Evidence map›Paper›PMID 30227877›Full record

ArticleRespiratory research2018

Imaging-based clusters in current smokers of the COPD cohort associate with clinical characteristics: the SubPopulations and Intermediate Outcome Measures in COPD Study (SPIROMICS).

Babak Haghighi, Sanghun Choi, Jiwoong Choi, Eric A Hoffman, Alejandro P Comellas, John D Newell, R Graham Barr, Eugene Bleecker, Christopher B Cooper, David Couper and 10 more

Registry-linked trialAbstract read
In one paragraph

Article in Respiratory research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01969344 (Subpopulations and Intermediate Outcome Measures in COPD Study), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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.

NCT01969344 active not recruitingnot on this map

Subpopulations and Intermediate Outcome Measures in COPD Study

TypeobservationalSponsorUniversity of North Carolina, Chapel HillRan2010 to 2031Enrolled2,981ConditionsCOPD, Chronic Obstructive Pulmonary Disease, Chronic Bronchitis, Emphysema
3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
  2. Assessment of ventilation heterogeneity and particle deposition in asthmatics using combined SPECT/CT imaging and computational modeling approaches.European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences · 2025
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  3. Article
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  7. Investigating distributions of inhaled aerosols in the lungs of post-COVID-19 clusters through a unified imaging and modeling approach.European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences · 2024
    Article
  8. Article
  9. Article
  10. A computed tomography imaging-based subject-specific whole-lung deposition model.European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences · 2022
    Article
  11. Article
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  17. Review
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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

20 authors.

Babak HaghighiDepartment of Mechanical and Industrial Engineering, University of Iowa, 2406 Seamans Center for the Engineering Art and Science, Iowa City, Iowa, 52242, USA.
Sanghun ChoiDepartment of Mechanical Engineering, Kyungpook National University, Daegu, Republic of Korea.
Jiwoong ChoiDepartment of Mechanical and Industrial Engineering, University of Iowa, 2406 Seamans Center for the Engineering Art and Science, Iowa City, Iowa, 52242, USA.
Eric A HoffmanDepartment of Radiology, University of Iowa, Iowa City, Iowa, USA.
Alejandro P ComellasDepartment of Radiology, University of Iowa, Iowa City, Iowa, USA.
John D NewellDepartment of Radiology, University of Iowa, Iowa City, Iowa, USA.
R Graham BarrDepartment of Epidemiology, Mailman School of Public Health, Columbia University Medical School, New York, NY, USA.
Eugene BleeckerDivision of Genetics, Genomics and Precision Medicine, Department of Medicine, University of Arizona, Tucson, AZ, USA.
Christopher B CooperDepartment of Physiology, UCLA, Los Angeles, CA, USA.
David CouperDepartment of Biostatistics, University of North Carolina, Chapel Hill, NC, USA.
Mei Lan HanDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Nadia N HanselSchool of Medicine, Johns Hopkins, Baltimore, MD, USA.
Richard E KannerSchool of Medicine, University of Utah, Salt Lake City, UT, USA.
Ella A KazerooniDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
Eric A C KleerupDepartment of Medicine, UCLA, Los Angeles, CA, USA.
Fernando J MartinezDepartment of Medicine, Weill Cornell Medical Center, New York, NY, USA.
Wanda O'NealSchool of Medicine, University of North Carolina, Chapel Hill, NC, USA.
Stephen I RennardDepartment of Internal Medicine, University of Nebraska College of Medicine, NE, USA and Clinical Discovery Unit, AstraZeneca, Cambridge, UK.
Prescott G WoodruffDepartment of Medicine, University of California San Francisco, San Francisco, CA, USA.
Ching-Long LinDepartment of Mechanical and Industrial Engineering, University of Iowa, 2406 Seamans Center for the Engineering Art and Science, Iowa City, Iowa, 52242, USA. ching-long-lin@uiowa.edu.

