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Call The Oregon Clinic - Pulmonary, Critical Care & Sleep Medicine at (503) 963-3030 to refer yourself to The Oregon Clinic Lung Cancer Screening Program. Screening for lung cancer involves a test that can detect a cancer before there are any symptoms. Most lung cancers are diagnosed at an advanced stage where cancer cells have spread to lymph nodes or other parts of the body.
Up until recently, we have not had an effective strategy for screening for lung cancer.  That has now changed with the use of ultra low-dose CT scans. If you meet the inclusion criteria for lung cancer screening, you may refer yourself by calling The Oregon Clinic - Pulmonary, Critical Care & Sleep Medicine at (503) 963-3030. As of 2015, most insurers will cover the cost of lung cancer screening for patients who meet the inclusion criteria. If there any questions regarding whether insurance will cover the cost of screening, our staff at The Oregon Clinic can help determine your insurance coverage. One of the concerns with lung cancer screening is that CT scans use x-ray equipment, which exposes you to radiation. One of the keys to successful lung cancer screenings is to avoid unnecessary biopsy procedures and surgery. Even after receiving a normal scan, individuals that meet the screening criteria would still be considered at high risk for lung cancer. Because 85% of lung cancers are related to smoking, it remains critical that you continue to work on quitting smoking and we have a number of programs to help. The largest trial of lung cancer screening to date, the National Lung Cancer Screening Trial (published in 2011), included 53,000 individuals at high risk for developing lung cancer, and showed that heavy smokers were 20% less likely to die from lung cancer if they underwent a screening with CT scans. Lung Cancer Screening uses ultra low dose CT scans of the lungs performed once each year for smokers or former smokers at high risk for developing lung cancer to detect lung cancer BEFORE there are symptoms.
In the largest study of lung cancer screening, 27% of patients had an abnormality on the screening CT scan, but MOST of these abnormalities turned out NOT to be cancer and did not require procedures.
If the scan shows a small nodule that could be a cancer, you will require a repeat CT scan within a few months to determine if there really is a cancer. To determine your screening eligibility, complete the assessment by clicking on the button below, talk with your primary care provider, or call our office. If you have determined that you are eligible for screening, or wish to receive more information, fill out the contact form below. I believe that it is the responsibility of the specialist to be up to date and informed regarding current thinking in his or her area of expertise.
Having grown up in England and South Africa, Dr Bray attended medical school at the University of the Witwatersrand in Johannesburg, and served 3 postgraduate years at Baragwanath Hospital, Soweto, the third largest medical facility in the world. Securely communicate with your care team for non-urgent health advice or questions by logging into MyHealthConnection, The Oregon Clinic's secure patient portal. My first responsibility as an oncologist is to teach a patient and their family about their diagnosis of cancer, the natural history of the disease, how it is treated, and the role of radiotherapy in their disease process. I believe that good neurological care requires taking the time both to hear my patients’ stories and to exam my patients thoroughly.


Preventive Services Task Force recommended lung cancer screening with low-dose computed tomography (CT) scans of the chest for individuals at high risk for developing lung cancer. We developed our Lung Cancer Screening program to meet all of the Task Forces requirements, including a multidisciplinary review of CT scans with nodules that are greater than 8mm in size, and using one of the few ultra low-dosage CT scanners in Portland.
Most insurance providers are approving screening CT scans at this time (of note, Medicare is now covering lung cancer screening, but only patients up to age 77). Screening for certain types of cancer has been shown to reduce deaths by detecting cancers early and allowing for earlier and more effective treatment. Approximately 85% of lung cancers have spread to lymph nodes or other parts of the body at the time of diagnosis. In February of 2015, it was announced that Medicare beneficiaries with a history of significant tobacco use who are at high risk for lung cancer will have coverage for lung cancer screening. The level of radiation exposure from a ultra low-dose CT scan is a 50 - 70 percent less than a usual CT scan, and the risk of complications from this low dose of radiation, even if someone receives multiple low-dose CT scans over a period of years, is thought to be very, very low. This is where having a group of experts to review the scans and help decide what to do is absolutely critical.
The overall mortality in the screening group was 6.7% less than in the group that did not receive CT scans.
If anything suspicious is found on your CT scan, our lung cancer screening program providers are here to help guide you through the appropriate steps.
However, if a larger nodule is found, the results will be reviewed by a panel of experts to determine if further testing, such as a biopsy, bronchoscopy, or surgery, is required.
Our team of lung cancer experts includes nationally-recognized lung specialists, radiologists, lung surgeons, radiation oncologists, and medical oncologists with expertise in lung disease. The specialist's skills and understanding of the science of the subject must be applied in a manner that is clear, honest, and respectful of the humanity of the patient. Upon relocating to the US, Dr Bray completed an Internal Medicine residency, including as Chief Resident, at Providence St Vincent Hospital in Portland, before moving to San Antonio for a gastroenterology fellowship at the University Of Texas Health Sciences Center there. I explain how my treatment team will provide them not only first rate care, but also the compassion and support that all cancer patients deserve.
Bader graduated from the University of Washington and completed his internship and residency in internal medicine at the New England Deaconess Hospital, Harvard Medical School. Diagnosis and treatment work best when neurologists combine our extensive knowledge of the nervous system with a detailed understanding of each person who comes under our care. Richard Rosenbaum graduated from Harvard Medical School and completed his internship and residency at Stanford University Hospital.
Richard Rosenbaum specializes in the care and treatment of individuals with Parkinson's Disease through Portland Parkinson's Program, in collaboration with Legacy Health. Click here to learn more about this service. Rosenbaum was featured on KGW news in April 2015 for his educational work with high school students through a program with OHSU titled "Parnership for Scientific Inquiry." Click here to watch the segment.
Rosenbaum was featured on AM Northwest in September 2015 to talk about the latest research in treating Parkinson's Disease. It is important to note that 27% of patients who get a screening CT will have some abnormality on their CT scan, but only 1% of them will end up having cancer; 10% will have some abnormality unrelated to their lungs. Lung cancer screening uses ultra low-dose CT scans of the lungs, performed on a yearly basis, to find lung cancer before there are any symptoms.


