{"id":5742,"date":"2023-09-04T03:22:56","date_gmt":"2023-09-04T03:22:56","guid":{"rendered":"https:\/\/cm.vastapps.dev\/tcia-collection\/nlst-pathology\/"},"modified":"2023-09-13T12:05:44","modified_gmt":"2023-09-13T12:05:44","slug":"nlst-pathology","status":"publish","type":"tcia_collection","link":"https:\/\/cm.vastapps.dev\/tcia-collection\/nlst-pathology\/","title":{"rendered":"NLST-PATHOLOGY"},"featured_media":0,"template":"","citation-tax":[],"cancer_types":false,"citations":[4738,4739,2925],"collection_doi":"10.7937\/TCIA.HMQ8-J677","collection_download_info":"<div data-type=\"normal\">\n<div>\n<p><div class=\"cm-content-image\"><a href=\"\/wp-content\/uploads\/NLST_logo_color_small.gif\" rel=\"prettyPhoto noopener\" target=\"_blank\"><img src=\"\/wp-content\/uploads\/NLST_logo_color_small.gif\"\/><\/a><\/div>The Cancer Imaging Archive hosts pathology images from the <a href=\"https:\/\/biometry.nci.nih.gov\/cdas\/studies\/nlst\/\">National Lung Screening Trial<\/a>, in addition to the existing\u00a0<a href=\"https:\/\/doi.org\/10.7937\/TCIA.HMQ8-J677\">radiology images<\/a> and a subset of the full clinical data.\u00a0 If you need the full clinical data,<br\/>please visit the\u00a0<a href=\"https:\/\/biometry.nci.nih.gov\/cdas\/learn\/nlst\/trial-summary\/\">Cancer Data Access System (CDAS)<\/a> system. \u00a0The NLST was conducted by two separate networks of screening centers: 1)\u00a0Lung Screening Study Network (LSS):10 centers and 34,612 participants; and 2)\u00a0American College of Radiology Imaging Network (ACRIN): 23 centers and 18,840 participants.\u00a0TCIA only hosts pathology data from LSS. The\u00a0ACRIN pathology images and data are not available through TCIA.<\/p><p>As part of the pathology collection effort tissue, images, and data was obtained from 463 lung cancer patients (out of 1,284 total lung cancer patients in LSS).\u00a0 Note that nine of these 463 participants had two primary lung tumors; these are accessible through TCIA as an optional additional download for these nine participants.\u00a0<\/p><h3>About the Pathology Data<\/h3><p>The NLST pathology specimen collection consists of biospecimens, images, and data for research.\u00a0 Near the conclusion of NLST activities, all available blocks of preserved lung tissue from NLST lung cancer patients were requested from pathology labs.\u00a0 Tissue cores were sampled from these donor blocks and placed into tissue microarrays (TMAs) and into Eppendorf tubes for analysis by the research community; the request process for the tissue specimens is under development as of October 2013.\u00a0The images were obtained as an intermediate step in TMA construction.\u00a0\u00a0A thin section was cut from each donor tissue block, stained with hematoxylin and eosin (H &amp; E), and imaged using an Aperio ScanScope.<\/p><p><strong>Data Availability: <\/strong>A summary of the National Lung Screening Trial and its available datasets are provided on the <u><a href=\"https:\/\/biometry.nci.nih.gov\/cdas\/learn\/nlst\/trial-summary\/\">Cancer Data Access System (CDAS)<\/a><\/u>. CDAS is maintained by Information Management System (IMS), contracted by the National Cancer Institute (NCI) as keepers and statistical analyzers of the NLST trial data.\u00a0 The full clinical data set from NLST is available through CDAS.\u00a0 Users of TCIA can download without restriction a publicly distributable subset of that clinical data, along with the CT and Histopathology images collected during the trial.\u00a0 (These previously were restricted.)<\/p><\/div>\n<\/div>\n<div data-type=\"normal\">\n<div>\n<p><div class=\"cm-content-image\"><a href=\"\/wp-content\/uploads\/NLST-Path.jpg\" rel=\"prettyPhoto noopener\" target=\"_blank\"><img src=\"\/wp-content\/uploads\/NLST-Path.jpg\"\/><\/a><\/div><\/p><\/div>\n<\/div>","collection_downloads":[5353,5354,5355],"full_export":"<div class=\"contentLayout2\">\n<div class=\"columnLayout two-equal\" data-layout=\"two-equal\">\n<div class=\"cell normal\" data-type=\"normal\">\n<div class=\"innerCell\">\n<p><span class=\"confluence-embedded-file-wrapper confluence-embedded-manual-size\"><img class=\"confluence-embedded-image confluence-thumbnail\" draggable=\"false\" width=\"64\" src=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/embedded-page\/NLST\/National%20Lung%20Screening%20Trial\/NLST_logo_color_small.gif?api=v2\"><\/span>The Cancer Imaging Archive hosts pathology images from the <a href=\"https:\/\/biometry.nci.nih.gov\/cdas\/studies\/nlst\/\" class=\"external-link\" rel=\"nofollow\">National Lung Screening Trial<\/a>, in addition to the existing\u00a0<a href=\"https:\/\/doi.org\/10.7937\/TCIA.HMQ8-J677\" class=\"external-link\" rel=\"nofollow\">radiology images<\/a> and a subset of the full clinical data.\u00a0 If you need the full clinical data,<br\/>please visit the\u00a0<a class=\"external-link\" href=\"https:\/\/biometry.nci.nih.gov\/cdas\/learn\/nlst\/trial-summary\/\" rel=\"nofollow\">Cancer Data Access System (CDAS)<\/a> system. \u00a0The NLST was conducted by two separate networks of screening centers: 1)\u00a0Lung Screening Study Network (LSS):10 centers and 34,612 participants; and 2)\u00a0American College of Radiology Imaging Network (ACRIN): 23 centers and 18,840 participants.