Evidence map›Paper›PMID 31263199›Full record

Trial reportScientific reports2019

Performance of a new quantitative computed tomography index for interstitial lung disease assessment in systemic sclerosis.

Marialuisa Bocchino, Dario Bruzzese, Michele D'Alto, Paola Argiento, Alessia Borgia, Annalisa Capaccio, Emanuele Romeo, Barbara Russo, Alessandro Sanduzzi, Tullio Valente and 3 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 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. Article
  4. Article
  5. Article
  6. Review
  7. The DSC Index: A new prognostic tool for evaluating functional status in interstitial lung disease.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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 at 4 institutions in 1 country.

Marialuisa BocchinoRespiratory Medicine Unit, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy. marialuisa.bocchino@unina.it.
Dario BruzzeseDepartment of Public Health, Federico II University, Naples, Italy.
Michele D'AltoDepartment of Cardiology, Monaldi Hospital - University of Campania "Luigi Vanvitelli", Naples, Italy.
Paola ArgientoDepartment of Cardiology, Monaldi Hospital - University of Campania "Luigi Vanvitelli", Naples, Italy.
Alessia BorgiaRheumatology Unit, Department of Precision Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID http://orcid.org/0000-0002-9381-6660
Annalisa CapaccioRespiratory Medicine Unit, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Emanuele RomeoDepartment of Cardiology, Monaldi Hospital - University of Campania "Luigi Vanvitelli", Naples, Italy.
Barbara RussoRheumatology Unit, Department of Precision Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
Alessandro SanduzziRespiratory Medicine Unit, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Tullio ValenteDepartment of Radiology, Monaldi Hospital, Naples, Italy.
Nicola SverzellatiSection of Radiology, Unit of Surgical Sciences, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Gaetano ReaDepartment of Radiology, Monaldi Hospital, Naples, Italy.
Serena VettoriRheumatology Unit, Department of Precision Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy. serena.vettori@unicampania.it.ORCID http://orcid.org/0000-0001-5617-9829
University of Campania "Luigi Vanvitelli" · ITFederico II University Hospital · ITOspedale Monaldi · ITUniversity of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Quantitative high resolution computed tomography (HRCT) may objectively assess systemic sclerosis (SSc)-interstitial lung disease (ILD) extent, using three basic densitometric measures: mean lung attenuation (MLA), skewness, and kurtosis. This prospective study aimed to develop a composite index - computerized integrated index (CII) - that accounted for MLA, skewness, and kurtosis by means of Principal Component Analysis over HRCTs of 83 consecutive SSc subjects, thus eliminating redundancies. Correlations among CII, cardiopulmonary function and immune-inflammatory biomarkers (e.g. sIL-2Rα and CCL18 serum levels) were explored. ILD was detected in 47% of patients at visual HRCT assessment. These patients had worse CII values than patients without ILD. The CII correlated with lung function at both baseline and follow-up, and with sIL-2Rα and CCL18 serum levels. The best discriminating CII value for ILD was 0.1966 (AUC = 0.77; sensitivity = 0.81 [95%CI:0.68-0.92]; specificity = 0.66 [95%CI:0.52-0.80]). Thirty-four percent of patients without visual trace of ILD had a CII lower than 0.1966, and 67% of them had a diffusing lung capacity for CO <80% of predicted. We showed that this new composite CT index for SSc-ILD assessment correlates with both lung function and immune-inflammatory parameters and could be sufficiently sensitive for capturing early lung density changes in visually ILD-free patients.

Indexed as

LungLung Diseases, InterstitialScleroderma, SystemicTomography, X-Ray ComputedAgedChemokines, CCFemaleHumansInterleukin-2 Receptor alpha SubunitMaleMiddle AgedCCL18 protein, humanChemokines, CCIL2RA protein, humanInterleukin-2 Receptor alpha Subunit

Identifiers

PMID31263199
PMCPMC6603022
OpenAlexW2954744852

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.