Across rheumatic diseases

AI-based HRCT quantification reveals DLCO and total lung capacity (TLC) as key determinants of interstitial lung disease (ILD) severity in connective tissue diseases

RMD OpenPublished Cross-sectional study

Authors' conclusion

The study presented that DLCO and TLC were predictive for the CTD-ILD severity.

Study context

Population
Patients with CTD-ILD who underwent pulmonary function test (PFT) and HRCTeligible for regression analysis
Participants
76 patients
Outcome
Extent of ILD (GGO, reticulations, HAV, emphysema, overall extent) quantified by AI-based HRCT, and its association with clinical risk factors
Methodological detailsretrospective, regression analysis
  • Retrospective
  • Regression analysis

Main finding

As reported in the abstract

Clinical factors associated with ILD extent on AI-quantified HRCT
  • Reduced DLCO, reduced TLC and elevated inflammation parameter significantly associated with extent of ground glass opacities (GGO), reticulations, HAV and overall ILD extent
  • Pulmonary symptoms, age and FVC not associated with ILD extent

Observational data: associations, not effects.

Original publication

AI-based HRCT quantification reveals DLCO and TLC as key determinants of ILD severity in connective tissue diseases. RMD Open. Published 28 October 2025. doi:10.1136/rmdopen-2025-005963

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