Funding

Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Brandi Janssen · 1990 to 2026
$40.5M
SOUTHWEST ENVIRONMENTAL HEALTH SCIENCES CENTERP30ES006694 · NIEHS · UNIVERSITY OF ARIZONA · PI DEAN BILLHEIMER · 1994 to 2026
$36.7M
SPIROMICS II: Biological underpinnings of COPD heterogeneity and progressionU01HL137880 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WOODRUFF, PRESCOTT G · 2017 to 2021
$27.9M
SPIROMICS GIC SupportU24HL141762 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COUPER, DAVID J, O'NEAL, WANDA K · 2018 to 2022
$7.2M
Multi-center Structural & Functional Quantitative CT Pulmonary PhenotypingR01HL112986 · NHLBI · UNIVERSITY OF IOWA · PI HOFFMAN, ERIC ALFRED · 2012 to 2016
$4.6M
An integrative statistics-guided image-based multi-scale lung modelU01HL114494 · NHLBI · UNIVERSITY OF IOWA · PI LIN, CHING-LONG · 2013 to 2017
$3.1M
Large-Scale Computing and Visualization for Cardiopulmonary ImagingS10RR022421 · NCRR · UNIVERSITY OF IOWA · PI LIN, CHING-LONG · 2008 to 2008
$474k
NCRR NIH HHS S10 RR022421NHLBI NIH HHS HHSN268200900013CNHLBI NIH HHS HHSN268200900014CNHLBI NIH HHS HHSN268200900015CNHLBI NIH HHS HHSN268200900016CNHLBI NIH HHS HHSN268200900017CNHLBI NIH HHS HHSN268200900018CNHLBI NIH HHS HHSN268200900019CNHLBI NIH HHS HHSN268200900020CNHLBI NIH HHS R01 HL112986NHLBI NIH HHS U01 HL114494NHLBI NIH HHS U01 HL137880NHLBI NIH HHS U24 HL141762NIEHS NIH HHS P30 ES005605NIEHS NIH HHS P30 ES006694NIH HHS U01-HL114494, R01-HL112986 and S10-RR022421
6 · The paper itself

Abstract

backgroundClassification of COPD is usually based on the severity of airflow, which may not sensitively differentiate subpopulations. Using a multiscale imaging-based cluster analysis (MICA), we aim to identify subpopulations for current smokers with COPD.

methodsAmong the SPIROMICS subjects, we analyzed computed tomography images at total lung capacity (TLC) and residual volume (RV) of 284 current smokers. Functional variables were derived from registration of TLC and RV images, e.g. functional small airways disease (fSAD%). Structural variables were assessed at TLC images, e.g. emphysema and airway wall thickness and diameter. We employed an unsupervised method for clustering.

resultsFour clusters were identified. Cluster 1 had relatively normal airway structures; Cluster 2 had an increase of fSAD% and wall thickness; Cluster 3 exhibited a further increase of fSAD% but a decrease of wall thickness and airway diameter; Cluster 4 had a significant increase of fSAD% and emphysema. Clinically, Cluster 1 showed normal FEV1/FVC and low exacerbations. Cluster 4 showed relatively low FEV1/FVC and high exacerbations. While Cluster 2 and Cluster 3 showed similar exacerbations, Cluster 2 had the highest BMI among all clusters.

conclusionsAssociation of imaging-based clusters with existing clinical metrics suggests the sensitivity of MICA in differentiating subpopulations.

Indexed as

SmokersAdultAgedCluster AnalysisCohort StudiesCross-Sectional StudiesFemaleForced Expiratory VolumeHumansMaleMiddle AgedOutcome Assessment, Health CarePulmonary Disease, Chronic ObstructiveTomography, X-Ray ComputedCOPDCurrent smokersEmphysemaFunctional small airway diseaseImaging-based cluster analysis

Identifiers

PMID30227877
PMCPMC6145340

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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.