Evidence map›Paper›PMID 35508493›Full record

ArticleScientific reports2022

Mosaic attenuation in non-fibrotic areas as a predictor of non-usual interstitial pneumonia pathologic diagnosis.

Ignacio Gayá García-Manso, Juan Arenas-Jiménez, Raquel García-Sevila, Sandra Ruiz-Alcaraz, Marina Sirera-Matilla, Elena García-Garrigós, María Ángeles Martínez-García, Luis Hernández-Blasco

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Ignacio Gayá García-MansoDepartment of Pulmonology, ISABIAL, Hospital General Universitario Dr. Balmis, Pintor Baeza, 11, 03010, Alicante, Spain. nachogaya@gmail.com.ORCID 0000-0001-7228-061X
Juan Arenas-JiménezDepartment of Radiology, ISABIAL, Hospital General Universitario Dr. Balmis, Alicante, Spain.
Raquel García-SevilaDepartment of Pulmonology, ISABIAL, Hospital General Universitario Dr. Balmis, Pintor Baeza, 11, 03010, Alicante, Spain.ORCID 0000-0002-4218-793X
Sandra Ruiz-AlcarazDepartment of Pulmonology, ISABIAL, Hospital General Universitario de Elche, Alicante, Spain.
Marina Sirera-MatillaDepartment of Radiology, ISABIAL, Hospital General Universitario Dr. Balmis, Alicante, Spain.
Elena García-GarrigósDepartment of Radiology, ISABIAL, Hospital General Universitario Dr. Balmis, Alicante, Spain.
María Ángeles Martínez-GarcíaDepartment of Pulmonology, ISABIAL, Hospital General Universitario Dr. Balmis, Pintor Baeza, 11, 03010, Alicante, Spain.
Luis Hernández-BlascoDepartment of Pulmonology, ISABIAL, Hospital General Universitario Dr. Balmis, Pintor Baeza, 11, 03010, Alicante, Spain.ORCID 0000-0001-7484-2452
Hospital General Universitario de Alicante Doctor Balmis · ESHospital General Universitario de Elche · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The new radiological diagnostic criteria for diagnosing idiopathic pulmonary fibrosis (IPF) seek to optimize the indications for surgical lung biopsy (SLB). We applied the new criteria to a retrospective series of patients with interstitial lung disease (ILD) who underwent SLB in order to analyse the correlation between the radiological findings suggestive of another diagnosis (especially mosaic attenuation and its location with respect to fibrotic areas) and the usual interstitial pneumonia (UIP) pathologic diagnosis. Two thoracic radiologists reviewed the HRCT images of 83 patients with ILD and SLB, describing the radiological findings and patterns based on the new criteria. The association of each radiological finding with radiological patterns and histology was analysed. Mosaic attenuation is highly prevalent in both the UIP and non-UIP pathologic diagnosis and with similar frequency (80.0% vs. 78.6%). However, the presence of significant mosaic attenuation (≥ 3 lobes) only in non-fibrotic areas was observed in 60.7% of non-UIP pathologic diagnosis compared to 20.0% in UIP. This finding was associated with other diagnoses different from IPF, mostly connective tissue disease-associated interstitial lung disease (CTD-ILD) and hypersensitivity pneumonitis (HP). In our series of pathologically confirmed ILD, mosaic attenuation in non-fibrotic areas was a predictor of non-UIP pathologic diagnosis, and was associated with other diagnoses different from UIP, mostly CTD-ILD and HP. If confirmed in larger series, this finding could constitute a valuable tool for improving the interpretation of radiological.

Indexed as

Alveolitis, Extrinsic AllergicIdiopathic Pulmonary FibrosisLung Diseases, InterstitialBiopsyHumansLungRetrospective StudiesTomography, X-Ray Computed

Identifiers

PMID35508493
PMCPMC9068629
OpenAlexW4225393334

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.