Evidence map›Paper›PMID 40552679›Full record

ArticleClinical transplantation2025

Predicting Primary Graft Dysfunction in Systemic Sclerosis Lung Transplantation Using Machine-Learning and CT Features.

Jatin Singh, Xin Meng, Joseph K Leader, John Ryan, Lucas Pu, Rachel Deitz, Ernest G Chan, Norihisa Shigemura, Chadi A Hage, Pablo G Sanchez and 1 more

Abstract read
In one paragraph

Article in Clinical transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Review
  2. 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

11 authors.

Jatin SinghDepartment of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-1267-1533
Xin MengDepartment of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Joseph K LeaderDepartment of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
John RyanDivision of Lung Transplant and Lung Failure, Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Lucas PuDepartment of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Rachel DeitzDivision of Lung Transplant and Lung Failure, Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-6494-599X
Ernest G ChanDepartment of Surgery, Section of Thoracic Surgery, University of Chicago, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0001-9849-6371
Norihisa ShigemuraDivision of Lung Transplant and Lung Failure, Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Chadi A HageDivision of Pulmonary Medicine and Critical Care, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Pablo G SanchezDepartment of Surgery, Section of Thoracic Surgery, University of Chicago, Chicago, Illinois, USA.
Jiantao PuDepartment of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Funding

Macro-vasculature: A Novel Image Biomarker of Lung CancerR01CA237277 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PU, JIANTAO · 2020 to 2024
$2.8M
An Automated Frailty Scoring System for Lung Transplantation Based on Bio-Geo-CompositionR01HL174570 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Chadi Antonios Hage, Jiantao Pu · 2024 to 2026
$1.3M
National Institutes of Health (NIH) R01CA237277National Institutes of Health (NIH) R01HL174570NCI NIH HHS R01 CA237277NHLBI NIH HHS R01 HL174570(NIH) R01CA237277(NIH) R01HL174570NIH HHSUPMC Hillman Developmental Pilot Program
6 · The paper itself

Abstract

introductionPrimary graft dysfunction (PGD) is a significant barrier to survival in lung transplant (LTx) recipients. PGD in patients with systemic sclerosis (SSc) remains especially underrepresented in research.

methodsWe investigated 92 SSc recipients (mean age 51 years ± 10) who underwent bilateral LTx between 2007 and 2020. PGD was defined as grade 3 PGD at 72 h post-LTx. A comprehensive set of CT image features was automatically computed from recipient chest CT scans using deep learning algorithms. Volumetric analysis of recipients' lungs and chest cavity was used to estimate lung-size matching. Four machine learning (ML) algorithms were developed to predict PGD, including multivariate logistic regression, support vector machine (SVM), random forest classifier (RFC), and multilayer perceptron (MLP).

resultsPGD was significantly associated with BMI >30 kg/m

conclusionCT-derived features are significantly associated with PGD, and models incorporating these features can predict PGD in SSc recipients.

Indexed as

Lung TransplantationMachine LearningPrimary Graft DysfunctionScleroderma, SystemicTomography, X-Ray ComputedAdultFemaleFollow-Up StudiesGraft SurvivalHumansMaleMiddle AgedPrognosisRetrospective StudiesRisk Factorsacute rejectionlung transplantationmachine learningprimary graft dysfunctionsclerodermasystemic sclerosis

Identifiers

PMID40552679
PMCPMC12967316

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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.