieved was low to moderate. The evidence found shows an improvement in the detection rate compared to that with conventional Xrays, although the data are not conclusive. The false positive rate is similar in both cases, but the sensitivity seems to be higher than that with conventional X-ray imaging. The sensitivity of the technique for detecting cancer significantly increases when the results are analysed with specific software. The use of this software has implications for the training of specialists. On the other hand, we have not found evidence of the sites or indications that would benefit from the use of this new technology. CONCLUSIONS We need to wait for the publication of ongoing research studies to establish recommendations by anatomical site and tumour type that allow the use of this technique in clinical practice. Additionally, economic analysis should be undertaken with data on final outcomes to draw proper conclusions regarding this technology. The use of bone suppression should be monitored in routine practice and its utility and indications should be determined on the basis of data on final outcomes.

Authors' methods: We performed a search of the scientific literature with no time restrictions in databases that include primary and secondary sources as well as applied research, namely, Medline, CRD (HTA, NHS EED, DARE), Cochrane Collaboration, National Guidelines ClearingHouse (NGC), EuroScan or ECRI in order to identify systematic reviews, clinical practice guidelines and clinical trials analysing the technique under study

Project Status: Completed

Year Published: 2018

URL for published report: https://www.ogasun.ejgv.euskadi.eus/r51-catpub/es/k75aWebPublicacionesWar/k75aObtenerPublicacionDigitalServlet?R01HNoPortal=true&N_LIBR=052197&N_EDIC=0001&C_IDIOM=es&FORMATO=.pdf

English language abstract: An English language summary is available

Publication Type: Rapid Review

Country: Spain

Organisation Name: Basque Office for Health Technology Assessment

Contact Address: C/ Donostia – San Sebastián, 1 (Edificio Lakua II, 4ª planta) 01010 Vitoria - Gasteiz

Contact Name: Lorea Galnares-Cordero

Contact Email: lgalnares@bioef.eus

Copyright: <p>Osteba (Basque Office for Health Technology Assessment) Health Department of the Basque Government</p>