"The harms associated with LDCT screening include
false-negative and false-positive results, incidental findings,
overdiagnosis, and radiation exposure. False-positive LDCT
results occur in a substantial proportion of screened persons
95% of all positive results do not lead to a diagnosis
of cancer. In a high-quality screening program, further imaging
can resolve most false-positive results however, some
patients may require invasive procedures.
The USPSTF found insufficient evidence on the
harms associated with incidental findings. Overdiagnosis of
lung cancer occurs, but its precise magnitude is uncertain.
A modeling study performed for the USPSTF estimated
that 10% to 12% of screen-detected cancer cases are overdiagnosed—
that is, they would not have been detected in
the patient's lifetime without screening."