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Published on: August 31, 2017
Analytic Morphomics in Myositis-Related Interstitial Lung Disease
Alexander T O'Mahony1, Patrick J Henry2, Patrick Coghlan3
1Department of Radiology, Cork University Hospital, Cork, Ireland.
Idiopathic inflammatory myopathies (IIM) with interstitial lung disease (ILD) show significant body composition changes on CT scans. Decreased muscle density indicates poorer muscle quality, potentially impacting ILD prognosis.
Area of Science:
- Radiology
- Pulmonology
- Rheumatology
Background:
- Interstitial lung disease (ILD) is a common complication of idiopathic inflammatory myopathies (IIM).
- Assessing body composition changes may offer insights into IIM-ILD prognosis.
- Current methods may not fully capture subtle body composition alterations.
Purpose of the Study:
- To investigate muscle quantity and quality using cross-sectional imaging in IIM patients with ILD.
- To explore the relationship between body composition changes and ILD severity.
Main Methods:
- Retrospective cohort study of 31 IIM-ILD patients.
- Analysis of thoracic CT data for muscle (erector spinae and pectoralis) cross-sectional area and density.
- Morphomic analysis using a web-based tool to segment muscle and fat.
Main Results:
- Patients showed increased muscle area but significantly decreased muscle density (lower Hounsfield Units).
- Subcutaneous fat area increased significantly; visceral fat showed a non-significant increase.
- Reduced pectoralis muscle density correlated inversely with diffusing capacity of the lungs for carbon monoxide (DLCO).
Conclusions:
- CT-derived morphomic analysis reveals significant body composition changes in IIM-ILD patients.
- Increased muscle area with decreased density suggests reduced muscle quality.
- These changes, detectable via imaging, may be relevant for prognosis and early intervention.
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