Systemic lupus erythematosus gastrointestinal involvement: a computed tomography-based assessment
Systemic lupus erythematosus (SLE) gastrointestinal (GI) complication is characterized by multi-segment and multi-compartment involvement. The aim of this study is to develop a computed tomography (CT) image-based system for disease evaluation. SLE patients with GI involvement from two independent c...
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| Veröffentlicht in: | Scientific reports 2020-04, Vol.10 (1), p.6400-6400, Article 6400 |
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| creator | Chen, Zhiwei Zhou, Jiaxin Li, Jiaoyu Zhou, Yiquan Wang, Xiaodong Li, Ting Gu, Liyang Sun, Fangfang Wu, Wanlong Xu, Wenwen Sun, Shuhui Chen, Jie Li, Jiajie Lu, Liangjing Zhang, Wen Zhao, Yan Ye, Shuang |
| description | Systemic lupus erythematosus (SLE) gastrointestinal (GI) complication is characterized by multi-segment and multi-compartment involvement. The aim of this study is to develop a computed tomography (CT) image-based system for disease evaluation. SLE patients with GI involvement from two independent cohorts were retrospectively included. Baseline abdominal CT scan with intravenous and oral contrast was obtained from each individual. A CT scoring system incorporating the extent of GI tract involvement and intestinal wall thickness, along with extra-GI compartment involvement, was developed and validated. The outcome measurement was the time to GI functional recovery, defined as the time to tolerable
per os
(PO) intake ≥50% of ideal calories (PO50). A total of 54 and 37 patients with SLE GI involvement were enrolled in the derivation and validation cohorts, respectively. The CT scores for SLE GI involvement were positively correlated with patients’ time to PO50 (r = 0.57, p 3 incurred a significantly prolonged recovery with a median time to PO50 of 13 days (p |
| doi_str_mv | 10.1038/s41598-020-63476-9 |
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per os
(PO) intake ≥50% of ideal calories (PO50). A total of 54 and 37 patients with SLE GI involvement were enrolled in the derivation and validation cohorts, respectively. The CT scores for SLE GI involvement were positively correlated with patients’ time to PO50 (r = 0.57, p < 0.0001, derivation cohort; r = 0.42, p = 0.0093, validation cohort). Patients with a CT score ≤ 3 had a shorter time to PO50 (median time of 0 day) in pooled cohort, whereas those with a CT score > 3 incurred a significantly prolonged recovery with a median time to PO50 of 13 days (p < 0.0001). The CT-based scoring system may facilitate more accurate assessment and individualized management of SLE patients with GI involvement.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-020-63476-9</identifier><identifier>PMID: 32286471</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/4023/1670/1613 ; 692/700/1421/1846/2771 ; Adult ; Calories ; Computed tomography ; Female ; Gastrointestinal tract ; Gastrointestinal Tract - diagnostic imaging ; Gastrointestinal Tract - pathology ; Gastrointestinal Tract - physiopathology ; Humanities and Social Sciences ; Humans ; Intestine ; Intravenous administration ; Lupus ; Lupus Erythematosus, Systemic - diagnostic imaging ; Lupus Erythematosus, Systemic - pathology ; Lupus Erythematosus, Systemic - physiopathology ; Male ; multidisciplinary ; Recovery of function ; Science ; Science (multidisciplinary) ; Systemic lupus erythematosus ; Tomography ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>Scientific reports, 2020-04, Vol.10 (1), p.6400-6400, Article 6400</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-cf7fe153e05ed30650b9ce0e64116ccd2919ad8b7a3d93f9018dfe453584fcbf3</citedby><cites>FETCH-LOGICAL-c474t-cf7fe153e05ed30650b9ce0e64116ccd2919ad8b7a3d93f9018dfe453584fcbf3</cites><orcidid>0000-0002-1664-3495</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7156738/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7156738/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,41096,42165,51551,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32286471$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Zhiwei</creatorcontrib><creatorcontrib>Zhou, Jiaxin</creatorcontrib><creatorcontrib>Li, Jiaoyu</creatorcontrib><creatorcontrib>Zhou, Yiquan</creatorcontrib><creatorcontrib>Wang, Xiaodong</creatorcontrib><creatorcontrib>Li, Ting</creatorcontrib><creatorcontrib>Gu, Liyang</creatorcontrib><creatorcontrib>Sun, Fangfang</creatorcontrib><creatorcontrib>Wu, Wanlong</creatorcontrib><creatorcontrib>Xu, Wenwen</creatorcontrib><creatorcontrib>Sun, Shuhui</creatorcontrib><creatorcontrib>Chen, Jie</creatorcontrib><creatorcontrib>Li, Jiajie</creatorcontrib><creatorcontrib>Lu, Liangjing</creatorcontrib><creatorcontrib>Zhang, Wen</creatorcontrib><creatorcontrib>Zhao, Yan</creatorcontrib><creatorcontrib>Ye, Shuang</creatorcontrib><title>Systemic