\u00a0TCIA only hosts pathology data from LSS. The\u00a0ACRIN pathology images and data are not available through TCIA.<\/p><p>As part of the pathology collection effort tissue, images, and data was obtained from 463 lung cancer patients (out of 1,284 total lung cancer patients in LSS).\u00a0 Note that nine of these 463 participants had two primary lung tumors; these are accessible through TCIA as an optional additional download for these nine participants.\u00a0<\/p><p><br\/><\/p><h2 id=\"NLSTPathology-AboutthePathologyData\">About the Pathology Data<\/h2><p>The NLST pathology specimen collection consists of biospecimens, images, and data for research.\u00a0 Near the conclusion of NLST activities, all available blocks of preserved lung tissue from NLST lung cancer patients were requested from pathology labs.\u00a0 Tissue cores were sampled from these donor blocks and placed into tissue microarrays (TMAs) and into Eppendorf tubes for analysis by the research community; the request process for the tissue specimens is under development as of October 2013.\u00a0The images were obtained as an intermediate step in TMA construction.\u00a0\u00a0A thin section was cut from each donor tissue block, stained with hematoxylin and eosin (H &amp; E), and imaged using an Aperio ScanScope.<\/p><p><br\/><\/p><p><span style=\"color: rgb(33,33,33);\"><strong>Data Availability: <\/strong>A summary of the National Lung Screening Trial and its available datasets are provided on the <u><a href=\"https:\/\/biometry.nci.nih.gov\/cdas\/learn\/nlst\/trial-summary\/\" class=\"external-link\" rel=\"nofollow\">Cancer Data Access System (CDAS)<\/a><\/u>. CDAS is maintained by Information Management System (IMS), contracted by the National Cancer Institute (NCI) as keepers and statistical analyzers of the NLST trial data.\u00a0 The full clinical data set from NLST is available through CDAS.\u00a0 Users of TCIA can download without restriction a publicly distributable subset of that clinical data, along with the CT and Histopathology images collected during the trial.\u00a0 (These previously were restricted.)<\/span><\/p><\/div>\n<\/div>\n<div class=\"cell normal\" data-type=\"normal\">\n<div class=\"innerCell\">\n<p><span class=\"confluence-embedded-file-wrapper\"><img class=\"confluence-embedded-image\" draggable=\"false\" src=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/embedded-page\/NLST\/NLST%20Pathology\/NLST-Path.jpg?api=v2\"><\/span><\/p><\/div>\n<\/div>\n<\/div>\n<div class=\"columnLayout single\" data-layout=\"single\">\n<div class=\"cell normal\" data-type=\"normal\">\n<div class=\"innerCell\">\n<div class=\"tab-style-builtin\"><div class=\"localtabs-macro\"><div class=\"aui-tabs horizontal-tabs\" role=\"application\" data-aui-responsive=\"true\"><ul class=\"tabs-menu\"><li class=\"menu-item bv-localtab  active-tab \"><a href=\"#10519121bcab02c187174a288dbcbf95d26179e8\"><strong>Data Access<\/strong><\/a> <\/li><li class=\"menu-item bv-localtab \"><a href=\"#10519121171ba531fc374829b21d3647e95f532c\"><strong>Detailed Description<\/strong><\/a> <\/li><li class=\"menu-item bv-localtab \"><a href=\"#105191214dc5f53338634b35a3500cbed18472e0\"><strong>Citations &amp; Data Usage Policy<\/strong><\/a> <\/li><li class=\"menu-item bv-localtab \"><a href=\"#105191217c5a8c0c0cef44e488b824bd7de60428\"><strong>Versions<\/strong><\/a> <\/li><\/ul><div class=\"tabs-pane  active-pane \" id=\"10519121bcab02c187174a288dbcbf95d26179e8\" active=\"true\" name=\"Data Access\" ><h3 id=\"NLSTPathology-DataAccess\">Data Access<\/h3><p><br\/><\/p><div class=\"table-wrap\"><table class=\"wrapped confluenceTable\"><colgroup><col\/><col\/><\/colgroup><tbody><tr><th colspan=\"1\" class=\"confluenceTh\">Data Type<\/th><th colspan=\"1\" class=\"confluenceTh\">Download all or Query\/Filter<\/th><\/tr><tr><td colspan=\"1\" class=\"confluenceTd\"><p>CT Images (DICOM, 11.3 TB)<\/p><\/td><td colspan=\"1\" class=\"confluenceTd\"><div class=\"content-wrapper\"><p>\u00a0<a href=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/101941496\/manifest-NLST_allCT.tcia?version=1&amp;modificationDate=1632963474201&amp;api=v2\" data-linked-resource-id=\"101941617\" data-linked-resource-version=\"1\" data-linked-resource-type=\"attachment\" data-linked-resource-default-alias=\"manifest-NLST_allCT.tcia\" data-linked-resource-content-type=\"application\/octet-stream\" data-linked-resource-container-id=\"101941496\" data-linked-resource-container-version=\"23\"><span class=\"confluence-embedded-file-wrapper confluence-embedded-manual-size\"><img class=\"confluence-embedded-image confluence-thumbnail\" draggable=\"false\" height=\"30\" src=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/embedded-page\/NLST\/NLST%20Pathology\/assets_download.png?api=v2\"><\/span><\/a><\/p><p>This link downloads the entire collection, which is quite large, as legacy single frame images. <br\/>See the Detailed Description tab for options to download the collection in smaller chunks.