Inclusion Criteria: 1. Risk criteria based on the Liverpool Lung Project Risk Prediction Model (includes age, sex, smoking duration, history of previous pneumonia, history of previous cancer, family history (early/ late onset) exposure to asbestos – algorithm 2. Males and females aged between 50 to 75 years old 3. Fully informed written consent given Exclusion Criteria: 1. Unable to give consent 2. Co-morbidity which would unequivocally contra-indicate either screening or treatment if lung cancer were detected. 3. A CT scan of the chest performed within one year of the invitation to be screened. 4. Any condition precluding written informed consent 5. Inability to lie flat 6. Weight greater than 200 kg (too large for CT scanner)
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"The experience and treatment I received at the Royal Liverpool Hospital was so fantastic that I had to tell the people involved with my treatment how marvelous they were, so please would you pass on my thanks and gratitude to Professor Neoptolemos and his team of surgeons, the wonderful doctors and nursing staff" - Anon (Participant in ESPAC-3(v2) trial)
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