Mena-Vazquez, NataliaJimenez-Nuñez, Francisco GabrielGodoy-Navarrete, Francisco JavierManrique-Arija, SaraAguilar-Hurtado, Maria CarmenRomero-Barco, Carmen MariaUreña-Garnica, InmaculadaEspildora, FPadin-Martin, Maria IsabelFernandez-Nebro, Antonio2023-02-092023-02-092021-02-21Mena-Vázquez N, Jimenez-Núñez FG, Godoy-Navarrete FJ, Manrique-Arija S, Aguilar-Hurtado MC, Romero-Barco CM, et al. Utility of pulmonary ultrasound to identify interstitial lung disease in patients with rheumatoid arthritis. Clin Rheumatol. 2021 Jun;40(6):2377-2385http://hdl.handle.net/10668/17598Objectives To analyze the diagnostic utility of lung ultrasound (US) to detect interstitial lung disease (ILD) in rheumatoid arthritis (RA) patients comparing with high-resolution computed tomography (HRCT) Patients and methods We performed a cross-sectional, observational study in patients with RA-ILD (cases) controlled with a group of RA patients without ILD (controls) paired by sex, age, and time of disease evolution. Patients were assessed using HRCT, PFT, and US. The main variables were B-line number, evaluation of the lung-US score already described, pleural irregularities, and A pattern US lost. ROC curve analysis was performed to establish the cut-off point of the US B-lines number for detecting the presence of significant RA–ILD in relation to HRCT, and logistic regression analysis was performed to identify the intercostal spaces. Results Seventy-one patients were included, 35 (49.2%) with ILD-RA and 36 (50.8%) RA controls. Regarding US score, we found that the detection of 5.5 lines in a reduced score of 8 intercostal spaces had a sensitivity = 62.2%, specificity = 91.3%, PPV = 88.4%, and NPV = 69.5%. In multivariate analysis, the intercostal spaces which showed independent association with ILD were 3rd right anterior axillary space (OR [IC 95%] 19.0 [1.3–27.5]), 8th right posterior axillary space (OR [IC 95%] 0.04 [0.0–0.6]), 8th right subscapular space (OR [IC 95%] 16.5 [1.8–45.5]), 9th right paravertebral space (OR [IC 95%] 7.11 [1.0–37.1]), and 2nd left clavicular middle space (OR [IC 95%] 21.9 [1.26–37.8]). Conclusions Lung ultrasound could be a useful tool for ILD diagnosis associated with rheumatoid arthritis. A 8-space reduced score showed a similar total predictive capacity than 72-space score.enLungArthritis, RheumatoidSensitivity and SpecificityLung Diseases, InterstitialTomographyLogistic ModelsLung Diseases, InterstitialArthritis, RheumatoidMultivariate AnalysisTomographyresearch article33870467Restricted AccessPulmónArtritis ReumatoideSensibilidad y EspecificidadEnfermedades Pulmonares IntersticialesAnálisis MultivarianteCurva ROC10.1007/s10067-021-05655-11434-9949https://link.springer.com/content/pdf/10.1007/s10067-021-05737-0.pdf