Evidence map›Paper›PMID 38319169›Full record

ArticleRadiology2024

Improving Prognostication in Pulmonary Hypertension Using AI-quantified Fibrosis and Radiologic Severity Scoring at Baseline CT.

Krit Dwivedi, Michael Sharkey, Liam Delaney, Samer Alabed, Smitha Rajaram, Catherine Hill, Christopher Johns, Alexander Rothman, Michail Mamalakis, A A Roger Thompson and 4 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
8.8field-weighted citation impact, top 2% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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  9. Journal of preventive medicine and hygiene · 2026
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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

14 authors at 1 institution in 1 country.

Krit DwivediFrom the Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Glossop Rd, Sheffield S10 2JF, England (K.D., L.D., A.R., M.M., A.A.R.T., J.W., R.C., D.G.K., A.J.S.); Department of Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (M.S., S.A., S.R., C.H., C.J.); and Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (R.C., D.G.K.).ORCID 0000-0003-4949-4550
Michael SharkeyFrom the Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Glossop Rd, Sheffield S10 2JF, England (K.D., L.D., A.R., M.M., A.A.R.T., J.W., R.C., D.G.K., A.J.S.); Department of Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (M.S., S.A., S.R., C.H., C.J.); and Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (R.C., D.G.K.).ORCID 0000-0001-9851-0014
Liam DelaneyFrom the Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Glossop Rd, Sheffield S10 2JF, England (K.D., L.D., A.R., M.M., A.A.R.T., J.W., R.C., D.G.K., A.J.S.); Department of Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (M.S., S.A., S.R., C.H., C.J.); and Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (R.C., D.G.K.).ORCID 0000-0003-2894-1622
Samer AlabedFrom the Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Glossop Rd, Sheffield S10 2JF, England (K.D., L.D., A.R., M.M., A.A.R.T., J.W., R.C., D.G.K., A.J.S.); Department of Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (M.S., S.A., S.R., C.H., C.J.); and Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (R.C., D.G.K.).ORCID 0000-0002-9960-7587
Smitha RajaramFrom the Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Glossop Rd, Sheffield S10 2JF, England (K.D., L.D., A.R., M.M., A.A.R.T., J.W., R.C., D.G.K., A.J.S.); Department of Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (M.S., S.A., S.R., C.H., C.J.); and Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (R.C., D.G.K.).ORCID 0000-0001-5010-2353
Catherine HillFrom the Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Glossop Rd, Sheffield S10 2JF, England (K.D., L.D., A.R., M.M., A.A.R.T., J.W., R.C., D.G.K., A.J.S.); Department of Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (M.S., S.A., S.R., C.H., C.J.); and Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (R.C., D.G.K.).ORCID 0009-0001-8304-6244
Christopher JohnsFrom the Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Glossop Rd, Sheffield S10 2JF, England (K.D., L.D., A.R., M.M., A.A.R.T., J.W., R.C., D.G.K., A.J.S.); Department of Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (M.S., S.A., S.R., C.H., C.J.); and Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (R.C., D.G.K.).ORCID 0000-0003-3724-0430
Alexander RothmanFrom the Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Glossop Rd, Sheffield S10 2JF, England (K.D., L.D., A.R., M.M., A.A.R.T., J.W., R.C., D.G.K., A.J.S.); Department of Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (M.S., S.A., S.R., C.H., C.J.); and Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (R.C., D.G.K.).ORCID 0000-0002-7847-4500
Michail MamalakisFrom the Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Glossop Rd, Sheffield S10 2JF, England (K.D., L.D., A.R., M.M., A.A.R.T., J.W., R.C., D.G.K., A.J.S.); Department of Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (M.S., S.A., S.R., C.H., C.J.); and Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (R.C., D.G.K.).
A A Roger ThompsonFrom the Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Glossop Rd, Sheffield S10 2JF, England (K.D., L.D., A.R., M.M., A.A.R.T., J.W., R.C., D.G.K., A.J.S.); Department of Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (M.S., S.A., S.R., C.H., C.J.); and Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (R.C., D.G.K.).ORCID 0000-0002-0717-4551
Jim WildFrom the Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Glossop Rd, Sheffield S10 2JF, England (K.D., L.D., A.R., M.M., A.A.R.T., J.W., R.C., D.G.K., A.J.S.); Department of Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (M.S., S.A., S.R., C.H., C.J.); and Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (R.C., D.G.K.).ORCID 0000-0002-7246-8660
Robin CondliffeFrom the Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Glossop Rd, Sheffield S10 2JF, England (K.D., L.D., A.R., M.M., A.A.R.T., J.W., R.C., D.G.K., A.J.S.); Department of Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (M.S., S.A., S.R., C.H., C.J.); and Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (R.C., D.G.K.).
David G KielyFrom the Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Glossop Rd, Sheffield S10 2JF, England (K.D., L.D., A.R., M.M., A.A.R.T., J.W., R.C., D.G.K., A.J.S.); Department of Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (M.S., S.A., S.R., C.H., C.J.); and Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (R.C., D.G.K.).ORCID 0000-0003-0184-6502
Andrew J SwiftFrom the Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Glossop Rd, Sheffield S10 2JF, England (K.D., L.D., A.R., M.M., A.A.R.T., J.W., R.C., D.G.K., A.J.S.); Department of Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (M.S., S.A., S.R., C.H., C.J.); and Sheffield Pulmonary Vascular Disease Unit, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, England (R.C., D.G.K.).ORCID 0000-0002-8772-409X
Sheffield Teaching Hospitals NHS Foundation Trust · GB

Funding

Medical Research Council MR/M008894/1Wellcome Trust
6 · The paper itself

Abstract

Background There is clinical need to better quantify lung disease severity in pulmonary hypertension (PH), particularly in idiopathic pulmonary arterial hypertension (IPAH) and PH associated with lung disease (PH-LD). Purpose To quantify fibrosis on CT pulmonary angiograms using an artificial intelligence (AI) model and to assess whether this approach can be used in combination with radiologic scoring to predict survival. Materials and Methods This retrospective multicenter study included adult patients with IPAH or PH-LD who underwent incidental CT imaging between February 2007 and January 2019. Patients were divided into training and test cohorts based on the institution of imaging. The test cohort included imaging examinations performed in 37 external hospitals. Fibrosis was quantified using an established AI model and radiologically scored by radiologists. Multivariable Cox regression adjusted for age, sex, World Health Organization functional class, pulmonary vascular resistance, and diffusing capacity of the lungs for carbon monoxide was performed. The performance of predictive models with or without AI-quantified fibrosis was assessed using the concordance index (C index). Results The training and test cohorts included 275 (median age, 68 years [IQR, 60-75 years]; 128 women) and 246 (median age, 65 years [IQR, 51-72 years]; 142 women) patients, respectively. Multivariable analysis showed that AI-quantified percentage of fibrosis was associated with an increased risk of patient mortality in the training cohort (hazard ratio, 1.01 [95% CI: 1.00, 1.02];

Indexed as

Hypertension, PulmonaryPulmonary FibrosisRadiologyAdultAgedArtificial IntelligenceFemaleHumansRetrospective StudiesTomography, X-Ray Computed

Identifiers

PMID38319169
PMCPMC10902594
OpenAlexW4391576990

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Registered trials

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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.