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In Reply We thank Dr Braillon for his interesting comments regarding our recent Research Letter. With regard to the perception of a lack of concern for the implementation of a quality assurance program, we fully agree that this is an area of paramount importance for computed tomographic screening for lung cancer. Indeed, we emphasized in our publication that the variability in screening practices that we observed suggested the need for formalized radiology guidelines with a focus on the technical and logistical aspects of screening.1
Boiselle PM, Ravenel JG, White CS. Current Practices for Lung Cancer Screening—Reply. JAMA Intern Med. 2015;175(2):317-318. doi:10.1001/jamainternmed.2014.6988