Comprehensive radiologic-pathologic correlation in systemic sclerosis-associated interstitial lung disease: identification of an early-stage CT findings
SSc-ILD demonstrates predominantly diffuse fibrotic changes. Irregular reticulation with traction bronchiolectasis indicates UIP-like features, potentially identifying patients at risk for progression. FANO, observed most commonly in anterolateral upper lobes, frequently progresses to reticulation on longitudinal follow-up, suggesting potential value for early-stage detection. SSc-ILD demonstrated diffuse fibrotic changes as a characteristic feature, while irregular reticulation with traction bronchiolectasis indicated UIP-like fibrosis with severe architectural destruction. FANO, a newly described finding observed in 64% of cases, was predominantly in anterolateral upper lobes and corresponded to perivenular fibrosis and peribronchiolar metaplasia, representing potential early-stage changes.
Authors
- Hiromitsu Sumikawa (ORCID: https://orcid.org/0000-0002-4521-5019)
- Hiroya Ojiri (ORCID: https://orcid.org/0000-0002-5573-6299)
- Kensuke Kataoka (ORCID: https://orcid.org/0000-0002-3944-6881)
- Tomonori Tanaka (ORCID: https://orcid.org/0009-0002-1900-7117)
- Mikiko Hashisako (ORCID: https://orcid.org/0000-0001-5245-7342)
- Takeshi Johkoh (ORCID: https://orcid.org/0000-0003-1237-2349)
- Midori Ueno (ORCID: https://orcid.org/0009-0000-1506-1306)
- Mai Matsumura (ORCID: https://orcid.org/0000-0002-2543-3756)
- Yuki Ko (ORCID: https://orcid.org/0000-0003-1455-4453)
- Ryoko Egashira (ORCID: https://orcid.org/0000-0001-7566-546X)
- Junya Fukuoka (ORCID: https://orcid.org/0000-0002-2496-3050)
- Yasuhiko Yamano (ORCID: https://orcid.org/0000-0002-7779-9215)
- Tomoki Kimura (ORCID: https://orcid.org/0000-0001-9745-3329)
- Taiki Fukuda (ORCID: https://orcid.org/0000-0001-9173-738X)
- Yasuhiro KONDOH
- Hiroto Hatabu (ORCID: https://orcid.org/0000-0003-1436-2988)
- Reoto Takei (ORCID: https://orcid.org/0000-0003-1698-2304)
- Junya Tominaga
- Daisuke Yamada (ORCID: https://orcid.org/0000-0001-6638-3540)
- Kaori Ishida (ORCID: https://orcid.org/0000-0001-6363-0964)
- Y. Nakamura (ORCID: https://orcid.org/0000-0001-6709-2876)
Institutions
- Jikei University School of Medicine (JP)
- Kansai Medical University (JP)
- Brigham and Women's Hospital (US)
- Kyushu University (JP)
- Harvard University (US)
- Aichi Medical University (JP)
- Saga University (JP)
- Kobe University Hospital (JP)
- Tohoku University Hospital (JP)
- Kyushu University Hospital (JP)
- Kansai Rosai Hospital (JP)
- Saitama Medical University Hospital (JP)
- Tosei General Hospital (JP)
- NHO Kinki Chuo Chest Medical Center (JP)
- Nagasaki University (JP)
- University College London (GB)
- Saitama Medical University (JP)
- The University of Osaka (JP)
Publication Details
- Journal
- Japanese Journal of Radiology
- Published
- 2025-12-18
- DOI
- https://doi.org/10.1007/s11604-025-01922-2
- Primary Topic
- Systemic Sclerosis and Related Diseases
- Type
- article
- Field-Weighted Citation Impact
- 0.00