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May 20, 2026American Journal of Respiratory and Critical Care Medicine

B23-20 Quantitative CT Detects Changes in Parenchymal, Airway and Vascular Features in Familial Pulmonary Fibrosis Relatives With Interstitial Lung Abnormalities

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Authors

JKJ KropskiSGS GhosalJCJ Costa

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Overview

Randomized trial characterizes vascular and airway changes in relatives of familial pulmonary fibrosis patients, suggesting early detection of disease progression.

Key Points

  • The aim was to characterize airway, vascular, and parenchymal features in first-degree relatives of familial pulmonary fibrosis patients with and without interstitial lung abnormalities.
  • Analyzed HRCT scans of 227 first-degree relatives from a longitudinal cohort study.
  • Used unpaired student's T-test to compare qCT parameters between subjects with and without interstitial lung abnormalities.
  • Employed a fully-automated analysis pipeline with manual quality checks on CT images.
  • Significant differences noted in total vascular volume normalized to lung volume (p = 0.008) and mean lung density (p = 0.04).
  • Airway volume normalized to total lung volume trended towards significance (p = 0.099).
  • Changes in vascular structures, airway volumes, and lung density observed in relatives with interstitial lung abnormalities.

Cite This Study

Kropski et al. (2026) studied this question.

synapsesocial.com/papers/6a0d5132f03e14405aa9da7bhttps://doi.org/10.1093/ajrccm/aamag162.2457
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