Evidence map›Paper›PMID 31307479›Full record

ArticleRespiratory research2019

Imaging-based clusters in former 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, Chang Hyun Lee, R Graham Barr, Eugene Bleecker, Christopher B Cooper and 13 more

Registry-linked trialAbstract read
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 NCT01969344 (Subpopulations and Intermediate Outcome Measures in COPD Study), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Design of the SPIROMICS Study of Early COPD Progression: SOURCE Study.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. 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
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
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

23 authors.

Babak HaghighiDepartment of Mechanical Engineering, University of Iowa, Iowa City, Iowa, USA.
Sanghun ChoiSchool of Mechanical Engineering, Kyungpook National University, Daegu, Republic of Korea.
Jiwoong ChoiDepartment of Mechanical Engineering, University of Iowa, Iowa City, Iowa, USA.
Eric A HoffmanDepartment of Radiology, University of Iowa, Iowa City, Iowa, USA.
Alejandro P ComellasDepartment of Internal Medicine, University of Iowa, Iowa City, Iowa, USA.
John D NewellDepartment of Radiology, University of Iowa, Iowa City, Iowa, USA.
Chang Hyun LeeDepartment 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 BleeckerDepartment of Medicine, The 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.
Robert PaineSchool of Medicine, University of Utah, Salt Lake City, UT, USA.
Stephen I RennardDepartment of Internal Medicine, University of Nebraska College of Medicine, Omaha, NE, USA.
Benjamin M SmithDepartment of Medicine, College of Physicians and Surgeons, Columbia University, New York, NY, 10032, USA.
Prescott G WoodruffSchool of Medicine, UCSF, San Francisco, CA, USA.
Ching-Long LinDepartment of Mechanical Engineering, University of Iowa, Iowa City, Iowa, USA. ching-long-lin@uiowa.edu.

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Christopher K Laubenthal · 2000 to 2026
$70.0M
Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 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
Chronic obstructive pulmonary disease in non-smokersR01HL130506 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HERBSTMAN, JULIE BETH, SMITH, BENJAMIN M. · 2016 to 2025
$6.3M
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
Ultra-low Dose, High Speed, High Resolution, Multispectral, Multi-Source MDCT ScaS10OD018526 · OD · UNIVERSITY OF IOWA · PI HOFFMAN, ERIC ALFRED · 2015 to 2015
$2.0M
Mentoring Research in Precision Medicine for Lung DiseaseK24HL137013 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PRESCOTT G WOODRUFF · 2017 to 2026
$1.2M
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 K24 HL137013NHLBI NIH HHS R01 HL112986NHLBI NIH HHS R01 HL130506NHLBI NIH HHS U01 HL114494NHLBI NIH HHS U01 HL137880NHLBI NIH HHS U24 HL141762NIEHS NIH HHS P30 ES005605NIEHS NIH HHS P30 ES006694NIH HHS NIH grants U01-HL114494, R01-HL112986 and S10-RR022421NIH HHS S10 OD018526
6 · The paper itself

Abstract

backgroundQuantitative computed tomographic (QCT) imaging-based metrics enable to quantify smoking induced disease alterations and to identify imaging-based clusters for current smokers. We aimed to derive clinically meaningful sub-groups of former smokers using dimensional reduction and clustering methods to develop a new way of COPD phenotyping.

methodsAn imaging-based cluster analysis was performed for 406 former smokers with a comprehensive set of imaging metrics including 75 imaging-based metrics. They consisted of structural and functional variables at 10 segmental and 5 lobar locations. The structural variables included lung shape, branching angle, airway-circularity, airway-wall-thickness, airway diameter; the functional variables included regional ventilation, emphysema percentage, functional small airway disease percentage, Jacobian (volume change), anisotropic deformation index (directional preference in volume change), and tissue fractions at inspiration and expiration.

resultsWe derived four distinct imaging-based clusters as possible phenotypes with the sizes of 100, 80, 141, and 85, respectively. Cluster 1 subjects were asymptomatic and showed relatively normal airway structure and lung function except airway wall thickening and moderate emphysema. Cluster 2 subjects populated with obese females showed an increase of tissue fraction at inspiration, minimal emphysema, and the lowest progression rate of emphysema. Cluster 3 subjects populated with older males showed small airway narrowing and a decreased tissue fraction at expiration, both indicating air-trapping. Cluster 4 subjects populated with lean males were likely to be severe COPD subjects showing the highest progression rate of emphysema.

conclusionsQCT imaging-based metrics for former smokers allow for the derivation of statistically stable clusters associated with unique clinical characteristics. This approach helps better categorization of COPD sub-populations; suggesting possible quantitative structural and functional phenotypes.

Indexed as

AgedCohort StudiesCross-Sectional StudiesFemaleForced Expiratory VolumeHumansImaging, Three-DimensionalMaleMiddle AgedOutcome Assessment, Health CarePulmonary Disease, Chronic ObstructiveSmokingTomography, X-Ray ComputedCOPDEmphysemaFormer smokersFunctional small airway diseaseImaging-based cluster analysis

Identifiers

PMID31307479
PMCPMC6631615

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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.