Ultrasound Applicability in the Assessment of Patients With Fibrosing Interstitial Lung Disease
LORD
ULtrasOund Applicability in the Assessment of Patients With fibRosing Interstitial Lung Disease (LORD): A Research Protocol of a Single Center, Real-life, Prospective Observational Study
1 other identifier
observational
117
1 country
1
Brief Summary
In this study the investigators want to examine the different ultrasound techniques to assess the patients with lung fibrosis. The investigators want to followup these patients in 1 year to see the changes in lungs, pleura, diaphragm and measurments of overarm and thigh muscles to see that the investigators can identify the patients with lung fibrosis with this methods and monitor the progression. Now a days the CT scan in the lungs needs to monitor these participants, but the investigators want to see the ultrasound can use insted for CT scanning to minitor these pateints. These patient group has very bad prognosis, so it is necessary to identify these patients as early as possible to treatments.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Oct 2024
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 21, 2024
CompletedFirst Submitted
Initial submission to the registry
February 14, 2025
CompletedFirst Posted
Study publicly available on registry
February 25, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 31, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
May 31, 2026
August 7, 2025
August 1, 2025
1.6 years
February 14, 2025
August 1, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Changes in Thoracic ultrasound/ ultrasound (TUS/US) measurments over 12 months in patients with F-ILD.
The investigators want to examine that TUS/US modalities such as B line artifacts (BLA) , interstitial syndrom (IS), pleural abnormalities (PA), diapgragm excursion (DE), lung ultarsound share wave elastography (LUSWE), appendicular lean mass (ALM) are clinically valuable, both individually and in combination for identifying F-ILD and monitoring disease activity. These modalities are expected to predict FVC (%), diffusion capacity of the lung for carbon monoxide (DLCO%), HRCT findings, and clinical symptoms. The invstigators hypothized that F-ILD patients with severe disease are present increased number of BLAs( more than 10 B-lines in minimum 2 lung zones), increased pleural irregularities (in milimeters), decreased DE (DE in milimeters), higher LUSWE velocities (meters and second to m/s), and lower ALM values (Kilogram and meters combined to report ALM kg/m2). The investigators wan to further these modalities serve as dynamic indicators of F-ILD disease activity over time.
12 months. The investigator group will examine patients in baseline (Day 0), after 6 months (day 180) and after 12 months (day 365).
Secondary Outcomes (1)
Measure the association and variability and observer variabilty.
12 months. The investigator group will examine patients in baseline (Day 0), after 6 months (day 180) and after 12 months (day 365).
Study Arms (1)
F-ILD patients
The investigators including the patients with fibrosing interstitial lunge disease (F-ILD) as cohort. Both the patients with idiopathic interstitial lung diseases and progressive pulmnoary fibrosis will include.
Interventions
The investigators want to investigate that TUS/US can use to identify and to monitir the disease progression in the patients with F-ILD
Eligibility Criteria
Patients will be recruited from South Danish Center for ILD (SCILS) under the Department of Respiratory Medicine at Odense University Hospital, Denmark. SCILS receive patients suspected for ILD from both the primary sector within their local areas as well as from all other hospital departments within the region. Annually SCILS asses approximate 1.500 outpatient clinic patients, and 400 new patients referred for assessment. Respiratory physician that work in SCILS informed eligible patients regarding project and the PhD student contact them afterwards.
You may qualify if:
- Patients must be over 18 years.
- Diagnosis of IPF obtained on a multidisciplinary team conference .
- Diagnosis of PPF according to 2022 ATS/ERS/JRS/ALAT Clinical Practice Guideline.
- Ability for subject to comply with the requirements of the study.
- Informed consent.
You may not qualify if:
- Patients not willing to or able to give informed consent.
- Acute exacerbation in F-ILD \< 4 weeks.
- Pregnant and breastfeeding mothers
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Odense University Hospital
Odense, Southern Denmark, 5000, Denmark
Related Publications (41)
Man MA, Dantes E, Domokos Hancu B, Bondor CI, Ruscovan A, Parau A, Motoc NS, Marc M. Correlation between Transthoracic Lung Ultrasound Score and HRCT Features in Patients with Interstitial Lung Diseases. J Clin Med. 2019 Aug 11;8(8):1199. doi: 10.3390/jcm8081199.
