Systemic sclerosis & Raynaud's

Lung ultrasound versus high-resolution computed tomography in the longitudinal monitoring of interstitial lung disease: a prospective cohort study in systemic sclerosis

Semin Arthritis RheumPublished Prospective cohort study

Authors' conclusion

LUS, as a non-invasive, repeatable tool, shows clinically relevant potential for identifying radiographic progression or improvement in SSc-associated ILD (SSc-ILD).

Study context

Population
Patients with systemic sclerosis (SSc)83 completed follow-up
Participants
131 patients
Exposure
Lung ultrasound (LUS) vs high-resolution computed tomography (HRCT) for monitoring SSc-ILD change
Outcome
Agreement of LUS with HRCT ILD extent
Methodological detailssingle-centre, longitudinal
  • Single-centre
  • Longitudinal

Main finding

As reported in the abstract

Baseline LUS score vs interstitial lung disease (ILD) extent on HRCT, Spearman's Rho
0.9087, P < 0.0001
ΔLUS vs ΔHRCT, Spearman's Rho
0.9046, P < 0.001
ΔLUS as predictor of ΔHRCT, β
0.535, P < 0.001
ΔLUS as predictor of ILD progression, OR
1.874, P = 0.003
ΔLUS as predictor of ILD improvement, OR
0.821, P < 0.001
LUS score increase >5 points predicting ILD progression, AUC
0.98
LUS score decrease >4 points predicting ILD improvement, AUC
0.94

Observational data: associations, not effects.

Original publication

Lung ultrasound versus high-resolution computed tomography in the longitudinal monitoring of interstitial lung disease: a prospective cohort study in systemic sclerosis. Semin Arthritis Rheum. Published 26 August 2026. doi:10.1016/j.semarthrit.2026.153069

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