<\/p><p><a href=\"https:\/\/nlst.cancerimagingarchive.net\/nbia-search\/?MinNumberOfStudiesCriteria=1&amp;CollectionCriteria=NLST\" class=\"external-link\" rel=\"nofollow\"><span class=\"confluence-embedded-file-wrapper confluence-embedded-manual-size\"><img class=\"confluence-embedded-image confluence-thumbnail\" draggable=\"false\" height=\"30\" src=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/embedded-page\/NLST\/NLST%20Pathology\/assets_search.png?api=v2\"><\/span><\/a><\/p><p><span style=\"color: rgb(33,37,41);text-decoration: none;\">(Download requires\u00a0<\/span><span style=\"color: rgb(33,37,41);text-decoration: none;\">the<span>\u00a0<\/span><\/span><a href=\"https:\/\/wiki.cancerimagingarchive.net\/display\/NBIA\/Downloading+TCIA+Images\" rel=\"nofollow\" style=\"text-decoration: none;text-align: left;\">NBIA Data Retriever<\/a>)<\/p><\/div><\/td><\/tr><tr><td colspan=\"1\" class=\"confluenceTd\"><span style=\"color: rgb(33,37,41);\">Primary Tumor <br\/>Tissue Slide Images (SVS, 775 GB)<\/span><\/td><td colspan=\"1\" class=\"confluenceTd\"><div class=\"content-wrapper\"><p class=\"auto-cursor-target\"><a href=\"https:\/\/faspex.cancerimagingarchive.net\/aspera\/faspex\/external_deliveries\/208?passcode=e89b6c607f2a8b50f76e06f1735c157357cdfdaf\" class=\"external-link\" rel=\"nofollow\"><span class=\"confluence-embedded-file-wrapper confluence-embedded-manual-size\"><img class=\"confluence-embedded-image confluence-thumbnail\" draggable=\"false\" height=\"30\" src=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/embedded-page\/NLST\/NLST%20Pathology\/assets_download.png?api=v2\"><\/span><\/a> \u00a0 <strong style=\"letter-spacing: 0.0px;\"><span style=\"color: rgb(255,0,0);\">&lt;link to browse NLST Pathology on caMicroscope coming soon&gt;<\/span><\/strong><\/p><p class=\"auto-cursor-target\"><em style=\"letter-spacing: 0.0px;\"><strong>Additional images are available<\/strong><\/em><span style=\"letter-spacing: 0.0px;\">: See Detailed Description.<\/span><\/p><p>(Download and apply the <a href=\"https:\/\/www.ibm.com\/aspera\/connect\/\" class=\"external-link\" rel=\"nofollow\"> IBM-Aspera-Connect plugin <\/a>to your browser)\u00a0<\/p><\/div><\/td><\/tr><tr><td colspan=\"1\" class=\"confluenceTd\">Clinical data (ZIP, 25 MB)<\/td><td colspan=\"1\" class=\"confluenceTd\"><div class=\"content-wrapper\"><p><a href=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/10519121\/package-nlst-780.2021-05-28.zip?version=1&amp;modificationDate=1639152929158&amp;api=v2\" data-linked-resource-id=\"101943689\" data-linked-resource-version=\"1\" data-linked-resource-type=\"attachment\" data-linked-resource-default-alias=\"package-nlst-780.2021-05-28.zip\" data-nice-type=\"Zip Archive\" data-linked-resource-content-type=\"application\/zip\" data-linked-resource-container-id=\"10519121\" data-linked-resource-container-version=\"25\"><span class=\"confluence-embedded-file-wrapper confluence-embedded-manual-size\"><img class=\"confluence-embedded-image confluence-thumbnail\" draggable=\"false\" height=\"30\" src=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/embedded-page\/NLST\/NLST%20Pathology\/assets_download.png?api=v2\"><\/span><\/a><\/p><p>(<a href=\"https:\/\/biometry.nci.nih.gov\/cdas\/learn\/nlst\/data-collected\/\" class=\"external-link\" rel=\"nofollow\">more info<\/a>)\u00a0\u00a0<\/p><p>Provided in SAS format in one compressed file (.zip);\u00a0 <br\/>includes data and dictionaries.<\/p><p><em><strong><span style=\"color: rgb(255,0,0);\">This is a subset of the full clinical data.\u00a0 If you need the full clinical data, <br\/>please visit the <u><a href=\"https:\/\/biometry.nci.nih.gov\/cdas\/learn\/nlst\/trial-summary\/\" class=\"external-link\" rel=\"nofollow\">Cancer Data Access System (CDAS)<\/a><\/u> system.<\/span><\/strong><\/em><\/p><\/div><\/td><\/tr><\/tbody><\/table><\/div><p>Click the Versions tab for more info about data releases.<\/p><p><span style=\"color: rgb(23,43,77);\">Please contact <a class=\"external-link\" href=\"mailto:help@cancerimagingarchive.net\" rel=\"nofollow\">help@cancerimagingarchive.net<\/a>\u00a0 with any questions regarding usage.<\/span><\/p><\/div><div class=\"tabs-pane \" id=\"10519121171ba531fc374829b21d3647e95f532c\" name=\"Detailed Description\" ><h3 id=\"NLSTPathology-DetailedDescription\">Detailed Description<\/h3><div class=\"table-wrap\"><table class=\"wrapped confluenceTable\"><colgroup><col\/><col\/><col\/><\/colgroup><tbody><tr><th class=\"confluenceTh\"><p>Collection Statistics<\/p><\/th><th class=\"confluenceTh\">Radiology<\/th><th colspan=\"1\" class=\"confluenceTh\">Pathology<\/th><\/tr><tr><td class=\"confluenceTd\"><p>Modalities<\/p><\/td><td style=\"text-align: center;\" class=\"confluenceTd\"><p>\u00a0CT (<span style=\"color: rgb(33,37,41);\">Legacy Single-Frame CT Images)\u00a0<\/span><\/p><\/td><td style=\"text-align: center;\" colspan=\"1\" class=\"confluenceTd\">Aperio<\/td><\/tr><tr><td class=\"confluenceTd\"><p>Number of Patients<\/p><\/td><td style=\"text-align: center;\" class=\"confluenceTd\"><p>\u00a026,254<\/p><\/td><td style=\"text-align: center;\" colspan=\"1\" class=\"confluenceTd\">451<\/td><\/tr><tr><td class=\"confluenceTd\"><p>Number of Studies<\/p><\/td><td style=\"text-align: center;\" class=\"confluenceTd\"><p>73,118<\/p><\/td><td style=\"text-align: center;\" colspan=\"1\" class=\"confluenceTd\"><br\/><\/td><\/tr><tr><td class=\"confluenceTd\"><p>Number of Series<\/p><\/td><td style=\"text-align: center;\" class=\"confluenceTd\"><p>203,099<\/p><\/td><td style=\"text-align: