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ArticleCHEST pulmonary2025

Detection of Airway Remodeling in Asthma Using Bronchoscopic Optical Coherence Tomography.

Pieta C Wijsman, Lisa H van Smoorenburg, Richard M van den Elzen, Annika W M Goorsenberg, Julia N S d'Hooghe, Orestes A Carpaij, Martijn C Nawijn, Paul R Bloemen, Inge A H van den Berk, Craig J Galban and 6 more

2 registry-linked trialsAbstract read
In one paragraph

Article in CHEST pulmonary, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02225392 nacompletednot on this map

Unravelling Targets of Therapy in Bronchial Thermoplasty in Severe Asthma

TypeinterventionalSponsorAcademisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)Ran2014 to 2019Enrolled40ConditionsAsthma, Bronchial AsthmaArmsBronchial thermoplasty, Alair system (Boston Scientific, USA)
NCT03141814 unknown statusnot on this map

A Better Understanding of Molecular Mechanisms Leading to Asthma and Its Remission

TypeobservationalSponsorUniversity Medical Center GroningenRan2015 to 2018Enrolled80ConditionsAsthma
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Pieta C WijsmanDepartment of Pulmonary Medicine, Amsterdam UMC, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Lisa H van SmoorenburgDepartment of Pulmonary Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Richard M van den ElzenDepartment of Biomedical Engineering and Physics, Amsterdam UMC, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Annika W M GoorsenbergDepartment of Pulmonary Medicine, Amsterdam UMC, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Julia N S d'HoogheDepartment of Pulmonary Medicine, Amsterdam UMC, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Orestes A CarpaijDepartment of Pulmonary Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Martijn C NawijnDepartment of Pathology and Medical Biology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Paul R BloemenDepartment of Biomedical Engineering and Physics, Amsterdam UMC, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Inge A H van den BerkDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Craig J GalbanDepartment of Radiology, Michigan Medicine, University of Michigan, Ann Arbor, MI.
Alex J BellDepartment of Radiology, Michigan Medicine, University of Michigan, Ann Arbor, MI.
Oliver WeinheimerDepartment of Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany.
Daniel M de BruinDepartment of Biomedical Engineering and Physics, Amsterdam UMC, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Jouke T AnnemaDepartment of Pulmonary Medicine, Amsterdam UMC, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Maarten van den BergeDepartment of Pulmonary Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Peter I BontaDepartment of Pulmonary Medicine, Amsterdam UMC, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

Funding

An Early Imaging Marker of EmphysemaR01HL139690 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GALBAN, CRAIG J · 2019 to 2022
$1.9M
NHLBI NIH HHS R01 HL139690
6 · The paper itself

Abstract

Background: Airway remodeling is an asthma disease hallmark that relates to asthma severity and progression. We investigated airway wall remodeling using bronchoscopic optical coherence tomography (OCT) to assess airway wall composition reflecting its extracellular matrix components and Research Question: Can OCT and HRCT imaging be used to detect differences in airway remodeling among healthy control participants, patients with mild to moderate asthma, and patients with severe asthma, and how does remodeling correlate with clinical disease severity and other parameters? Study Design and Methods: The study population included 16 healthy control participants, 15 patients with mild to moderate asthma, and 18 patients with severe asthma. All participants were characterized extensively clinically, and both OCT and HRCT imaging were performed. Results: OCT imaging high-intensity scattering area was increased in patients with severe asthma in medium airways compared with patients with mild to moderate asthma and healthy control participants. HRCT imaging-derived AWT was significantly higher in patients with asthma when compared with that of healthy control participants, but did not differentiate between levels of asthma severity. Overall in patients with asthma, a higher HRCT imaging AWT and OCT imaging high-intensity scattering area were associated with poor asthma control. Additionally, a thicker airway wall was associated with more severe airflow obstruction and higher blood eosinophil and neutrophil counts, whereas a larger high-intensity scattering area was associated with a lower number of blood eosinophils. Interpretation: OCT and HRCT imaging provide different and additional information on airway wall remodeling in asthma. Bronchoscopic OCT imaging high-intensity area increases with asthma severity and correlates with poor asthma control, which emphasizes the potential of OCT imaging for assessing disease severity and therapeutic responses in patients with asthma. Trial Registry: ClinicalTrials.gov; Nos.: NCT03141814 and NCT02225392; URL: www.clinicaltrials.gov.

Indexed as

airway remodelingasthmaextracellular matrixhigh-resolution CToptical coherence tomography

Identifiers

PMID42548535
PMCPMC13418684

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.