Systemic sclerosis & Raynaud's

Assessment of interstitial lung disease in systemic sclerosis using oscillometric methods: a novel approach to respiratory assessment

Rheumatology (Oxford)Published Diagnostic accuracy study

Authors' conclusion

Our findings indicate that impulse oscillometry, particularly Fres, may provide a non-invasive and effort-independent approach to assessing interstitial lung disease in SSc.

Study context

Population
SSc patients assessed for interstitial lung disease (ILD) with spirometry, DLCO, impulse oscillometry (IOS) and high-resolution CT (HRCT)ILD in 62.1%
Participants
66 patients
Comparison
IOS vs conventional spirometry and DLCO, against HRCT
  • Extensive ILDn = 26
  • Limited ILDn = 15
Outcome
Detection of presence and severity of ILD by IOS parameters vs conventional spirometry

Performance

As reported in the abstract

Mean resonant frequency (Fres)

ILD-positive

22.95

mean · SD 5.47

ILD-negative

15.01

mean · SD 6.01

ILD-positive vs ILD-negative: P = 0.001 · Extensive ILD vs Limited ILD: P = 0.001 · Extensive ILD vs ILD-negative: P = 0.011

Further findings

Diagnostic accuracy of Fres (ROC) for extensive ILD
0.841 · AUC · cut-off 22.35 · sensitivity 73.1% · specificity 85%
Diagnostic accuracy of Fres (ROC) for limited ILD
0.752 · AUC · cut-off 17.42 · sensitivity 80% · specificity 64%

Diagnostic accuracy of Fres (ROC) for extensive ILD

Fres outperformed forced vital capacity (FVC) (% predicted) and DLCO (% predicted)

Original publication

Assessment of interstitial lung disease in systemic sclerosis using oscillometric methods: a novel approach to respiratory assessment. Rheumatology (Oxford). Published 28 October 2025. doi:10.1093/rheumatology/keaf572

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