Mapping early lung changes that can lead to lung cancer

The Pulmonary Pre-malignancy Atlas in the Lung Adenocarcinoma Spectrum

NIH-funded research VA Greater Los Angeles Healthcare System · NIH-11212789

This project uses low-dose CT scans and tumor DNA and immune markers to find patterns that predict which small lung nodules are likely to be dangerous for people at risk of lung cancer, especially veterans.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionVA Greater Los Angeles Healthcare System NIH-funded
Lab location1 site (Los Angeles, United States)
Project IDNIH-11212789 on NIH RePORTER

What this research studies

From your point of view, the team is combining CT images taken over time with tumor genetic tests and immune-stain data to build a detailed atlas of early lung changes. They use samples and imaging from screened people (including Veterans) who had low-dose CT at multiple time points and long-term follow-up. Advanced image analysis, whole-exome sequencing, and multiplex immunofluorescence are linked to clinical outcomes to separate nodules that behaved aggressively from those that stayed indolent. The goal is a tool doctors can use to decide who needs treatment versus watchful waiting.

Who could benefit from this research

Good fit: People with a history of smoking or who have small lung nodules on low-dose CT — particularly Veterans or participants in lung screening programs — are the most relevant candidates for this research.

Not a fit: Patients without lung nodules, those with non-adenocarcinoma lung cancers, or people who lack CT imaging or tumor genetic data are unlikely to benefit directly from this project.

Why it matters

Potential benefit: If successful, this work could help doctors distinguish dangerous nodules from harmless ones, reducing unnecessary procedures and catching aggressive cancers earlier.

How similar studies have performed: CT screening has been shown to save lives and some prior studies have linked imaging features to tumor genomics, but combining long-term LDCT imaging with detailed tumor genetics and immune profiling to predict nodule behavior is relatively new.

Where this research is happening

Los Angeles, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Cancer CauseCancer Etiology
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.