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Peer-Reviewed Publication
ERJ Open Res2026;12(3)May 1, 2026Journal Article

e-Lung computed tomography biomarkers are associated with outcomes in fibrotic interstitial lung diseases.

Katharina Abbasi Dezfouli1,2, Anand Devaraj3,4,5, Finja A Ottink5, Christian Rennison-Jones5, Aliki Sifostratoudaki5, Claire Fernandez5, Oyunbileg von Stackelberg1,2, Hans-Ulrich Kauczor1,2, Manuel Debic1, Kai Schlamp6, Katharina Buschulte2,7, Claus Peter Heussel2,6, James H Briggs5, Stephen Gerry8, George W J Harston5,9, Wassim Bou-Zeid5, Olivier Joly5, Peter M George3,4,5, Michael Kreuter10
1Department of Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, Germany.
2Translational Lung Research Center Heidelberg (TLRC), German Center for Lung Research (DZL), Heidelberg, Germany.
3Interstitial Lung Disease Unit, Royal Brompton Hospital, London, UK.
4National Heart and Lung Institute, Imperial College London, London, UK.
5Brainomix, Oxford, UK.
6Department of Diagnostic and Interventional Radiology with Nuclear Medicine, Thoraxklinik at University Hospital Heidelberg, Heidelberg, Germany.
7Center for Interstitial and Rare Lung Diseases, Pneumology and Respiratory Critical Care Medicine, Thoraxklinik, Heidelberg, Germany.
8Centre for Statistics in Medicine, University of Oxford, Oxford, UK.
9Acute General Medicine, Oxford University Hospitals NHSFT, Oxford, UK.
10Mainz Center for Pulmonary Medicine, Department of Pneumology, Mainz University Medical Center and Department of Pulmonary, Critical Care and Sleep Medicine, Marienhaus Clinic Mainz, Mainz, Germany.

Abstract

BACKGROUND: The e-Lung weighted reticulovascular score (WRVS) is an automated computed tomography biomarker that quantifies interstitial lung disease (ILD) severity and is associated with prognosis in patients with idiopathic pulmonary fibrosis (IPF). The aims of the present study were to evaluate WRVS as a prognostic factor in patients with non-IPF ILD. METHODS: The test cohort comprised patient…

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