Impact of lung cancer screening on the workload of radiology professionals

Objectives Lung cancer screening (LCS) with low-dose computed tomography (LDCT) significantly reduces mortality among high-risk individuals, yet implementation remains limited at national and European levels. The Strengthening the Screening of Lung Cancer (SOLACE) Project aims to facilitate the implementation of equitable LCS. While considering the overall impact of LCS, we identified a lack of systematic evaluation on the impact on the workload of radiology professionals, including radiologists and radiographers. This multicentric, European-wide study prospectively examines the effects of LCS on radiology healthcare workers. Materials and methods A survey-based cross-sectional study was conducted among European radiology professionals engaged in LCS to evaluate their experiences across seven domains: impacts on workload, workflow specifics, reporting practices, artificial intelligence (AI) use, participation in training programmes, potential professional development, and overall support for LCS. Results We evaluated 56 responses (mean age 46 ± 10.8 years; 27 men) from 14 countries. About half of respondents (53.6%; n = 30) reported increased working hours, but only 21.6% ( n = 11) felt overworked due to LCS. No significant factors were directly associated with feeling overworked. Most respondents (86.7%; n = 39) perceived increased expertise in assessing LCS LDCTs throughout screening, and 91.1% ( n = 51) expressed support for the implementation of LCS. Conclusion Although LCS increased workload for many radiology professionals, few reported feeling overworked. Despite the added demands, there may be added benefits for radiology professionals. Taken together, these findings emphasise the importance of continuously evaluating and monitoring how LCS affects the workload of radiology healthcare professionals. Key Points Question As wider implementation of lung cancer screening occurs in Europe, it is critical to consider its impact on radiology professionals’ workload and associated workforce demands. Findings Although lung cancer screening increased workload for many radiology professionals, few felt overworked, and the majority perceived increased diagnostic confidence and support for screening implementation. Critical relevance statement Lung cancer screening via LDCT plays a critical role in detecting cancer earlier and improving survival. With growing support for the broader implementation of LCS, it is essential to consider its potential impact on the workload of radiology professionals.