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Peer-Reviewed Publication
Blood Adv2024;8(19):5156-5165.October 8, 2024Journal Article

CT strain metrics allow for earlier diagnosis of bronchiolitis obliterans syndrome after hematopoietic cell transplant.

Husham Sharifi1, Christopher D Bertini2, Mansour Alkhunaizi1, Maria Hernandez3, Zayan Musa1, Carlos Borges1, Ihsan Turk1, Lara Bashoura4, Burton F Dickey4, Guang-Shing Cheng5, Gregory Yanik6, Craig J Galban7, Huawei Henry Guo8, Myrna C B Godoy4, Joseph M Reinhardt9, Eric A Hoffman9, Mario Castro10, Gabriela Rondon4, Amin M Alousi4, Richard E Champlin4, Elizabeth J Shpall4, Ying Lu11, Samuel Peterson12, Keshav Datta8, Mark R Nicolls1, Joe Hsu1, Ajay Sheshadri2
1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA.
2Division of Pulmonary and Critical Care Medicine, University of Texas Health Science Center, Houston, TX.
3Division of Hospital Medicine, Northwestern University, Chicago, IL.
4Department of Pulmonary Medicine, MD Anderson Cancer Center, Houston, TX.
5Division of Pulmonary, Critical Care and Sleep Medicine, Fred Hutchinson Cancer Center, Seattle, WA.
6Blood and Marrow Transplant Division, University of Michigan Health, Ann Arbor, MI.
7Department of Radiology, Blood and Marrow Transplant Division, University of Michigan Health, Ann Arbor, MI.
8Department of Radiology, Stanford University School of Medicine, Stanford, CA.
9Department of Radiology, University of Iowa, Iowa City, IA.
10Division of Pulmonary, Critical Care and Sleep Medicine, Kansas University Medical Center, Kansas City, KS.
11Department of Biomedical Data Sciences, Stanford University, Stanford, CA.
12VIDA Diagnostics, Inc, Coralville, IA.

Abstract

Bronchiolitis obliterans syndrome (BOS) after hematopoietic cell transplantation (HCT) is associated with substantial morbidity and mortality. Quantitative computed tomography (qCT) can help diagnose advanced BOS meeting National Institutes of Health (NIH) criteria (NIH-BOS) but has not been used to diagnose early, often asymptomatic BOS (early BOS), limiting the potential for early intervention a…

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