Quantitative Analysis of Interstitial Lung Disease via AI-Enhanced Chest CT in Patients with Idiopathic Inflammatory Myopathies: Correlation with Expert Visual Evaluation in 107 Cases - Summary - MDSpire

Quantitative Analysis of Interstitial Lung Disease via AI-Enhanced Chest CT in Patients with Idiopathic Inflammatory Myopathies: Correlation with Expert Visual Evaluation in 107 Cases

  • By

  • Youlia Kuzmanovic

  • Amira Benattia

  • Amandine Laporte

  • Kubéraka Mariampillai

  • Yves Allenbach

  • Yurdagül Uzunhan

  • Pierre-Yves Brillet

  • Phillipe A. Grenier

  • Victoria Donciu

  • Nicoletta Pasi

  • Olivier Benveniste

  • Alban Redheuil

  • Samia Boussouar

  • February 26, 2026

  • 0 min

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Objective:

To compare a commercially available AI-based chest HRCT analysis tool with semi-quantitative visual scoring by an experienced thoracic radiologist for quantifying ILD lesions in patients with IIM-associated ILD, highlighting the potential for improved diagnostic accuracy.

Key Findings:
  • AI-based analysis provided objective quantification of ILD lesions, potentially reducing observer variability.
  • Visual scoring by radiologists showed variability, particularly for subtle changes, indicating a need for standardized assessment.
  • AI metrics correlated with disease severity and functional impairment, suggesting their utility in clinical monitoring.
Interpretation:

AI-enhanced HRCT analysis may improve the objectivity and reproducibility of ILD assessment in IIM patients, potentially aiding in clinical decision-making.

Limitations:
  • Study conducted at a single center, limiting generalizability and introducing potential selection bias.
  • Small sample size may affect the robustness of findings.
  • Variability in HRCT acquisition techniques among patients may influence results.
Conclusion:

AI-based HRCT analysis shows promise for quantifying ILD in IIM patients, potentially serving as a reliable imaging biomarker that could enhance clinical decision-making and patient management.

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