Evidence map›Paper›PMID 21927793›Full record

Trial reportEuropean radiology2011

Quantitative texture-based assessment of one-year changes in fibrotic reticular patterns on HRCT in scleroderma lung disease treated with oral cyclophosphamide.

Hyun J Kim, Matthew S Brown, Robert Elashoff, Gang Li, David W Gjertson, David A Lynch, Diane C Strollo, Eric Kleerup, Daniel Chong, Sumit K Shah and 4 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled TrialValidation Study
PubMed Publisher
In one paragraph

Trial report in European radiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00883129 (Mycophenolate vs. Oral Cyclophosphamide in Scleroderma Interstitial Lung Disease), which is not on this map. Cited by 64 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 8 pooled it
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00883129 phase2completednot on this map

Mycophenolate vs. Oral Cyclophosphamide in Scleroderma Interstitial Lung Disease (Scleroderma Lung Study II)

TypeinterventionalSponsorMichael RothRan2009 to 2015Enrolled142ConditionsScleroderma, Interstitial Lung DiseaseArmsMycophenolate mofetil, Cyclophosphamide, Placebo
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 8 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Guideline
  2. A systematic review of the role of quantitative CT in the prognostication and disease monitoring of interstitial lung disease.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  3. Guideline
  4. Guideline
  5. Pooled it
  6. Guideline
  7. Pulmonary function tests as outcomes for systemic sclerosis interstitial lung disease.European respiratory review : an official journal of the European Respiratory Society · 2018
    Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Trial
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  17. Trial
  18. Article
  19. Review
  20. Automatic assessment of lung involvement in systemic sclerosis using deep learning.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2026
    Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Hyun J KimCenter for Computer Vision and Imaging Biomarker, Department of Radiological Sciences, David Geffen School of Medicine, UCLA, 924 Westwood Blvd., Suite 650, Los Angeles, CA 90024-2926, USA. gracekim@mednet.ucla.edu
Matthew S Brown
Robert Elashoff
Gang Li
David W Gjertson
David A Lynch
Diane C Strollo
Eric Kleerup
Daniel Chong
Sumit K Shah
Shama Ahmad
Fereidoun Abtin
Donald P Tashkin
Jonathan G Goldin
University of California, Los Angeles · USUCLA Health · USUniversity of Colorado Denver · USUPMC Presbyterian · US

Funding

SCLERODERMA LUNG STUDYU01HL060587 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TASHKIN, DONALD P · 1999 to 2003
$2.3M
NHLBI NIH HHS U01 HL060587
6 · The paper itself

Abstract

objectivesThe Scleroderma Lung Study showed the efficacy of cyclophosphamide in modestly improving the forced vital capacity (FVC) compared with placebo over 1 year. Using changes in texture-based scores that quantify lung fibrosis as the percentage involvement of reticulation patterns, the effectiveness of cyclophosphamide was re-assessed by examining its impact on quantitative lung fibrosis (QLF).

methodsAxial HRCT images were acquired (1-mm slice thickness, 10-mm increments) in the prone position at inspiration. A validated model for quantifying interstitial disease patterns was applied to images from 83 subjects at baseline and 12 months. Scores were calculated for six zones (upper, mid, lower of the right/left lung) and the whole lung. Average changes were compared. Correlations were performed between QLF and physiological and clinical scores.

resultsFrom the most severe zones identified at baseline, QLF scores decreased by 2.6% in the cyclophosphamide group, whereas they increased by 9.1% in the placebo group, leading to ~12% difference (p = 0.0027). Between-treatment difference in whole lung QLF was ~5% (p = 0.0190). Significant associations were observed between changes in QLF and FVC (r = -0.33), dyspnea score (r = -0.29), and consensus visual score (p = 0.0001).

conclusionsQLF scores provide an objective quantitative tool for assessing treatment efficacy in scleroderma-related interstitial lung disease.

Indexed as

Tomography, X-Ray ComputedAdministration, OralAdultAgedCyclophosphamideDisease ProgressionFemaleFibrosisHumansLung Diseases, InterstitialMaleMiddle AgedProspective StudiesReproducibility of ResultsTreatment OutcomeVital CapacityCyclophosphamide

Identifiers

PMID21927793
OpenAlexW2077262698

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.