PMID: 31405211BACKGROUNDSperandeo M, Varriale A, Sperandeo G, Filabozzi P, Piattelli ML, Carnevale V, Decuzzi M, Vendemiale G. Transthoracic ultrasound in the evaluation of pulmonary fibrosis: our experience. Ultrasound Med Biol. 2009 May;35(5):723-9. doi: 10.1016/j.ultrasmedbio.2008.10.009. Epub 2008 Dec 27.
PMID: 19111972BACKGROUNDSafai Zadeh E, Gorg C, Prosch H, Kifjak D, Dietrich CF, Laursen CB, Findeisen H. Lung Ultrasound and Pleural Artifacts: A Pictorial Review. Diagnostics (Basel). 2024 Jan 13;14(2):179. doi: 10.3390/diagnostics14020179.
PMID: 38248056BACKGROUNDSpiesshoefer J, Herkenrath S, Henke C, Langenbruch L, Schneppe M, Randerath W, Young P, Brix T, Boentert M. Evaluation of Respiratory Muscle Strength and Diaphragm Ultrasound: Normative Values, Theoretical Considerations, and Practical Recommendations. Respiration. 2020;99(5):369-381. doi: 10.1159/000506016. Epub 2020 May 12.
PMID: 32396905BACKGROUNDClay R, Bartholmai BJ, Zhou B, Karwoski R, Peikert T, Osborn T, Rajagopalan S, Kalra S, Zhang X. Assessment of Interstitial Lung Disease Using Lung Ultrasound Surface Wave Elastography: A Novel Technique With Clinicoradiologic Correlates. J Thorac Imaging. 2019 Sep;34(5):313-319. doi: 10.1097/RTI.0000000000000334.
PMID: 29877916BACKGROUNDZhang X, Zhou B, Osborn T, Bartholmai B, Kalra S. Lung Ultrasound Surface Wave Elastography for Assessing Interstitial Lung Disease. IEEE Trans Biomed Eng. 2019 May;66(5):1346-1352. doi: 10.1109/TBME.2018.2872907. Epub 2018 Oct 1.
PMID: 30281430BACKGROUNDSkaarup SH, Lokke A, Laursen CB. The Area method: a new method for ultrasound assessment of diaphragmatic movement. Crit Ultrasound J. 2018 Jun 27;10(1):15. doi: 10.1186/s13089-018-0092-5.
PMID: 29946769BACKGROUNDMendoza L, Gogali A, Shrikrishna D, Cavada G, Kemp SV, Natanek SA, Jackson AS, Polkey MI, Wells AU, Hopkinson NS. Quadriceps strength and endurance in fibrotic idiopathic interstitial pneumonia. Respirology. 2014 Jan;19(1):138-43. doi: 10.1111/resp.12181.
PMID: 24033388BACKGROUNDdu Bois RM, Albera C, Bradford WZ, Costabel U, Leff JA, Noble PW, Sahn SA, Valeyre D, Weycker D, King TE Jr. 6-Minute walk distance is an independent predictor of mortality in patients with idiopathic pulmonary fibrosis. Eur Respir J. 2014 May;43(5):1421-9. doi: 10.1183/09031936.00131813. Epub 2013 Dec 5.
PMID: 24311766BACKGROUNDZhang X, Zhou B, Bartholmai B, Kalra S, Osborn T. A quantitative method for measuring the changes of lung surface wave speed for assessing disease progression of interstitial lung disease. Ultrasound Med Biol. 2019 Mar;45(3):741-748. doi: 10.1016/j.ultrasmedbio.2018.11.003. Epub 2018 Dec 29.
PMID: 30598191BACKGROUNDZhang X, Osborn T, Zhou B, Meixner D, Kinnick RR, Bartholmai B, Greenleaf JF, Kalra S. Lung Ultrasound Surface Wave Elastography: A Pilot Clinical Study. IEEE Trans Ultrason Ferroelectr Freq Control. 2017 Sep;64(9):1298-1304. doi: 10.1109/TUFFC.2017.2707981.
PMID: 28866480BACKGROUNDCruz-Jentoft AJ, Landi F, Schneider SM, Zuniga C, Arai H, Boirie Y, Chen LK, Fielding RA, Martin FC, Michel JP, Sieber C, Stout JR, Studenski SA, Vellas B, Woo J, Zamboni M, Cederholm T. Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS). Age Ageing. 2014 Nov;43(6):748-59. doi: 10.1093/ageing/afu115. Epub 2014 Sep 21.
