Evidence map›Paper›PMID 31122243›Full record

ArticleRespiratory research2019

Spirometric assessment of emphysema presence and severity as measured by quantitative CT and CT-based radiomics in COPD.

Mariaelena Occhipinti, Matteo Paoletti, Brian J Bartholmai, Srinivasan Rajagopalan, Ronald A Karwoski, Cosimo Nardi, Riccardo Inchingolo, Anna R Larici, Gianna Camiciottoli, Federico Lavorini and 3 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Respiratory research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06533371 (Assessment of Pulmonary EmphySema), which is not on this map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
–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.

NCT06533371 narecruitingnot on this mapstarted 2024, after this paper: background citation

Assessment of Pulmonary EmphySema: the Clinical -ULtrasonographic APproach to chronIc Obstructive Pulmonary Disease

TypeinterventionalSponsorFondazione Policlinico Universitario Agostino Gemelli IRCCSRan2024 to 2027Enrolled1,628ConditionsEmphysema, Pulmonary EmphysemaArmsRelationship between lung ultrasound and computed tomographic scan
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Observational
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  11. What is worth measuring in patients with COPD?Multidisciplinary respiratory medicine · 2025
    Article
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  14. The textures of sarcoidosis: quantifying lung disease through variograms.medRxiv : the preprint server for health sciences · 2024
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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

13 authors.

Mariaelena OcchipintiSection of Respiratory Medicine, Department of Experimental and Clinical Medicine, Careggi University Hospital, University of Florence, Largo A Brambilla 3, 50134, Florence, Italy. mariaelena.occhipinti@unifi.it.ORCID http://orcid.org/0000-0003-3324-4063
Matteo PaolettiSection of Respiratory Medicine, Department of Experimental and Clinical Medicine, Careggi University Hospital, University of Florence, Largo A Brambilla 3, 50134, Florence, Italy.
Brian J BartholmaiDivision of Radiology, Mayo Clinic Rochester, 200 1st St SW, Rochester, MN, 55902, USA.
Srinivasan RajagopalanDepartment of Physiology and Biomedical Engineering, Mayo Clinic Rochester, 321 3rd Ave SW, Rochester, MN, 55902, USA.
Ronald A KarwoskiDepartment of Physiology and Biomedical Engineering, Mayo Clinic Rochester, 321 3rd Ave SW, Rochester, MN, 55902, USA.
Cosimo NardiSection of Radiodiagnostic, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Largo A Brambilla 3, 50134, Florence, Italy.
Riccardo InchingoloSection of Pulmonology, Department of Cardiovascular and Thoracic Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo F. Vito 1, 00168, Rome, Italy.
Anna R LariciDepartment of Radiological Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo F. Vito 1, 00168, Rome, Italy.
Gianna CamiciottoliSection of Respiratory Medicine, Department of Experimental and Clinical Medicine, Careggi University Hospital, University of Florence, Largo A Brambilla 3, 50134, Florence, Italy.
Federico LavoriniSection of Respiratory Medicine, Department of Experimental and Clinical Medicine, Careggi University Hospital, University of Florence, Largo A Brambilla 3, 50134, Florence, Italy.
Stefano ColagrandeDivision of Radiology, Mayo Clinic Rochester, 200 1st St SW, Rochester, MN, 55902, USA.
Vito BrusascoSchool of Medical and Pharmaceutical Sciences, University of Genoa, Via Balbi, 5, 16126, Genoa, Italy.
Massimo PistolesiSection of Respiratory Medicine, Department of Experimental and Clinical Medicine, Careggi University Hospital, University of Florence, Largo A Brambilla 3, 50134, Florence, Italy.

Funding

Ministero della Salute ---Ministero dell'Istruzione, dell'Università e della Ricerca ---
6 · The paper itself

Abstract

backgroundThe mechanisms underlying airflow obstruction in COPD cannot be distinguished by standard spirometry. We ascertain whether mathematical modeling of airway biomechanical properties, as assessed from spirometry, could provide estimates of emphysema presence and severity, as quantified by computed tomography (CT) metrics and CT-based radiomics.

methodsWe quantified presence and severity of emphysema by standard CT metrics (VIDA) and co-registration analysis (ImbioLDA) of inspiratory-expiratory CT in 194 COPD patients who underwent pulmonary function testing. According to percentages of low attenuation area below - 950 Hounsfield Units (%LAA

resultsESI mean values and pulmonary function data differed significantly in the subgroups with different emphysema degree classified by VIDA, ImbioLDA and CALIPER (p < 0.001 by ANOVA). ESI differentiated NE from ME/SE CT-classified patients (sensitivity 0.80, specificity 0.85, AUC 0.86) and SE from ME CT-classified patients (sensitivity 0.82, specificity 0.87, AUC 0.88).

conclusionsPresence and severity of emphysema in patients with COPD, as quantified by CT metrics and radiomics can be estimated by mathematical modeling of airway function as derived from standard spirometry.

Indexed as

Severity of Illness IndexAgedEmphysemaFemaleHumansMaleMiddle AgedProspective StudiesPulmonary Disease, Chronic ObstructiveSpirometryTomography, X-Ray ComputedArea under curveCOPDPulmonary emphysemaRadiomicsRespiratory function testsSmall airway diseaseSpirometryTomography

Identifiers

PMID31122243
PMCPMC6533715

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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.