Publications by authors named "S R Janes"

Background: Worldwide, lung cancer (LC) is the second most frequent cancer and the leading cause of cancer related mortality. Low-dose CT (LDCT) screening reduced LC mortality by 20-24% in randomised trials of high-risk populations. A significant proportion of those screened have nodules detected that are found to be benign.

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DNA is subject to continual damage, leaving each cell with thousands of individual DNA lesions at any given moment. The efficiency of DNA repair means that most known classes of lesion have a half-life of minutes to hours, but the extent to which DNA damage can persist for longer durations remains unknown. Here, using high-resolution phylogenetic trees from 89 donors, we identified mutations arising from 818 DNA lesions that persisted across multiple cell cycles in normal human stem cells from blood, liver and bronchial epithelium.

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Introduction: Low-dose computed tomography screening for lung cancer reduces lung cancer mortality, but there is a lack of international consensus regarding the optimal eligibility criteria for screening. The Yorkshire Lung Screening Trial was designed to evaluate lung cancer screening (LCS) implementation, and a primary objective was prospective evaluation of three predefined eligibility criteria.

Methods: Individuals who had ever smoked, aged 55 to 80 years, who responded to written invitation, underwent telephone risk assessment and if eligible by at least one criterion (PLCO ≥ 1.

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Article Synopsis
  • Synthetic data offers a way to share healthcare information without compromising privacy, showing promise for research and development.
  • Unlike other methods like federated learning, synthetic data allows analyses to be conducted without needing to adjust the data format, making it versatile for various applications.
  • The study developed synthetic data for ever-smokers in the UK Biobank to create lung cancer prognostic models, demonstrating its effectiveness throughout the modeling process and exploring the impacts of different data sharing methods in healthcare.
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Article Synopsis
  • Lung cancer screening (LCS) programs are becoming more common globally, but they differ in how they're run, who qualifies, and how resources are used.
  • Very few LCS programs are fully established on a national level, though more are expected to be developed soon.
  • Combining low-dose chest CT scans with smoking cessation support has shown to improve patient outcomes, and promising technologies like risk prediction models and AI are being explored, but they still need more research and validation before being widely implemented.
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