PMID: 25241753BACKGROUNDDavidsen JR, Schultz HHL, Henriksen DP, Iversen M, Kalhauge A, Carlsen J, Perch M, Graumann O, Laursen CB. Lung Ultrasound in the Assessment of Pulmonary Complications After Lung Transplantation. Ultraschall Med. 2020 Apr;41(2):148-156. doi: 10.1055/a-0783-2466. Epub 2018 Nov 9.
PMID: 30414162BACKGROUNDLaursen CB, Clive A, Hallifax R, Pietersen PI, Asciak R, Davidsen JR, Bhatnagar R, Bedawi EO, Jacobsen N, Coleman C, Edey A, Via G, Volpicelli G, Massard G, Raimondi F, Evison M, Konge L, Annema J, Rahman NM, Maskell N. European Respiratory Society statement on thoracic ultrasound. Eur Respir J. 2021 Mar 4;57(3):2001519. doi: 10.1183/13993003.01519-2020. Print 2021 Mar.
PMID: 33033148BACKGROUNDOsterwalder J, Polyzogopoulou E, Hoffmann B. Point-of-Care Ultrasound-History, Current and Evolving Clinical Concepts in Emergency Medicine. Medicina (Kaunas). 2023 Dec 15;59(12):2179. doi: 10.3390/medicina59122179.
PMID: 38138282BACKGROUNDSofiudottir BK, Harders S, Laursen CB, Lage-Hansen PR, Nielsen SM, Just SA, Christensen R, Davidsen JR, Ellingsen T. Detection of Interstitial Lung Disease in Rheumatoid Arthritis by Thoracic Ultrasound: A Diagnostic Test Accuracy Study. Arthritis Care Res (Hoboken). 2024 Sep;76(9):1294-1302. doi: 10.1002/acr.25351. Epub 2024 Jun 23.
PMID: 38622106BACKGROUNDOtaola M, Paulin F, Rosemffet M, Balcazar J, Perandones M, Orausclio P, Cazenave T, Rossi S, Marciano S, Schneeberger E, Citera G. Lung ultrasound is a promising screening tool to rule out interstitial lung disease in patients with rheumatoid arthritis. Respirology. 2024 Jul;29(7):588-595. doi: 10.1111/resp.14679. Epub 2024 Feb 18.
PMID: 38369685BACKGROUNDFlaherty KR, Wells AU, Cottin V, Devaraj A, Walsh SLF, Inoue Y, Richeldi L, Kolb M, Tetzlaff K, Stowasser S, Coeck C, Clerisme-Beaty E, Rosenstock B, Quaresma M, Haeufel T, Goeldner RG, Schlenker-Herceg R, Brown KK; INBUILD Trial Investigators. Nintedanib in Progressive Fibrosing Interstitial Lung Diseases. N Engl J Med. 2019 Oct 31;381(18):1718-1727. doi: 10.1056/NEJMoa1908681. Epub 2019 Sep 29.
PMID: 31566307BACKGROUNDRaghu G, Remy-Jardin M, Richeldi L, Thomson CC, Inoue Y, Johkoh T, Kreuter M, Lynch DA, Maher TM, Martinez FJ, Molina-Molina M, Myers JL, Nicholson AG, Ryerson CJ, Strek ME, Troy LK, Wijsenbeek M, Mammen MJ, Hossain T, Bissell BD, Herman DD, Hon SM, Kheir F, Khor YH, Macrea M, Antoniou KM, Bouros D, Buendia-Roldan I, Caro F, Crestani B, Ho L, Morisset J, Olson AL, Podolanczuk A, Poletti V, Selman M, Ewing T, Jones S, Knight SL, Ghazipura M, Wilson KC. Idiopathic Pulmonary Fibrosis (an Update) and Progressive Pulmonary Fibrosis in Adults: An Official ATS/ERS/JRS/ALAT Clinical Practice Guideline. Am J Respir Crit Care Med. 2022 May 1;205(9):e18-e47. doi: 10.1164/rccm.202202-0399ST.