center;\" colspan=\"1\" class=\"confluenceTd\"><br\/><\/td><\/tr><tr><td class=\"confluenceTd\"><p>Number of Images<\/p><\/td><td style=\"text-align: center;\" class=\"confluenceTd\"><p>21,082,502<\/p><\/td><td style=\"text-align: center;\" colspan=\"1\" class=\"confluenceTd\">1,225 (optionally + 4 + 23)<\/td><\/tr><tr><td colspan=\"1\" class=\"confluenceTd\">Images Size (GB)<\/td><td style=\"text-align: center;\" colspan=\"1\" class=\"confluenceTd\">11.3 TB<\/td><td style=\"text-align: center;\" colspan=\"1\" class=\"confluenceTd\">775 GB<\/td><\/tr><\/tbody><\/table><\/div><p class=\"auto-cursor-target\">The pathology slide data:\u00a0<\/p><ol><li><p class=\"auto-cursor-target\">Primary Tumor slides (the standard package), 1225 files:\u00a0 \u00a0 \u00a0<\/p><ol><li><p class=\"auto-cursor-target\">&lt;<a href=\"https:\/\/faspex.cancerimagingarchive.net\/aspera\/faspex\/external_deliveries\/208?passcode=e89b6c607f2a8b50f76e06f1735c157357cdfdaf\" class=\"external-link\" rel=\"nofollow\">link to faspex package<\/a>&gt; \u00a0<\/p><\/li><li><p class=\"auto-cursor-target\"><span style=\"color: rgb(0,0,0);\"><a href=\"https:\/\/camicroscope.github.io\/docs\/userGuide.html\" class=\"external-link\" rel=\"nofollow\">\u00a0caMicroscope User Guide<\/a> for <u><strong>caMicroscope<\/strong><\/u>,\u00a0 the pathology viewer that provides researchers with an HTML5 based web client that can be used to view a digitized pathology image at full resolution. Users can zoom in\/out, and pan across the image. caMicroscope also allows one to create annotations, save them and retrieve annotations that were previously drawn.<\/span><\/p><\/li><li><strong><span style=\"color: rgb(255,0,0);\">&lt;link to NLST Pathology on caMicroscope coming soon&gt;<\/span><\/strong><\/li><\/ol><\/li><li><p class=\"auto-cursor-target\">Additional histopathology slide images\u00a0<span style=\"letter-spacing: 0.0px;\">&lt;<\/span><a href=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/10519121\/Table%201-%20Participants%20without%20a%20Baseline%20Questionairre.docx?version=1&amp;modificationDate=1633631313724&amp;api=v2\" data-linked-resource-id=\"101941885\" data-linked-resource-version=\"1\" data-linked-resource-type=\"attachment\" data-linked-resource-default-alias=\"Table 1- Participants without a Baseline Questionairre.docx\" data-nice-type=\"Word Document\" data-linked-resource-content-type=\"application\/vnd.openxmlformats-officedocument.wordprocessingml.document\" data-linked-resource-container-id=\"10519121\" data-linked-resource-container-version=\"25\">link to Table 1<\/a><span style=\"letter-spacing: 0.0px;\">&gt; <\/span><span style=\"letter-spacing: 0.0px;\">for which the participants have no Baseline Questionnaire data (4 slides):\u00a0 \u00a0\u00a0&lt;<\/span><a href=\"https:\/\/faspex.cancerimagingarchive.net\/aspera\/faspex\/external_deliveries\/213?passcode=b3c754201ac52587274b6e1dd769d344c919f7b5\" style=\"letter-spacing: 0.0px;\" class=\"external-link\" rel=\"nofollow\">link to faspex package<\/a><span style=\"letter-spacing: 0.0px;\">&gt;<\/span><\/p><\/li><li><p class=\"auto-cursor-target\">Additional histopathology slide images\u00a0<span style=\"letter-spacing: 0.0px;\">&lt;<\/span><a href=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/10519121\/Table%202-%20Participants%20with%20a%20Second%20Primary%20Lung%20Cancer%2023%20additional%20pathology%20slide%20images.docx?version=1&amp;modificationDate=1633631331226&amp;api=v2\" data-linked-resource-id=\"101941886\" data-linked-resource-version=\"1\" data-linked-resource-type=\"attachment\" data-linked-resource-default-alias=\"Table 2- Participants with a Second Primary Lung Cancer 23 additional pathology slide images.docx\" data-nice-type=\"Word Document\" data-linked-resource-content-type=\"application\/vnd.openxmlformats-officedocument.wordprocessingml.document\" data-linked-resource-container-id=\"10519121\" data-linked-resource-container-version=\"25\">link to Table 2<\/a><span style=\"letter-spacing: 0.0px;\">&gt; <\/span><span style=\"letter-spacing: 0.0px;\">for participants with Second Primary Tumors as well as those included in the &quot;standard&quot; package (23 slides):\u00a0 \u00a0&lt;<\/span><a href=\"https:\/\/faspex.cancerimagingarchive.net\/aspera\/faspex\/external_deliveries\/214?passcode=133b25382677344d95e926c40b5596d9bcf37ce3\" style=\"letter-spacing: 0.0px;\" class=\"external-link\" rel=\"nofollow\">link to faspex package<\/a><span style=\"letter-spacing: 0.0px;\">&gt;<\/span><\/p><\/li><\/ol><h3 id=\"NLSTPathology-BiospecimensCollected\"><span style=\"letter-spacing: -0.006em;\">Biospecimens Collected<\/span><\/h3><p style=\"text-align: left;\">Formalin-fixed paraffin embedded (FFPE) tissue specimens are available for a subset of the NLST participants who developed lung cancer during the trial. Donor blocks were obtained from local pathology laboratories and tissue cores (0.6mm) were extracted from them to construct tissue microarrays (TMA). Tissue cores were sampled from primary main invasive tumor histology, secondary tumor histology, carcinoma in situ, adjacent normal lung tissue, metastatic lesion from lymph node(s) and\/or distant sites, benign (un-involved) lymph node, proximal and\/or distal bronchi.