Number of Patients
Number of Studies
Number of Series
Number of Images
|Images Size (TB)||11.3 TeraBytes|
An NLST summary, is offered through the Cancer Data Access System (CDAS) maintained by Information Management System (IMS), contracted by the National Cancer Institute (NCI) as keepers and statistical analyzers of the NLST trial data. The summary includes:
- Recruitment and Enrollment
- Screening for Lung Cancer
- Diagnostic Evaluation of Lung Cancer
- Lung Cancer Data
- Non-lung Cancer Data
- Participant Withdrawal
- Images (Radiology)
- Biospecimens (Pathology)
- Overview, study design, recruitment methods, endpoint verification process (determining cause of death), quality control (LSS and ACRIN).
- LSS Manual of Operations (MOOP) and ACRIN Protocol.
- DSMB announcement of results (10/28/2010).
- Questionnaires, screening, diagnostic procedures, cancer diagnosis, treatment, progression, mortality, contamination.
Accessing NLST Trial Data and Images
Data and images are owned by the National Cancer Institute (NCI) and subject to IRBs at NCI and at the institutions through which participants were recruited. NLST summary, design, protocols, and results are well-described and publicly available; see:
ANYONE can access the data and images with an approved CDAS request; see:
> Non-image Data (Clinical)
Investigators with approved access to NLST data may acquire copies of data in two different ways:
- Directly from IMS
Investigators with an approved request may download comprehensive NLST datasets directly from the CDAS website. Datasets are provided in SAS format in one compressed file (.zip); other formats are available upon request.
- Indirectly, through the Query Tool (QT): NLST Database Query Tool
Investigators launch the web-based QT, make menu-driven queries against the QT database (a significant subset of all trial data), and save query results to an Excel spreadsheet. The chief advantage to the QT is the ability to rapidly adjust queries and build a final spreadsheet for analysis. In addition, the QT offers the ability to download associated CT image
CT images: All CT images are available to investigators with approved access to NLST data and images. The chest X-rays are not available. Subsets of the CT images may be obtained in two ways:
- Request from IMS. Petition IMS for images associated with an NCI-approved project. IMS notifies The Cancer Imaging Archive (TCIA) management with a list of images to provide. TCIA pulls the images to an external hard drive (provided by the investigator) and ships the images to the investigator.
- Request with Query Tool. The investigator uses the Query Tool to define cohorts of subjects using non-image trial data, then directly downloads the associated CT images directly to their computer using the TCIA Download Manager tool. After selecting your cohort the Download Manager tool Query Tool will save a JNLP file to your desktop which requires Java Web Start to launch. Double clicking that JNLP will launch the TCIA Download Manager to begin your download.
For general details about the CT images, see NLST Images -- General Details
Pathology images: A small number (~1,250) of lung-biopsy pathology images are viewable using caMicroscope which is launched by the Query Tool.
- Measures of image and data consumption are described here.
For anything regarding the NLST protocols, data, findings, projects, and publications:
For anything regarding the Query Tool or the CT images or pathology images:
Please contact The Cancer Imaging Archive Support group at firstname.lastname@example.org or call +1 385-275-8242 (ASK-TCIA)