MILES Trial

HRCT Screening for LAM

HRCT Screening Recommendations
The LAM Foundation recommends that a high resolution CT scan of the chest be obtained in the following situations and patient subgroups;

For patients with known Tuberous Sclerosis Complex:

1. All females, at least once after the age of 18*
2. All patients who present with pneumothorax or chylothorax

For patients who do not have known Tuberous Sclerosis Complex:

1. All nonsmoking women who present with spontaneous pneumothorax.
2. All women who present with recurrent spontaneous pneumothorax regardless of smoking status.
3. All women found to have an angiomyolipoma, abdominal lymphangiomyoma, or chylous effusion.

* The Tuberous Sclerosis Alliance has previously published this recommendation in the J. Child Neurology

 

 

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