<\/p><p style=\"text-align: left;\">In total, tissue materials were collected from 438 lung cancer cases. All have cores arrayed across nine TMAs, one of which only contains tissue collected after neoadjuvant treatment. 434 of these also have loose cores available for nucleic acid extraction. On average, each TMA contains 504 cores from 48 subjects.<\/p><p style=\"text-align: left;\">Applications for access to these specimens can be submitted under the PLCO Etiologic and Early Marker Studies Program (EEMS). The application review process opens twice a year, once in the winter and once in the summer. For more information about EEMS and to initiate an application visit the<span>\u00a0<\/span><a style=\"text-decoration: none;\" href=\"https:\/\/cdas.cancer.gov\/learn\/plco\/instructions\/?type=eems\" class=\"external-link\" rel=\"nofollow\">PLCO EEMS Application page<\/a>. When filling out the application, specify \u201cNLST Tissue\u201d under the case definition.<\/p><\/div><div class=\"tabs-pane \" id=\"105191214dc5f53338634b35a3500cbed18472e0\" name=\"Citations BITVOODOO_ANDamp; Data Usage Policy\" ><h3 id=\"NLSTPathology-Citations&amp;DataUsagePolicy\">Citations &amp; Data Usage Policy<\/h3><p><span>\nUsers of this data must abide by the <a href=\"https:\/\/wiki.cancerimagingarchive.net\/x\/c4hF\" class=\"external-link\" re=\"nofollow\" rel=\"nofollow\">TCIA Data Usage Policy<\/a> and the <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" class=\"external-link\" rel=\"nofollow\">Creative Commons Attribution 4.0 International License<\/a> under which it has been published. Attribution should include references to the following citations:<br\/><\/span><\/p><p><br\/><\/p><div class=\"confluence-information-macro confluence-information-macro-information\"><p class=\"title\">Data Citation<\/p><span class=\"aui-icon aui-icon-small aui-iconfont-info confluence-information-macro-icon\"><\/span><div class=\"confluence-information-macro-body\"><p><span style=\"color: rgb(102,102,102);\">National Lung Screening Trial Research Team. (2013). <strong>Data from the National Lung Screening Trial (NLST) [Data set]<\/strong>. The Cancer Imaging Archive. <a href=\"https:\/\/doi.org\/10.7937\/TCIA.HMQ8-J677\" class=\"external-link\" rel=\"nofollow\">https:\/\/doi.org\/10.7937\/TCIA.HMQ8-J677<\/a><\/span><\/p><\/div><\/div><div class=\"confluence-information-macro confluence-information-macro-information\"><p class=\"title\">Publication Citation<\/p><span class=\"aui-icon aui-icon-small aui-iconfont-info confluence-information-macro-icon\"><\/span><div class=\"confluence-information-macro-body\"><p><span style=\"color: rgb(102,102,102);\">National Lung Screening Trial Research Team*; Aberle DR,\u00a0<\/span><span style=\"color: rgb(102,102,102);\">Adams AM,\u00a0<\/span><span style=\"color: rgb(102,102,102);\">Berg CD,\u00a0<\/span><span style=\"color: rgb(102,102,102);\">Black WC,\u00a0<\/span><span style=\"color: rgb(102,102,102);\">Clapp JD,<\/span><span style=\"color: rgb(102,102,102);\">\u00a0Fagerstrom RM,<\/span><span style=\"color: rgb(102,102,102);\">\u00a0Gareen IF,<\/span><span style=\"color: rgb(102,102,102);\">\u00a0Gatsonis C,\u00a0<\/span><span style=\"color: rgb(102,102,102);\">Marcus PM,\u00a0<\/span><span style=\"color: rgb(102,102,102);\">Sicks JD (2011). <strong>Reduced Lung-Cancer Mortality with Low-Dose Computed Tomographic Screening.<\/strong> New England Journal of Medicine, 365(5), 395\u2013409. <a href=\"https:\/\/doi.org\/10.1056\/nejmoa1102873\" class=\"external-link\" rel=\"nofollow\">https:\/\/doi.org\/10.1056\/nejmoa1102873<\/a><\/span><\/p><p><br\/><\/p><p><span style=\"color: rgb(102,102,102);\">*note:\u00a0 <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4356534\/bin\/NIHMS320819-supplement-Supplement1.pdf\" class=\"external-link\" rel=\"nofollow\">List of National Lung Screening Trial members (pages 1-31 of this supplemental PDF to this article)<\/a><\/span><\/p><\/div><\/div><div class=\"confluence-information-macro confluence-information-macro-information\"><p class=\"title\">TCIA Citation<\/p><span class=\"aui-icon aui-icon-small aui-iconfont-info confluence-information-macro-icon\"><\/span><div class=\"confluence-information-macro-body\"><p>Clark K, Vendt B, Smith K, Freymann J, Kirby J, Koppel P, Moore S, Phillips S, Maffitt D, Pringle M, Tarbox L, Prior F.\u00a0<strong>The Cancer Imaging Archive (TCIA): Maintaining and Operating a Public Information Repository<\/strong>, Journal of Digital Imaging, Volume 26, Number 6, December, 2013, pp 1045-1057. DOI: <a href=\"https:\/\/doi.org\/10.1007\/s10278-013-9622-7\" class=\"external-link\" rel=\"nofollow\">10.1007\/s10278-013-9622-7<\/a><\/p><\/div><\/div><h3 id=\"NLSTPathology-OtherPublicationsUsingThisData\">Other Publications Using This Data<\/h3><p><span>TCIA maintains\u00a0<\/span><a href=\"https:\/\/www.cancerimagingarchive.net\/publications\/\" class=\"external-link\" rel=\"nofollow\">a list of publications<\/a><span> which leverage TCIA data. <\/span> If you have a manuscript you'd like to add please<a href=\"http:\/\/www.cancerimagingarchive.net\/support\/\" class=\"external-link\" rel=\"nofollow\"> contact the TCIA Helpdesk<\/a>.