The Medical Imaging and Technology Alliance (MITA) has applauded an actuarial cost-benefit analysis conducted by Milliman, which found that low-dose spiral CT of individuals at high risk for lung cancer would save thousands of lives at a relatively low cost if the procedure were routinely covered by commercial insurers.
The Milliman study, published in the April 2012 issue of Health Affairs, examined the costs and benefits of providing lung cancer screening through low-dose CT to commercially insured high-risk individuals, targeting smokers and long-term former smokers ages 50 to 64 years.
Based on current commercial reimbursement rates for treatment, researchers concluded CT screening would cost approximately $1 per insured member per month in 2012. The study also estimated that the cost per life-year saved would be less than $19,000, which is less than screening for cervical and breast cancer and comparable to the cost per life-year saved of screening for colorectal cancer.


















![Images show the pectoralis muscles of a healthy male individual who never smoked (age, 66 years; height, 178 cm; body mass index [BMI, calculated as weight in kilograms divided by height in meters squared], 28.4; number of cigarette pack-years, 0; forced expiratory volume in 1 second [FEV1], 97.6% predicted; FEV1: forced vital capacity [FVC] ratio, 0.71; pectoralis muscle area [PMA], 59.4 cm2; pectoralis muscle volume [PMV], 764 cm3) and a male individual with a smoking history and chronic obstructive pulmonary disorder (COPD) (age, 66 years; height, 178 cm; BMI, 27.5; number of cigarette pack-years, 43.2, FEV1, 48% predicted; FEV1:FVC, 0.56; PMA, 35 cm2; PMV, 480.8 cm3) from the Canadian Cohort Obstructive Lung Disease (i.e., CanCOLD) study. The CT image is shown in the axial plane. The PMV is automatically extracted using the developed deep learning model and overlayed onto the lungs for visual clarity.](https://img.auntminnie.com/mindful/smg/workspaces/default/uploads/2026/03/genkin.25LqljVF0y.jpg?auto=format%2Ccompress&crop=focalpoint&fit=crop&h=112&q=70&w=112)