Evidence map›Paper›PMID 40620412›Full record

Articlenpj biomedical innovations2025

CT-derived functional imaging biomarkers combined with FEV1 for predicting 10-year all-cause mortality in COPDGene cohort.

Girish Nair, Yuying Judy Xing, Aaron Luong, Faiza Bashar, Amanda Nowacki, Craig Stevens, Lili Zhao, Edward Castillo

Abstract read
In one paragraph

Article in npj biomedical innovations, 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. Article
  2. Review
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

8 authors.

Girish NairDivision of Pulmonary and Critical Care, University of Kentucky, Kentucky, USA.
Yuying Judy XingBiostatistics and Health Informatics, Corewell Health Research Institute, Michigan, USA.
Aaron LuongDepartment of Biomedical Engineering, The University of Texas at Austin, Austin, USA.
Faiza BasharOakland University William Beaumont School of Medicine, Oakland, USA.
Amanda NowackiDepartment of Biomedical Engineering, The University of Texas at Austin, Austin, USA.
Craig StevensDepartment of Radiation Oncology, William Beaumont University Hospital, Royal Oak, USA.
Lili ZhaoDepartment of Preventive Medicine, Northwesten University Feinburg School of Medicine, Chicago, USA.
Edward CastilloDepartment of Biomedical Engineering, The University of Texas at Austin, Austin, USA.

Funding

Genetic Epidemiology of COPDU01HL089897 · NHLBI · NATIONAL JEWISH HEALTH · PI CRAPO, JAMES D · 2007 to 2021
$56.9M
Genetic Epidemiology of COPDU01HL089856 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SILVERMAN, EDWIN K · 2007 to 2021
$20.7M
Comprehensive Training Program in Imaging Science and InformaticsT32EB007507 · NIBIB · UNIVERSITY OF TEXAS AT AUSTIN · PI MARKEY, MIA K, RYLANDER, HENRY GRADY · 2009 to 2024
$2.7M
CT-Derived Functional Imaging for Predicting Disease Progression in COPDR01HL169869 · NHLBI · UNIVERSITY OF TEXAS AT AUSTIN · PI Edward Castillo, Girish Balachandran Nair · 2024 to 2026
$1.1M
NHLBI NIH HHS R01 HL169869NHLBI NIH HHS U01 HL089856NHLBI NIH HHS U01 HL089897NIBIB NIH HHS T32 EB007507
6 · The paper itself

Abstract

This study evaluates the predictive power of CT-derived functional imaging (CTFI) combined with forced expiratory volume in 1 second (FEV1) for 10-year all-cause mortality in COPD patients. We analyzed 8583 participants from the COPDGene® cohort, focusing on 3550 participants with spirometric obstruction. CTFI metrics, including ventilation (CT-V) and perfusion (PBM), were computed from non-contrast CT scans at lobar resolution. Our findings show that regional and global CTFI scores decline with advancing GOLD stages. A Random Survival Forest model, adjusted for age, BMI, and scanner type, demonstrated significant improvement in mortality prediction when combining FEV1 with CTFI, compared to FEV1 alone, with an AUC increase from 0.71 to 0.76 over 10 years. The Net Reclassification Index further confirmed the added predictive value of CTFI. These results suggest that integrating CTFI with traditional lung function measures enhances mortality prediction in COPD, offering a promising tool for clinical risk assessment.

Indexed as

Medical researchPredictive markers

Identifiers

PMID40620412
PMCPMC12227309

What OpenQuestion holds

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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.