Evidence map›Paper›PMID 41371655›Full record

ArticleInternal medicine (Tokyo, Japan)2026

Changes in the Quantitative Computed Tomography Values in Drug-associated Interstitial Lung Disease Caused by Non-anticancer Drugs.

Junko Itano, Hisao Higo, Goro Kimura, Megumi Takemoto, Noriko Hayashibara, Yasushi Tanimoto

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Article in Internal medicine (Tokyo, Japan), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Junko ItanoDepartment of Allergy and Respiratory Medicine, National Hospital Organization Minami-Okayama Medical Center, Japan.
Hisao HigoDepartment of Allergy and Respiratory Medicine, Okayama University Hospital, Japan.
Goro KimuraDepartment of Allergy and Respiratory Medicine, National Hospital Organization Minami-Okayama Medical Center, Japan.
Megumi TakemotoDepartment of Radiology, National Hospital Organization Minami-Okayama Medical Center, Japan.
Noriko HayashibaraDepartment of Radiology, National Hospital Organization Minami-Okayama Medical Center, Japan.
Yasushi TanimotoDepartment of Allergy and Respiratory Medicine, National Hospital Organization Minami-Okayama Medical Center, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective A quantitative computed tomography (QCT) analysis based on whole-lung density (WLD) histograms helps monitor the state of interstitial lung disease. We investigated the changes in QCT metrics in patients with drug-associated interstitial lung disease (DILD) and their correlation with inflammatory markers. Methods A QCT analysis using a 3D Slicer software program based on a WLD histogram was performed, excluding patients treated with anticancer agents or those undergoing treatment for malignant tumors to eliminate the effect of tumor size on QCT values. We evaluated the percentages of high attenuation areas (HAA%) at -700 Hounsfield Units (HU) (HAA%-700), -600 HU (HAA%-600), and from -600 to -250 HU [HAA%-(600-250)].Materials We analyzed patients diagnosed with DILD at our hospital between July 2013 and October 2024. Results The HAA%-700, HAA%-600, and HAA%-(600-250) values were significantly higher at diagnosis compared to the post-treatment values (28.14±13.60% versus 15.64±9.70%, p=0.0002; 18.45±10.40% versus 9.88±6.26%, p=0.0002; and 14.00±8.14% versus 7.65±4.72%, p=0.0002, respectively). The steroid-treated group had higher inflammatory marker levels than the non-steroid-treated group at the time of diagnosis. The HAA%-600 was significantly higher in the steroid-treated group than that in the non-steroid-treated group (21.42±12.35% vs. 13.18±4.31%, p=0.0128). The HAA%-700, HAA%-600, and HAA%-(600-250) values correlated with the inflammatory marker values. Conclusion The HAA% values in patients with DILD were significantly higher at diagnosis than after treatment and they also correlated with the inflammatory marker values.

Indexed as

Lung Diseases, InterstitialTomography, X-Ray ComputedAgedBiomarkersFemaleHumansLungMaleMiddle AgedRetrospective StudiesBiomarkers3D Slicerdrug-associated interstitial lung diseaseinflammatory markersnon-anticancer drugsquantitative computed tomographywhole-lung density histogram

Identifiers

PMID41371655
PMCPMC13521624

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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.