Systemic sclerosis & Raynaud's

Deep-learning CT imaging algorithm to detect usual interstitial pneumonia pattern in patients with systemic sclerosis-associated interstitial lung disease: association with disease progression and survival

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

A higher probability of a SOFIA-determined UIP pattern is associated with more advanced ILD, disease progression and worse survival, suggesting that it may be a useful prognostic marker in SSc-ILD.

Study context

Population
Patients with SSc-ILD with high resolution CT (HRCT) images, concomitant lung function tests and follow-up data
Participants
522 patients
Exposure
SOFIA-determined usual interstitial pneumonia (UIP) probability categories
Outcome
Prognostic utility of SOFIA UIP probability: FVC decline and survival
Methodological detailsdeep-learning HRCT algorithm (SOFIA), Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED)-based UIP probability categories, mixed-effect model, Cox proportional hazards analysis
  • Deep-learning HRCT algorithm (SOFIA)
  • PIOPED-based UIP probability categories
  • Mixed-effect model
  • Cox proportional hazards analysis

Main finding

As reported in the abstract

Distribution of PIOPED-based UIP probability categories
Higher UIP probability associated with decline in forced vital capacity (FVC), independently of age, gender, ethnicity, smoking history and baseline FVC or Goh et al. staging system
P = 0.008
Higher UIP probability associated with worse 15-year survival, independently of age, gender, ethnicity, smoking history and baseline FVC or Goh et al. staging system
P = 0.001

Observational data: associations, not effects.

Original publication

Deep-learning CT imaging algorithm to detect usual interstitial pneumonia pattern in patients with systemic sclerosis-associated interstitial lung disease: association with disease progression and survival. Rheumatology (Oxford). Published 17 October 2024. doi:10.1093/rheumatology/keae571

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