Systemic sclerosis & Raynaud's

Comparison of quantitative lung ultrasound scores with automated quantitative CT: to overcome the ultrasound limitations

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Quantitative LUS score correlated with qCT-defined ILD extent, especially at lung bases. LUS scores (particularly the novel PLI score) were found to correlate with deeper ILD volume

Study context

Population
Consecutive SSc patients undergoing concurrent lung ultrasound (LUS) and CT scans, 2021–2023
Participants
82 patients
Exposure
Quantitative LUS scores vs automated quantitative computed tomography (qCT) ILD extent
Outcome
Correlations between quantitative LUS scores (B-lines count, PLI score) and automated qCT ILD, GGO and RET volumes, including surface and core lung
Methodological detailsconsecutive patients, concurrent LUS and CT, automated quantitative CT texture analysis
  • Consecutive patients
  • Concurrent LUS and CT
  • Automated quantitative CT texture analysis

Main finding

As reported in the abstract

Correlation of LUS scores with qCT volumes
Total B-lines (BL) count and pleural line irregularity (PLI) score correlated with total ILD, ground-glass opacities (GGO) and reticulations (RET) volumes
all P < 0.0001
Total BL count and PLI score correlated with surface and core ILD volumes
all P < 0.0001
Basal lung BLs and PLI score correlated with basal ILD, GGO, RET and corresponding surface and core ILD volumes
all P < 0.005
Mid-lung PLI correlated with corresponding ILD-related changes and surface and core ILD
all P < 0.005

Observational data: associations, not effects.

Original publication

Comparison of quantitative lung ultrasound scores with automated quantitative CT: to overcome the ultrasound limitations. Rheumatology (Oxford). Published 12 June 2025. doi:10.1093/rheumatology/keaf328

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