Marie-Pierre Revel, 1st Vice-President of the European Society of Radiology (ESR), reflects on her journey into European radiology leadership. She highlights the importance of advocacy efforts and the SOLACE project, which aims to implement standardized lung cancer screening programs across Europe.

At ECR 2026, key discussions included optimizing screening intervals, addressing underrepresented populations, and training radiologists for early-stage cancer detection. AI is being integrated as a second reader to assist general radiologists, improving detection rates.

Healthcare systems must prepare for the downstream clinical implications of expanded screening programs, ensuring timely follow-up and access to specialized surgical care. The European Lung Cancer Screening Alliance (ELCSA) is working to ensure broad implementation and continuous improvement of screening methods.

Revel emphasizes the need for systematic changes, such as tobacco denormalization and smoking cessation strategies, to combat the ongoing lung cancer epidemic.