PMID: 35486072BACKGROUNDCottin V, Hirani NA, Hotchkin DL, Nambiar AM, Ogura T, Otaola M, Skowasch D, Park JS, Poonyagariyagorn HK, Wuyts W, Wells AU. Presentation, diagnosis and clinical course of the spectrum of progressive-fibrosing interstitial lung diseases. Eur Respir Rev. 2018 Dec 21;27(150):180076. doi: 10.1183/16000617.0076-2018. Print 2018 Dec 31.
PMID: 30578335BACKGROUNDHoyer N, Prior TS, Bendstrup E, Wilcke T, Shaker SB. Risk factors for diagnostic delay in idiopathic pulmonary fibrosis. Respir Res. 2019 May 24;20(1):103. doi: 10.1186/s12931-019-1076-0.
PMID: 31126287BACKGROUNDPinal-Fernandez I, Pallisa-Nunez E, Selva-O'Callaghan A, Castella-Fierro E, Simeon-Aznar CP, Fonollosa-Pla V, Vilardell-Tarres M. Pleural irregularity, a new ultrasound sign for the study of interstitial lung disease in systemic sclerosis and antisynthetase syndrome. Clin Exp Rheumatol. 2015 Jul-Aug;33(4 Suppl 91):S136-41. Epub 2015 Aug 27.
PMID: 26315813BACKGROUNDBujang MA, Adnan TH. Requirements for Minimum Sample Size for Sensitivity and Specificity Analysis. J Clin Diagn Res. 2016 Oct;10(10):YE01-YE06. doi: 10.7860/JCDR/2016/18129.8744. Epub 2016 Oct 1.
PMID: 27891446BACKGROUNDSimpson T, Barratt SL, Beirne P, Chaudhuri N, Crawshaw A, Crowley LE, Fletcher S, Gibbons MA, Hallchurch P, Horgan L, Jakaityte I, Lewis T, McLellan T, Myall KJ, Miller R, Smith DJF, Stanel S, Thillai M, Thompson F, Wallis T, Wu Z, Molyneaux PL, West AG. The burden of progressive fibrotic interstitial lung disease across the UK. Eur Respir J. 2021 Jul 8;58(1):2100221. doi: 10.1183/13993003.00221-2021. Print 2021 Jul.
PMID: 33678609BACKGROUNDWijsenbeek M, Kreuter M, Olson A, Fischer A, Bendstrup E, Wells CD, Denton CP, Mounir B, Zouad-Lejour L, Quaresma M, Cottin V. Progressive fibrosing interstitial lung diseases: current practice in diagnosis and management. Curr Med Res Opin. 2019 Nov;35(11):2015-2024. doi: 10.1080/03007995.2019.1647040. Epub 2019 Aug 2.
PMID: 31328965BACKGROUNDLaursen CB, Sloth E, Lassen AT, Davidsen JR, Lambrechtsen J, Henriksen DP, Madsen PH, Rasmussen F. Does point-of-care ultrasonography cause discomfort in patients admitted with respiratory symptoms? Scand J Trauma Resusc Emerg Med. 2015 Jun 13;23:46. doi: 10.1186/s13049-015-0127-x.
PMID: 26071404BACKGROUNDMohammad Reza Beigi D, Pellegrino G, Loconte M, Landini N, Mattone M, Paone G, Truglia S, Di Ciommo FR, Bisconti I, Cadar M, Stefanantoni K, Panebianco V, Conti F, Riccieri V. Lung ultrasound compared to computed tomography detection and automated quantification of systemic sclerosis-associated interstitial lung disease: preliminary study. Rheumatology (Oxford). 2024 May 2;63(5):1240-1245. doi: 10.1093/rheumatology/kead324.
PMID: 37399086BACKGROUNDDi Carlo M, Tardella M, Filippucci E, Carotti M, Salaffi F. Lung ultrasound in patients with rheumatoid arthritis: definition of significant interstitial lung disease. Clin Exp Rheumatol. 2022 Mar;40(3):495-500. doi: 10.55563/clinexprheumatol/gioptt. Epub 2021 Apr 23.
PMID: 33938789BACKGROUNDManolescu D, Oancea C, Timar B, Traila D, Malita D, Birsasteanu F, Tudorache V. Ultrasound mapping of lung changes in idiopathic pulmonary fibrosis. Clin Respir J. 2020 Jan;14(1):54-63. doi: 10.1111/crj.13101. Epub 2019 Nov 14.