<\/p><p>IMS\/CDAS maintains a separate list of publications related to NLST data: <a href=\"https:\/\/cdas.cancer.gov\/publications\/?study=nlst\" class=\"external-link\" rel=\"nofollow\">https:\/\/cdas.cancer.gov\/publications\/?study=nlst<\/a>\u00a0<\/p><\/div><div class=\"tabs-pane \" id=\"105191217c5a8c0c0cef44e488b824bd7de60428\" name=\"Versions\" ><h3 id=\"NLSTPathology-Version3(Current):Updated2021\/09\/26\">Version 3 (Current) : Updated 2021\/09\/26<\/h3><div class=\"table-wrap\"><table class=\"wrapped confluenceTable\"><colgroup><col\/><col\/><\/colgroup><tbody><tr><th class=\"confluenceTh\">Data Type<\/th><th class=\"confluenceTh\">Download all or Query\/Filter<\/th><\/tr><tr><td class=\"confluenceTd\"><p>CT Images (DICOM, 11.3 TB)<\/p><\/td><td class=\"confluenceTd\"><div class=\"content-wrapper\"><p><a href=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/101941496\/manifest-NLST_allCT.tcia?version=1&amp;modificationDate=1632963474201&amp;api=v2\" data-linked-resource-id=\"101941617\" data-linked-resource-version=\"1\" data-linked-resource-type=\"attachment\" data-linked-resource-default-alias=\"manifest-NLST_allCT.tcia\" data-linked-resource-content-type=\"application\/octet-stream\" data-linked-resource-container-id=\"101941496\" data-linked-resource-container-version=\"23\"><span class=\"confluence-embedded-file-wrapper confluence-embedded-manual-size\"><img class=\"confluence-embedded-image confluence-thumbnail\" draggable=\"false\" height=\"30\" src=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/embedded-page\/NLST\/NLST%20Pathology\/assets_download.png?api=v2\"><\/span><\/a> <a style=\"letter-spacing: 0.0px;\" href=\"https:\/\/nlst.cancerimagingarchive.net\/nbia-search\/?MinNumberOfStudiesCriteria=1&amp;CollectionCriteria=NLST\" class=\"external-link\" rel=\"nofollow\"><span class=\"confluence-embedded-file-wrapper confluence-embedded-manual-size\"><img class=\"confluence-embedded-image confluence-thumbnail\" draggable=\"false\" height=\"30\" src=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/embedded-page\/NLST\/NLST%20Pathology\/assets_search.png?api=v2\"><\/span><\/a><\/p><p><span style=\"color: rgb(33,37,41);text-decoration: none;\">(Download requires\u00a0<\/span><span style=\"color: rgb(33,37,41);text-decoration: none;\">the<span>\u00a0<\/span><\/span><a style=\"text-decoration: none;text-align: left;\" rel=\"nofollow\" href=\"https:\/\/wiki.cancerimagingarchive.net\/display\/NBIA\/Downloading+TCIA+Images\">NBIA Data Retriever<\/a>)<\/p><\/div><\/td><\/tr><tr><td class=\"confluenceTd\"><span style=\"color: rgb(33,37,41);\">Tissue Slide Images (SVS, 775 GB)<\/span><\/td><td class=\"confluenceTd\"><div class=\"content-wrapper\"><p class=\"auto-cursor-target\"><a href=\"https:\/\/faspex.cancerimagingarchive.net\/aspera\/faspex\/external_deliveries\/208?passcode=e89b6c607f2a8b50f76e06f1735c157357cdfdaf\" class=\"external-link\" rel=\"nofollow\"><span class=\"confluence-embedded-file-wrapper confluence-embedded-manual-size\"><img class=\"confluence-embedded-image confluence-thumbnail\" draggable=\"false\" height=\"30\" src=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/embedded-page\/NLST\/NLST%20Pathology\/assets_download.png?api=v2\"><\/span> <strong><span style=\"color: rgb(255,0,0);\">&lt;link to browse NLST Pathology on caMicroscope coming soon&gt;<\/span><\/strong><\/a><\/p><ul><li><p class=\"auto-cursor-target\">Primary Tumor slides (the standard package), 1225 files:\u00a0 \u00a0 \u00a0&lt;<a href=\"https:\/\/faspex.cancerimagingarchive.net\/aspera\/faspex\/external_deliveries\/208?passcode=e89b6c607f2a8b50f76e06f1735c157357cdfdaf\" class=\"external-link\" rel=\"nofollow\">link to faspex package<\/a>&gt;<\/p><\/li><li><p class=\"auto-cursor-target\">Additional histopathology slide images\u00a0<span style=\"letter-spacing: 0.0px;\">&lt;<\/span><a href=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/101941496\/Table%201-%20Participants%20without%20a%20Baseline%20Questionairre.docx?version=1&amp;modificationDate=1633380992618&amp;api=v2\" data-linked-resource-id=\"101941716\" data-linked-resource-version=\"1\" data-linked-resource-type=\"attachment\" data-linked-resource-default-alias=\"Table 1- Participants without a Baseline Questionairre.docx\" data-nice-type=\"Word Document\" data-linked-resource-content-type=\"application\/vnd.openxmlformats-officedocument.wordprocessingml.document\" data-linked-resource-container-id=\"101941496\" data-linked-resource-container-version=\"23\">link to Table 1<\/a><span style=\"letter-spacing: 0.0px;\">&gt; <\/span><span style=\"letter-spacing: 0.0px;\">for which the participants have no Baseline Questionnaire data (4 slides):\u00a0 \u00a0\u00a0&lt;<\/span><a style=\"letter-spacing: 0.0px;\" href=\"https:\/\/faspex.cancerimagingarchive.net\/aspera\/faspex\/external_deliveries\/213?passcode=b3c754201ac52587274b6e1dd769d344c919f7b5\" class=\"external-link\" rel=\"nofollow\">link to additional faspex package<\/a><span style=\"letter-spacing: 0.0px;\">&gt;<\/span><\/p><\/li><li><p class=\"auto-cursor-target\">Additional histopathology slide images\u00a0<span style=\"letter-spacing: 0.0px;\">&lt;<\/span><a