Visit The Oregon Clinic online or call The Oregon Clinic Pulmonary Specialty to speak with one of our providers: (503) 963-3030. We know that diagnosing cancers at an earlier stage, before the cancer has spread to lymph nodes or other parts of the body provides a much better chance of cure. For example, the likelihood that someone will survive for 5 years with a lung cancer that has spread to other parts of the body (metastasized) is only about 4%, compared to about 55% for cancers that are localized only to the lung. With the ultra low-dose chest CT scans that we use at The Oregon Clinic, the radiation exposure is roughly equivalent to the natural background environmental radiation exposure over a period of 6 months, or as much as 15 traditional x-rays. In the three years of screening during the National Lung Cancer Screening Trial, abnormal findings on the CT scan occurred in 27 percent of the patients, and more than 90 percent of those abnormalities turned out not to be lung cancer.
If a lung cancer is discovered, our goal is to ensure that you get state of the art treatment as soon as possible.
Any significant abnormalities are reviewed by a team of lung specialists, radiologists, lung surgeons, and radiation and medical oncologists. At the Oregon Clinic, you will find a dedicated group of providers with a focus on multidisciplinary, patient-centered care. He later finished his fellowship and became Chief Resident for the Joint Center for Radiation Therapy at Harvard Medical School. Ader brings many honors and awards to The Oregon Clinic - Gastroenterology West, including being inducted into the Alpha Theta Chi Collegiate Honor Society and the Phi Theta Kappa Honor Society.  She is also a member of the Portland-Vancouver PA Society and the American Academy of Physician Assistants. He completed his fellowship at the National Institutes of Health, Medical Neurology Branch and was a Neurology resident at the University of California in San Francisco.
These ultra low-dose CT scans have the ability to detect a cancer when it is the size of a grain of rice, compared to traditional x-rays that can only detect cancer when it has grown to the size of a dime. In addition to providing screening for lung cancer, we can also help provide support and resources to help you quit smoking, which remains the most important thing you can do to decrease your risk for lung cancer!
Bader is a member of several organizations, including the American Society for Clinical Oncology, the American Society for Therapeutic Radiation Oncology and the American Brachytherapy Society.
Rosenbaum has three board certifications, including a certification in Neurology by the American Board of Psychiatry and Neurology. He is an expert in the treatment of Parkinson's Disease and is the author of the book, Understanding Parkinsons Disease: A Personal and Professional View. Bader is also the former Medical Director of the Department of Radiation Oncology at Providence Health System and the Gamma Knife Center of Oregon. Rosenbaum serves as the Medical Director of The Portland Parkinson's Program in collaboration with Legacy Health. Bader focuses on breast cancer, lung cancer, head and neck malignancies and other radiation oncology needs at The Oregon Clinic - Radiation Oncology.
He also focuses on treating patients with Carpal Tunnel Syndrome, Nerve and Muscle Diseases and other Neurological disorders at The Oregon Clinic - Neurology. To refer a patient or request an appointment, please call: (503) 215-6029 for The Oregon Clinic at Providence Cancer Center or (503) 513-3300 for The Oregon Clinic at Providence Clackamas Medical Center.




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