Systemic sclerosis & Raynaud's

Artificial Intelligence–Aided Lung Ultrasound Detection of Interstitial Lung Disease in Systemic Sclerosis and Inflammatory Myopathy

Arthritis Care Res (Hoboken)Published Diagnostic accuracy study

Authors' conclusion

Deep learning applied to LUS enables accurate ILD detection in connective tissue disease and can enhance expert interpretation.

Study context

Population
Patients with systemic sclerosis (SSc) or idiopathic inflammatory myopathy (IIM) ± interstitial lung disease (ILD) with paired lung ultrasound (LUS) and chest computed tomography (CT)
Participants
140 patients3,920 LUS images
Comparison
CNN models (InceptionV3, ResNet-50, VGG-16, LUS-Net) vs CT and LUS-ILD-24 human interpretation for ILD detection on LUS
Outcome
ILD detection performance at image and patient levels (AUC, sensitivity, specificity, agreement with expert interpretation)
Methodological detailsdeep learning (CNN, transfer learning), development and independent test sets, paired LUS and chest CT
  • Deep learning (CNN, transfer learning)
  • Development and independent test sets
  • Paired LUS and chest CT

Performance

As reported in the abstract

Patient-level ILD detection
Test or modelAUCSensitivitySpecificity
VGG-160.97297.4%92.6%

VGG-16

AUC0.972
Sensitivity97.4%
Specificity92.6%

Further findings

Grad-CAM regions driving predictions

Pleural features were the primary regions influencing model predictions

Original publication

Artificial Intelligence–Aided Lung Ultrasound Detection of Interstitial Lung Disease in Systemic Sclerosis and Inflammatory Myopathy. Arthritis Care Res (Hoboken). Published 6 April 2026. doi:10.1002/acr.80054

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