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Conexiant chevron_right Rheumatology chevron_right Lung Ultrasound Identifies RA Associated ILD Earlier
From the Journals

Lung Ultrasound Identifies RA-Associated ILD Earlier

Lung ultrasound is a promising tool for early detection of RA-ILD, outperforming symptom-based questionnaires or the presence of dyspnea or cough

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  1. Lung ultrasound (LUS) may be effective for screening interstitial lung disease (ILD) in patients with rheumatoid arthritis.
  2. LUS demonstrated superior diagnostic accuracy compared to traditional symptom-based assessments.
  3. The study involved 116 adult patients with RA who underwent high-resolution computed tomography (HRCT) scans, pulmonary function tests (PFT), and LUS.
  4. B-line presence correlated strongly with HRCT-confirmed ILD.
  5. LUS was considered a promising tool for early detection of RA-ILD.
  6. Using a threshold of five B-lines on LUS resulted in 100% sensitivity for detecting advanced ILD and 94.4% sensitivity for identifying subclinical or clinical ILD.
  7. LUS is a radiation-free, cost-effective alternative to HRCT for ILD screening.
  8. Further studies are needed to establish standardized protocols and define optimal B-line thresholds for clinical use.

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