โก Quick Summary
This study presents a case of a 66-year-old man with idiopathic pulmonary fibrosis (IPF) who demonstrated remarkable improvement as a super-responder to nintedanib therapy. Utilizing quantitative high-resolution computed tomography (HRCT) and AI software, the assessment revealed significant changes in lung function, highlighting the potential of AI in evaluating treatment responses.
๐ Key Details
- ๐จโโ๏ธ Patient Profile: 66-year-old male with IPF
- ๐ Treatment: Nintedanib
- ๐ฅ๏ธ Technology Used: AI software 3D Slicer for HRCT evaluation
- ๐ Focus: Quantitative assessment of HRCT imaging
๐ Key Takeaways
- ๐ Super-responders to nintedanib show dramatic improvements in lung function.
- ๐ง AI technology can enhance the evaluation of treatment responses in IPF patients.
- ๐ Quantitative HRCT assessments provide valuable insights into lung health.
- ๐ This case study is the first to report on HRCT imaging characteristics of super-responders.
- ๐ก Understanding SR characteristics may lead to better treatment strategies for IPF.
- ๐ Published in: Intern Med, 2025; 64:1552-1562.
- ๐ DOI: 10.2169/internalmedicine.4493-24
๐ Background
Idiopathic pulmonary fibrosis (IPF) is a progressive lung disease characterized by scarring of lung tissue, leading to severe respiratory issues. Nintedanib is a medication that has shown promise in slowing disease progression. However, the response to treatment can vary significantly among patients, with some exhibiting extraordinary improvements, termed super-responders. Understanding the imaging characteristics of these patients is crucial for optimizing treatment approaches.
๐๏ธ Study
This case study focuses on a 66-year-old male patient diagnosed with IPF who was identified as a super-responder to nintedanib therapy. The researchers employed quantitative HRCT imaging using the 3D Slicer AI software to assess the patient’s lung function before and after treatment. This innovative approach aims to uncover the specific imaging characteristics associated with super-responders, which have not been previously documented.
๐ Results
The quantitative HRCT evaluation revealed a marked improvement in lung function for the patient compared to typical responses observed in other IPF patients. The use of AI technology facilitated a detailed analysis of the lung structure, providing insights that could lead to a better understanding of the factors contributing to the super-responder phenomenon.
๐ Impact and Implications
The findings from this study underscore the potential of AI-driven quantitative HRCT assessments in enhancing our understanding of treatment responses in IPF. By identifying the characteristics of super-responders, healthcare professionals can tailor treatment strategies more effectively, potentially improving outcomes for a broader range of patients. This research paves the way for future studies to explore the role of AI in pulmonary medicine.
๐ฎ Conclusion
This case study highlights the significant role of quantitative HRCT imaging and AI technology in evaluating treatment responses in patients with IPF. The remarkable improvement observed in the super-responder emphasizes the need for further research into the characteristics of such patients. As we continue to integrate advanced technologies into clinical practice, the future of IPF management looks promising, with the potential for improved patient outcomes.
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Quantitative Assessment of High-resolution Computer Tomography Imaging in a Super-responder to Nintedanib Therapy in a Patient with Idiopathic Pulmonary Fibrosis.
Abstract
Nintedanib inhibits disease progression in patients with idiopathic pulmonary fibrosis (IPF) and dramatically improves the lung function in patients known to be super-responders (SRs). However, there are no reports on quantitative high-resolution computed tomography (HRCT), and the HRCT imaging characteristics of SRs remain unknown. We herein present the case of a 66-year-old man with IPF who was a SR to nintedanib treatment, which showed a marked improvement compared to other patients with IPF upon quantitative HRCT evaluation using the artificial intelligence (AI) software 3D Slicer. This study is worth reporting because a quantitative HRCT assessment using AI may be necessary to understand the SR characteristics.
Author: [‘Itano J’, ‘Ishiga M’, ‘Fujii M’, ‘Takemoto M’, ‘Hayashibara N’, ‘Kimura G’, ‘Tanimoto Y’]
Journal: Intern Med
Citation: Itano J, et al. Quantitative Assessment of High-resolution Computer Tomography Imaging in a Super-responder to Nintedanib Therapy in a Patient with Idiopathic Pulmonary Fibrosis. Quantitative Assessment of High-resolution Computer Tomography Imaging in a Super-responder to Nintedanib Therapy in a Patient with Idiopathic Pulmonary Fibrosis. 2025; 64:1552-1562. doi: 10.2169/internalmedicine.4493-24