Evidence map›Paper›PMID 42807839›Full record

ArticleERJ open research2026

Systematic review of artificial intelligence and digital-automated tools for screening, diagnosis and characterisation of primary ciliary dyskinesia.

Panayiotis Kouis, Mathieu Bottier, Nisreen Rumman, Mia Shanks, Joren Buekers, Dimitrios Megaritis, Andreas Protopapas, Amelia Shoemark, Myrofora Goutaki, Claire Jackson

Abstract read
In one paragraph

Article in ERJ open research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Panayiotis KouisRespiratory Physiology Laboratory, Medical School, University of Cyprus, Nicosia, Cyprus.ORCID https://orcid.org/0000-0003-0511-5352
Mathieu BottierRoyal Brompton Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-3148-6491
Nisreen RummanDepartment of Pediatrics, Washington University School of Medicine, Saint Louis, MO, USA.
Mia ShanksDivision of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, University of Dundee, Dundee, UK.
Joren BuekersISGlobal, Barcelona, Spain.ORCID https://orcid.org/0000-0003-4866-5741
Dimitrios MegaritisNorthumbria University, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0001-6786-4346
Andreas ProtopapasRespiratory Physiology Laboratory, Medical School, University of Cyprus, Nicosia, Cyprus.
Amelia ShoemarkDivision of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, University of Dundee, Dundee, UK.ORCID https://orcid.org/0000-0001-7360-6060
Myrofora GoutakiInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0001-8036-2092
Claire JacksonUniversity of Southampton Faculty of Medicine, School of Clinical and Experimental Sciences, Southampton, UK.ORCID https://orcid.org/0000-0002-1200-0935

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Primary ciliary dyskinesia (PCD) is a rare, multigenic disorder of impaired mucociliary clearance leading to a spectrum of disease including chronic respiratory infection and bronchiectasis. PCD is phenotypically variable causing diagnostic challenges. PCD is underdiagnosed, and when it is made, diagnosis is often delayed. We describe evidence for use of digital-automated applications and/or artificial intelligence (AI) to improve PCD screening, diagnosis and characterisation. Methods: A systematic literature search (2004-2025) was conducted across PubMed, Embase and BioRxiv/MedRxiv (PROSPERO:CRD42024605689) by members of the ERS BEAT-PCD Clinical Research Collaboration (CRC). Screening and data extraction was performed by two independent reviewers and findings summarised qualitatively. In collaboration with the digital health ERS CONNECT CRC network, a narrative discussion focused on steps to real-world implementation. Results: Of 770 screened abstracts, 73 full-texts were assessed and 28 PCD-relevant studies with automated digital and/or AI-driven tools were included in the qualitative synthesis. Tools for enhanced ciliary function, ciliary ultrastructure and ciliary protein immunofluorescence analysis were presented in 17 studies. 11 papers presented tools to screen e-health records for PCD, stratify patients by genotype and phenotype, or characterise computed tomography parameters. Conclusions: Tools are available that could improve PCD diagnostic accuracy and reduce time-to-diagnosis. Studies were often single-centre, retrospective and of small sample size. The development of automated-digital tools or AI-driven tools requires representative patient datasets, human expert judgement to interpret and continual safety auditing. External validation is paramount before adaptation of healthcare systems, with adherence to EU AI Act framework to ensure accountability and safeguard against misuse. Simplified tools and philanthropic partnerships could facilitate implementation of new systems in resource limited settings.

Identifiers

PMID42807839
PMCPMC13617595

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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.