PMID: 31675455BACKGROUNDManolescu D, Davidescu L, Traila D, Oancea C, Tudorache V. The reliability of lung ultrasound in assessment of idiopathic pulmonary fibrosis. Clin Interv Aging. 2018 Mar 22;13:437-449. doi: 10.2147/CIA.S156615. eCollection 2018.
PMID: 29606857BACKGROUNDCruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyere O, Cederholm T, Cooper C, Landi F, Rolland Y, Sayer AA, Schneider SM, Sieber CC, Topinkova E, Vandewoude M, Visser M, Zamboni M; Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019 Jan 1;48(1):16-31. doi: 10.1093/ageing/afy169.
PMID: 30312372BACKGROUNDRockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, Mitnitski A. A global clinical measure of fitness and frailty in elderly people. CMAJ. 2005 Aug 30;173(5):489-95. doi: 10.1503/cmaj.050051.
PMID: 16129869BACKGROUNDPrado-Costa R, Rebelo J, Monteiro-Barroso J, Preto AS. Ultrasound elastography: compression elastography and shear-wave elastography in the assessment of tendon injury. Insights Imaging. 2018 Oct;9(5):791-814. doi: 10.1007/s13244-018-0642-1. Epub 2018 Aug 17.
PMID: 30120723BACKGROUNDSantana PV, Prina E, Albuquerque AL, Carvalho CR, Caruso P. Identifying decreased diaphragmatic mobility and diaphragm thickening in interstitial lung disease: the utility of ultrasound imaging. J Bras Pneumol. 2016 Apr;42(2):88-94. doi: 10.1590/S1806-37562015000000266.
PMID: 27167428BACKGROUNDBoccatonda A, Decorato V, Cocco G, Marinari S, Schiavone C. Ultrasound evaluation of diaphragmatic mobility in patients with idiopathic lung fibrosis: a pilot study. Multidiscip Respir Med. 2018 Dec 14;14:1. doi: 10.1186/s40248-018-0159-y. eCollection 2019.
PMID: 30651988BACKGROUNDHasan AA, Makhlouf HA. B-lines: Transthoracic chest ultrasound signs useful in assessment of interstitial lung diseases. Ann Thorac Med. 2014 Apr;9(2):99-103. doi: 10.4103/1817-1737.128856.
PMID: 24791173BACKGROUNDTardella M, Di Carlo M, Carotti M, Filippucci E, Grassi W, Salaffi F. Ultrasound B-lines in the evaluation of interstitial lung disease in patients with systemic sclerosis: Cut-off point definition for the presence of significant pulmonary fibrosis. Medicine (Baltimore). 2018 May;97(18):e0566. doi: 10.1097/MD.0000000000010566.
PMID: 29718851BACKGROUNDWarrick JH, Bhalla M, Schabel SI, Silver RM. High resolution computed tomography in early scleroderma lung disease. J Rheumatol. 1991 Oct;18(10):1520-8.
PMID: 1765976BACKGROUNDPoosiri S, Krisanachinda A, Khamwan K. Evaluation of patient radiation dose and risk of cancer from CT examinations. Radiol Phys Technol. 2024 Mar;17(1):176-185. doi: 10.1007/s12194-023-00763-w. Epub 2023 Dec 4.
PMID: 38048023BACKGROUNDLederer C, Storman M, Tarnoki AD, Tarnoki DL, Margaritopoulos GA, Prosch H. Imaging in the diagnosis and management of fibrosing interstitial lung diseases. Breathe (Sheff). 2024 Mar;20(1):240006. doi: 10.1183/20734735.0006-2024. Epub 2024 May 14.
PMID: 38746908BACKGROUNDWijsenbeek M, Cottin V. Spectrum of Fibrotic Lung Diseases. Reply. N Engl J Med. 2020 Dec 17;383(25):2485-2486. doi: 10.1056/NEJMc2031135. No abstract available.
PMID: 33326734BACKGROUND
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jesper R Davidsen, MD,PhD
Department of Respiratory Medicine, Odense University Hospital
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 14, 2025
First Posted
February 25, 2025
Study Start
October 21, 2024
Primary Completion (Estimated)
May 31, 2026
Study Completion (Estimated)
May 31, 2026
Last Updated
August 7, 2025
Record last verified: 2025-08
Data Sharing
- IPD Sharing
- Will not share