Imaging Patterns Are Associated with Interstitial Lung Abnormality Progression and Mortality.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
AuthorsPutman, Rachel K
Axelsson, Gisli Thor
Miller, Ezra R
Gudmundsson, Elías F
Rosas, Ivan O
Washko, George R
Cho, Michael H
Schwartz, David A
Hunninghake, Gary M
MetadataShow full item record
CitationImaging Patterns Are Associated with Interstitial Lung Abnormality Progression and Mortality. 2019, 200(2):175-183 Am J Respir Crit Care Med
AbstractRationale: Interstitial lung abnormalities (ILA) are radiologic abnormalities on chest computed tomography scans that have been associated with an early or mild form of pulmonary fibrosis. Although ILA have been associated with radiologic progression, it is not known if specific imaging patterns are associated with progression or risk of mortality. Objectives: To determine the role of imaging patterns on the risk of death and ILA progression. Methods: ILA (and imaging pattern) were assessed in 5,320 participants from the AGES-Reykjavik Study, and ILA progression was assessed in 3,167 participants. Multivariable logistic regression was used to assess factors associated with ILA progression, and Cox proportional hazards models were used to assess time to mortality. Measurements and Main Results: Over 5 years, 327 (10%) had ILA on at least one computed tomography, and 1,435 (45%) did not have ILA on either computed tomography. Of those with ILA, 238 (73%) had imaging progression, whereas 89 (27%) had stable to improved imaging; increasing age and copies of MUC5B genotype were associated with imaging progression. The definite fibrosis pattern was associated with the highest risk of progression (odds ratio, 8.4; 95% confidence interval, 2.7-25; P = 0.0003). Specific imaging patterns were also associated with an increased risk of death. After adjustment, both a probable usual interstitial pneumonia and usual interstitial pneumonia pattern were associated with an increased risk of death when compared with those indeterminate for usual interstitial pneumonia (hazard ratio, 1.7; 95% confidence interval, 1.2-2.4; P = 0.001; hazard ratio, 3.9; 95% confidence interval, 2.3-6.8;P < 0.0001), respectively. Conclusions: In those with ILA, imaging patterns can be used to help predict who is at the greatest risk of progression and early death.
DescriptionTo access publisher's full text version of this article click on the hyperlink below
- The <i>MUC5B</i> promoter polymorphism is associated with specific interstitial lung abnormality subtypes.
- Authors: Putman RK, Gudmundsson G, Araki T, Nishino M, Sigurdsson S, Gudmundsson EF, Eiríksdottír G, Aspelund T, Ross JC, San José Estépar R, Miller ER, Yamada Y, Yanagawa M, Tomiyama N, Launer LJ, Harris TB, El-Chemaly S, Raby BA, Cho MH, Rosas IO, Washko GR, Schwartz DA, Silverman EK, Gudnason V, Hatabu H, Hunninghake GM
- Issue date: 2017 Sep
- Development and Progression of Interstitial Lung Abnormalities in the Framingham Heart Study.
- Authors: Araki T, Putman RK, Hatabu H, Gao W, Dupuis J, Latourelle JC, Nishino M, Zazueta OE, Kurugol S, Ross JC, San José Estépar R, Schwartz DA, Rosas IO, Washko GR, O'Connor GT, Hunninghake GM
- Issue date: 2016 Dec 15
- Interstitial lung abnormality is prevalent and associated with worse outcome in patients undergoing transcatheter aortic valve replacement.
- Authors: Kadoch M, Kitich A, Alqalyoobi S, Lafond E, Foster E, Juarez M, Mendez C, Smith TW, Wong G, Boyd WD, Southard J, Oldham JM
- Issue date: 2018 Apr
- Comparison of clinical courses and mortality of connective tissue disease-associated interstitial pneumonias and chronic fibrosing idiopathic interstitial pneumonias.
- Authors: Yıldırım F, Türk M, Bitik B, Erbaş G, Köktürk N, Haznedaroğlu Ş, Türktaş H
- Issue date: 2019 Jun
- Correlation of pulmonary function and usual interstitial pneumonia computed tomography patterns in idiopathic pulmonary fibrosis.
- Authors: Arcadu A, Byrne SC, Pirina P, Hartman TE, Bartholmai BJ, Moua T
- Issue date: 2017 Aug