href=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/101941496\/Table%202-%20Participants%20with%20a%20Second%20Primary%20Lung%20Cancer%2023%20additional%20pathology%20slide%20images.docx?version=1&amp;modificationDate=1633381034507&amp;api=v2\" data-linked-resource-id=\"101941717\" data-linked-resource-version=\"1\" data-linked-resource-type=\"attachment\" data-linked-resource-default-alias=\"Table 2- Participants with a Second Primary Lung Cancer 23 additional pathology slide images.docx\" data-nice-type=\"Word Document\" data-linked-resource-content-type=\"application\/vnd.openxmlformats-officedocument.wordprocessingml.document\" data-linked-resource-container-id=\"101941496\" data-linked-resource-container-version=\"23\">link to Table 2<\/a><span style=\"letter-spacing: 0.0px;\">&gt; <\/span><span style=\"letter-spacing: 0.0px;\">for participants with Second Primary Tumors (Primary for these are included in the &quot;standard&quot; package, description in Table 2 below) (23 slides):\u00a0 \u00a0&lt;<\/span><a href=\"https:\/\/faspex.cancerimagingarchive.net\/aspera\/faspex\/external_deliveries\/214?passcode=133b25382677344d95e926c40b5596d9bcf37ce3\" style=\"letter-spacing: 0.0px;\" class=\"external-link\" rel=\"nofollow\">link to additional faspex package<\/a><span style=\"letter-spacing: 0.0px;\">&gt;<\/span><\/p><\/li><\/ul><p>(Download and apply the <a href=\"https:\/\/www.ibm.com\/aspera\/connect\/\" class=\"external-link\" rel=\"nofollow\"> IBM-Aspera-Connect plugin <\/a>to your browser)\u00a0<\/p><\/div><\/td><\/tr><tr><td class=\"confluenceTd\">Clinical data (ZIP, 25 MB)<\/td><td class=\"confluenceTd\"><div class=\"content-wrapper\"><p><a href=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/10519121\/package-nlst-780.2021-05-28.zip?version=1&amp;modificationDate=1639152929158&amp;api=v2\" data-linked-resource-id=\"101943689\" data-linked-resource-version=\"1\" data-linked-resource-type=\"attachment\" data-linked-resource-default-alias=\"package-nlst-780.2021-05-28.zip\" data-nice-type=\"Zip Archive\" data-linked-resource-content-type=\"application\/zip\" data-linked-resource-container-id=\"10519121\" data-linked-resource-container-version=\"25\"><span class=\"confluence-embedded-file-wrapper confluence-embedded-manual-size\"><img class=\"confluence-embedded-image confluence-thumbnail\" draggable=\"false\" height=\"30\" src=\"https:\/\/wiki.cancerimagingarchive.net\/download\/attachments\/embedded-page\/NLST\/NLST%20Pathology\/assets_download.png?api=v2\"><\/span><\/a><\/p><p>(<a href=\"https:\/\/biometry.nci.nih.gov\/cdas\/learn\/nlst\/data-collected\/\" class=\"external-link\" rel=\"nofollow\">more info<\/a>)\u00a0\u00a0<\/p><p>Provided in SAS format in one compressed file (.zip);\u00a0 <br\/>includes data and dictionaries, <br\/>other formats are available from IMS upon request.<\/p><\/div><\/td><\/tr><\/tbody><\/table><\/div><p class=\"auto-cursor-target\">Data embargo of limited access is lifted September 2021, with the addition of\u00a0 (1) downloadable pathology slide data and (2) clinical data spreadsheet &amp; dictionaries with no further restriction on number of participants per downloaded cohort.<\/p><h3 id=\"NLSTPathology-Version2:Updated2015\/12\/14\">Version 2: Updated 2015\/12\/14<\/h3><div class=\"table-wrap\"><table class=\"relative-table wrapped confluenceTable\" style=\"width: 35.9249%;\"><colgroup><col style=\"width: 59.3516%;\"\/><col style=\"width: 40.6484%;\"\/><\/colgroup><tbody><tr><th colspan=\"1\" class=\"confluenceTh\">Data Type<\/th><th colspan=\"1\" class=\"confluenceTh\">Download all or Query\/Filter<\/th><\/tr><tr><td class=\"confluenceTd\">Images (DICOM, 11.3TB)<\/td><td class=\"confluenceTd\"><div class=\"content-wrapper\"><p>\u00a0&lt;deprecated&gt;<span class=\"confluence-link\"><br\/><\/span><\/p><\/div><\/td><\/tr><\/tbody><\/table><\/div><p class=\"auto-cursor-target\">Change: restoration of images that had become corrupted\/missing during a storage transfer.<\/p><h3 id=\"NLSTPathology-Version1:Updated2013\/03\/01\">Version 1: Updated 2013\/03\/01<\/h3><div class=\"table-wrap\"><table class=\"relative-table wrapped confluenceTable\" style=\"width: 35.5675%;\"><colgroup><col style=\"width: 58.4383%;\"\/><col style=\"width: 41.5617%;\"\/><\/colgroup><tbody><tr><th colspan=\"1\" class=\"confluenceTh\">Data Type<\/th><th colspan=\"1\" class=\"confluenceTh\">Download all or Query\/Filter<\/th><\/tr><tr><td class=\"confluenceTd\">Images (DICOM, 11.3TB)<\/td><td class=\"confluenceTd\"><div class=\"content-wrapper\"><p>\u00a0&lt;deprecated&gt;<span class=\"confluence-link\"><br\/><\/span><\/p><\/div><\/td><\/tr><\/tbody><\/table><\/div><\/div><\/div><\/div><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>","versions":false,"additional_resources":"","cancer_locations":false,"collection_page_accessibility":"Public","publications_related":"","version_change_log":"","version_change_log_archived":"","analysis_results":"","collection_status":"","publications_using":"TCIA maintains\u00a0<a href=\"https:\/\/www.cancerimagingarchive.net\/publications\/\">a list of publications<\/a> which leverage TCIA data.  If you have a manuscript you'd like to add please<a href=\"http:\/\/www.cancerimagingarchive.net\/support\/\"> contact the TCIA Helpdesk<\/a>.