Beyond the Scan: Adapting Multimodal Lung Cancer Screening for Central and Eastern Europe—Overcoming Systemic Barriers and Epidemiological Confounders

Angel, Rodica and Folea, Antonia-Ruxandra and Moga, Vlad-Luca and Pavel, Cristian and Troncota, Diana and Celea, Matei and Dumitru, Corneliu Octavian and Serban, Andreea Iren and Bilteanu, Liviu (2026) Beyond the Scan: Adapting Multimodal Lung Cancer Screening for Central and Eastern Europe—Overcoming Systemic Barriers and Epidemiological Confounders. Medical Sciences, 14 (2), pp. 1-44. Multidisciplinary Digital Publishing Institute (MDPI). doi: 10.3390/medsci14020259. ISSN 2076-3271.

PDF - Only accessible within DLR - Published version
1MB

Official URL: https://www.mdpi.com/2076-3271/14/2/259

Abstract

Lung cancer remains the leading cause of cancer-related mortality in Central and Eastern Europe (CEE), where late-stage diagnosis, structural healthcare limitations, and regional epidemiological confounders complicate early detection. This review aimed to synthesize the evidence from Romania, Poland, Hungary, and Bulgaria and to outline a context-adapted multimodal screening strategy for CEE settings.

Item URL in elib:

https://elib.dlr.de/225568/

Document Type:

Article

Title:

Beyond the Scan: Adapting Multimodal Lung Cancer Screening for Central and Eastern Europe—Overcoming Systemic Barriers and Epidemiological Confounders

Authors:

Authors	Institution or Email of Authors	Author's ORCID iD	ORCID Put Code
Angel, Rodica	Faculty of General Medicine, Carol Davila University of Medicine and Pharmacy, Romania	UNSPECIFIED	UNSPECIFIED
Folea, Antonia-Ruxandra	Faculty of General Medicine, Carol Davila University of Medicine and Pharmacy, Romania	UNSPECIFIED	UNSPECIFIED
Moga, Vlad-Luca	Faculty of General Medicine, Carol Davila University of Medicine and Pharmacy, Romania	UNSPECIFIED	UNSPECIFIED
Pavel, Cristian	Faculty of General Medicine, Carol Davila University of Medicine and Pharmacy, Romania	UNSPECIFIED	UNSPECIFIED
Troncota, Diana	Faculty of General Medicine, Carol Davila University of Medicine and Pharmacy, Romania	UNSPECIFIED	UNSPECIFIED
Celea, Matei	Oncological Institute Alexandru Trestioreanu Romania	UNSPECIFIED	UNSPECIFIED
Dumitru, Corneliu Octavian	Corneliu.Dumitru (at) dlr.de	UNSPECIFIED	UNSPECIFIED
Serban, Andreea Iren	Faculty of Biology, University of Bucharest Romania	UNSPECIFIED	UNSPECIFIED
Bilteanu, Liviu	Faculty of General Medicine, Carol Davila University of Medicine and Pharmacy, Romania	UNSPECIFIED	UNSPECIFIED

Date:

18 May 2026

Journal or Publication Title:

Medical Sciences

Refereed publication:

Yes

Open Access:

Yes

Gold Open Access:

Yes

In SCOPUS:

Yes

In ISI Web of Science:

Yes

Volume:

DOI:

10.3390/medsci14020259

Page Range:

pp. 1-44

Publisher:

Multidisciplinary Digital Publishing Institute (MDPI)

ISSN:

2076-3271

Status:

Published

Keywords:

low-dose computed tomography; lung cancer screening; structural barriers; Central and Eastern Europe

HGF - Research field:

Aeronautics, Space and Transport

HGF - Program:

Space

HGF - Program Themes:

Research under Space Conditions

DLR - Research area:

Raumfahrt

DLR - Program:

R FR - Research under Space Conditions

DLR - Research theme (Project):

R - Operational Medicine

Location:

Oberpfaffenhofen

Institutes and Institutions:

Remote Sensing Technology Institute > EO Data Science

Deposited By:

Dumitru, Corneliu Octavian

Deposited On:

10 Jul 2026 11:39

Last Modified:

10 Jul 2026 11:39

Repository Staff Only: item control page