Evidence map›Paper›PMID 39975722›Full record

ReviewJournal of thoracic disease2025

Preserved ratio impaired spirometry: clinical, imaging and artificial intelligence perspective.

Qianxi Jin, Ziwei Zhang, Taohu Zhou, Xiuxiu Zhou, Xin'ang Jiang, Yi Xia, Yu Guan, Shiyuan Liu, Li Fan

Abstract readReview
In one paragraph

Review in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

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

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

  1. Pooled it
  2. Article
  3. Article
  4. Small Airway Disease in Pre-COPD and Early COPD: Insights Into the Pulmonary "Silent Zone".International journal of chronic obstructive pulmonary disease · 2026
    Review
  5. 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

9 authors.

Qianxi JinDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Ziwei ZhangDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Taohu ZhouDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Xiuxiu ZhouDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Xin'ang JiangDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Yi XiaDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Yu GuanDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Shiyuan LiuDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Li FanDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Preserved ratio impaired spirometry (PRISm) is a pulmonary function pattern characterized by a forced expiratory volume in one second (FEV1) to forced vital capacity ratio greater than 0.70, with an FEV1 that is below 80% of the predicted value, even after the use of bronchodilators. PRISm is considered a form of "Pre-Chronic Obstructive Pulmonary Disease (Pre-COPD)" within the broader scope of COPD. Clinically, it presents with respiratory symptoms and is more commonly observed in individuals with high body mass index, females, and those who are current smokers. Additionally, it is frequently associated with metabolic disorders and cardiovascular diseases. Regarding prognosis, PRISm shows considerable variation, ranging from improvement in lung function to the development of COPD. In this article, we review the epidemiology, comorbidities, and clinical outcomes of PRISm, with a particular emphasis on the crucial role of imaging assessments, especially computed tomography scans and magnetic resonance imaging (MRI) technology, in diagnosing, evaluating, and predicting the prognosis of PRISm. Comprehensive imaging provides a quantitative evaluation of lung volume, density, airways, and vasculature, while MRI technology can directly quantify ventilation function and pulmonary blood flow. We also emphasize the future potential of X-ray technology in this field. Moreover, the article discusses the application of artificial intelligence, including its role in predicting PRISm subtypes and modeling ventilation function.

Indexed as

chronic obstructive pulmonary disease (COPD)computed tomography imaging (CT imaging)magnetic resonance imaging (MRI)Preserved ratio impaired spirometry (PRISm)

Identifiers

PMID39975722
PMCPMC11833564

What OpenQuestion holds

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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.