\nIMS\/CDAS maintains a separate list of publications related to NLST data: <a href=\"https:\/\/cdas.cancer.gov\/publications\/?study=nlst\">https:\/\/cdas.cancer.gov\/publications\/?study=nlst<\/a>","species":false,"collection_title":"NLST Pathology","detailed_description":"The pathology slide data:\u00a0\n<ol><li><p>Primary Tumor slides (the standard package), 1225 files:\u00a0 \u00a0 \u00a0<\/p><ol><li><p>&lt;<a href=\"https:\/\/faspex.cancerimagingarchive.net\/aspera\/faspex\/external_deliveries\/208?passcode=e89b6c607f2a8b50f76e06f1735c157357cdfdaf\">link to faspex package<\/a>&gt; \u00a0<\/p><\/li><li><p><a href=\"https:\/\/camicroscope.github.io\/docs\/userGuide.html\">\u00a0caMicroscope User Guide<\/a> for <u><strong>caMicroscope<\/strong><\/u>,\u00a0 the pathology viewer that provides researchers with an HTML5 based web client that can be used to view a digitized pathology image at full resolution. Users can zoom in\/out, and pan across the image. caMicroscope also allows one to create annotations, save them and retrieve annotations that were previously drawn.<\/p><\/li><li><strong>&lt;link to NLST Pathology on caMicroscope coming soon&gt;<\/strong><\/li><\/ol><\/li><li><p>Additional histopathology slide images\u00a0&lt;<a data-linked-resource-container-id=\"10519121\" data-linked-resource-container-version=\"25\" data-linked-resource-content-type=\"application\/vnd.openxmlformats-officedocument.wordprocessingml.document\" data-linked-resource-default-alias=\"Table 1- Participants without a Baseline Questionairre.docx\" data-linked-resource-id=\"101941885\" data-linked-resource-type=\"attachment\" data-linked-resource-version=\"1\" data-nice-type=\"Word Document\" download=\"\" href=\"\/wp-content\/uploads\/Table-1-Participants-without-a-Baseline-Questionairre.docx\" target=\"_blank\">link to Table 1<\/a>&gt; for which the participants have no Baseline Questionnaire data (4 slides):\u00a0 \u00a0\u00a0&lt;<a href=\"https:\/\/faspex.cancerimagingarchive.net\/aspera\/faspex\/external_deliveries\/213?passcode=b3c754201ac52587274b6e1dd769d344c919f7b5\">link to faspex package<\/a>&gt;<\/p><\/li><li><p>Additional histopathology slide images\u00a0&lt;<a data-linked-resource-container-id=\"10519121\" data-linked-resource-container-version=\"25\" data-linked-resource-content-type=\"application\/vnd.openxmlformats-officedocument.wordprocessingml.document\" data-linked-resource-default-alias=\"Table 2- Participants with a Second Primary Lung Cancer 23 additional pathology slide images.docx\" data-linked-resource-id=\"101941886\" data-linked-resource-type=\"attachment\" data-linked-resource-version=\"1\" data-nice-type=\"Word Document\" download=\"\" href=\"\/wp-content\/uploads\/Table-2-Participants-with-a-Second-Primary-Lung-Cancer-23-additional-pathology-slide-images.docx\" target=\"_blank\">link to Table 2<\/a>&gt; for participants with Second Primary Tumors as well as those included in the \"standard\" package (23 slides):\u00a0 \u00a0&lt;<a href=\"https:\/\/faspex.cancerimagingarchive.net\/aspera\/faspex\/external_deliveries\/214?passcode=133b25382677344d95e926c40b5596d9bcf37ce3\">link to faspex package<\/a>&gt;<\/p><\/li><\/ol>\n<h3>Biospecimens Collected<\/h3>\nFormalin-fixed paraffin embedded (FFPE) tissue specimens are available for a subset of the NLST participants who developed lung cancer during the trial. Donor blocks were obtained from local pathology laboratories and tissue cores (0.6mm) were extracted from them to construct tissue microarrays (TMA). Tissue cores were sampled from primary main invasive tumor histology, secondary tumor histology, carcinoma in situ, adjacent normal lung tissue, metastatic lesion from lymph node(s) and\/or distant sites, benign (un-involved) lymph node, proximal and\/or distal bronchi.\nIn total, tissue materials were collected from 438 lung cancer cases. All have cores arrayed across nine TMAs, one of which only contains tissue collected after neoadjuvant treatment. 434 of these also have loose cores available for nucleic acid extraction. On average, each TMA contains 504 cores from 48 subjects.\nApplications for access to these specimens can be submitted under the PLCO Etiologic and Early Marker Studies Program (EEMS). The application review process opens twice a year, once in the winter and once in the summer. For more information about EEMS and to initiate an application visit the\u00a0<a href=\"https:\/\/cdas.cancer.gov\/learn\/plco\/instructions\/?type=eems\">PLCO EEMS Application page<\/a>. When filling out the application, specify \u201cNLST Tissue\u201d under the case definition.","related_analysis_results":false,"subjects":[],"collection_short_title":"NLST Pathology","data_types":false,"date_updated":"2023-09-13","collection_browse_title":"","supporting_data":false,"collection_featured_image":false,"collection_summary":"","collection_acknowledgements":"","collection_funding":"","hide_from_browse_table":[],"_links":{"self":[{"href":"https:\/\/cm.vastapps.dev\/api\/v1\/collections\/5742"}],"collection":[{"href":"https:\/\/cm.vastapps.dev\/api\/v1\/collections"}],"about":[{"href":"https:\/\/cm.vastapps.dev\/api\/wp\/v2\/types\/tcia_collection"}],"wp:attachment":[{"href":"https:\/\/cm.vastapps.dev\/api\/wp\/v2\/media?parent=5742"}],"wp:term":[{"taxonomy":"tcia_citation_tax","embeddable":true,"href":"https:\/\/cm.vastapps.dev\/api\/v1\/citation-tax?post=5742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}