Systemic sclerosis & Raynaud's

Lung ultrasound compared to computed tomography detection and automated quantification of systemic sclerosis-associated interstitial lung disease: preliminary study

Rheumatology (Oxford)Published Diagnostic accuracy study

Authors' conclusion

This preliminary study suggests the utility of a comprehensive LUS assessment for SSc-ILD detection compared with CT and QCT.

Study context

Population
Consecutive SSc patients (2013 ACR/EULAR criteria) with pulmonary functional tests (PFTs) and a CT within ± 6 months, 2021–2022
Participants
29 patients
Comparison
Lung ultrasound (LUS) vs chest CT and automated QCT for SSc-ILD
Outcome
Association of LUS findings with ILD on CT and QCT
Methodological detailspreliminary study, consecutive patients, two certified blinded operators, 14-scans method
  • Preliminary study
  • Consecutive patients
  • Two certified blinded operators
  • 14-scans method

Performance

As reported in the abstract

  • Both qualitative LUS scores significantly associated with ILD presence on CT; Fairchild's pleural line (PL) criteria slightly more accurate; confirmed on multivariate analysis
  • All qualitative and quantitative LUS findings significantly associated with QCT ILD extension and radiological abnormalities
  • Mid and basal PL quantitative score correlated with mid and basal QCT ILD extents

Further findings

Correlation with PFTs and clinical variables

Both B-lines and PL alterations differently correlated with PFTs and clinical variables

Original publication

Lung ultrasound compared to computed tomography detection and automated quantification of systemic sclerosis-associated interstitial lung disease: preliminary study. Rheumatology (Oxford). Published 3 July 2023. doi:10.1093/rheumatology/kead324

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