lupus erythematosus gastrointestinal involvement: a computed tomography-based assessment</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>Systemic lupus erythematosus (SLE) gastrointestinal (GI) complication is characterized by multi-segment and multi-compartment involvement. The aim of this study is to develop a computed tomography (CT) image-based system for disease evaluation. SLE patients with GI involvement from two independent cohorts were retrospectively included. Baseline abdominal CT scan with intravenous and oral contrast was obtained from each individual. A CT scoring system incorporating the extent of GI tract involvement and intestinal wall thickness, along with extra-GI compartment involvement, was developed and validated. The outcome measurement was the time to GI functional recovery, defined as the time to tolerable
per os
(PO) intake ≥50% of ideal calories (PO50). A total of 54 and 37 patients with SLE GI involvement were enrolled in the derivation and validation cohorts, respectively. The CT scores for SLE GI involvement were positively correlated with patients’ time to PO50 (r = 0.57, p < 0.0001, derivation cohort; r = 0.42, p = 0.0093, validation cohort). Patients with a CT score ≤ 3 had a shorter time to PO50 (median time of 0 day) in pooled cohort, whereas those with a CT score > 3 incurred a significantly prolonged recovery with a median time to PO50 of 13 days (p < 0.0001). The CT-based scoring system may facilitate more accurate assessment and individualized management of SLE patients with GI involvement.</description><subject>692/4023/1670/1613</subject><subject>692/700/1421/1846/2771</subject><subject>Adult</subject><subject>Calories</subject><subject>Computed tomography</subject><subject>Female</subject><subject>Gastrointestinal tract</subject><subject>Gastrointestinal Tract - diagnostic imaging</subject><subject>Gastrointestinal Tract - pathology</subject><subject>Gastrointestinal Tract - physiopathology</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Intestine</subject><subject>Intravenous administration</subject><subject>Lupus</subject><subject>Lupus Erythematosus, Systemic - diagnostic imaging</subject><subject>Lupus Erythematosus, Systemic - pathology</subject><subject>Lupus Erythematosus, Systemic - physiopathology</subject><subject>Male</subject><subject>multidisciplinary</subject><subject>Recovery of function</subject><subject>Science</subject><subject>Science (multidisciplinary)</subject><subject>Systemic lupus erythematosus</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>2045-2322</issn><issn>2045-2322</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU1P3DAQhi3UChDlD_RQReqll1B_J-aAhFCBSkg9QM-W40x2g5I4eJyV9t_XdIFSDszF9swz79h-CfnM6Amjov6OkilTl5TTUgtZ6dLskUNOpSq54PzDq_0BOUa8pzkUN5KZfXKQs7WWFTsk7naLCcbeF8MyL1hA3KY1jC4FzKeVwxRDPyXA1E9uKPppE4YNjDCl08IVPozzkqAtUhjDKrp5vS0bhznhEAHxkftEPnZuQDh-Wo_I78sfdxfX5c2vq58X5zell5VMpe-qDpgSQBW0gmpFG-OBgpaMae9bbphxbd1UTrRGdIayuu1AKqFq2fmmE0fkbKc7L80Irc-joxvsHPvRxa0Nrrf_V6Z-bVdhYyumdCXqLPDtSSCGhyW_2I49ehgGN0FY0HJRG22E1iKjX9-g92GJ-YOeqRxVpviO8jEgRuheLsOofTTR7ky02UT710RrctOX1894aXm2LANiB2AuTSuI_2a_I_sHD1-rhg</recordid><startdate>20200414</startdate><enddate>20200414</enddate><creator>Chen, Zhiwei</creator><creator>Zhou, Jiaxin</creator><creator>Li, Jiaoyu</creator><creator>Zhou, Yiquan</creator><creator>Wang, Xiaodong</creator><creator>Li, Ting</creator><creator>Gu, Liyang</creator><creator>Sun, Fangfang</creator><creator>Wu, Wanlong</creator><creator>Xu, Wenwen</creator><creator>Sun, Shuhui</creator><creator>Chen, Jie</creator><creator>Li, Jiajie</creator><creator>Lu, Liangjing</creator><creator>Zhang, Wen</creator><creator>Zhao, Yan</creator><creator>Ye, Shuang</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1664-3495</orcidid></search><sort><creationdate>20200414</creationdate><title>Systemic lupus erythematosus gastrointestinal involvement: a computed tomography-based assessment</title><author>Chen, Zhiwei ; Zhou, Jiaxin ; Li, Jiaoyu ; Zhou, Yiquan ; Wang, Xiaodong ; Li, Ting ; Gu, Liyang ; Sun, Fangfang ; Wu, Wanlong ; Xu, Wenwen ; Sun, Shuhui ; Chen, Jie ; Li, Jiajie ; Lu, Liangjing ; Zhang, Wen ; Zhao, Yan ; Ye, Shuang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-cf7fe153e05ed30650b9ce0e64116ccd2919ad8b7a3d93f9018dfe453584fcbf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>692/4023/1670/1613</topic><topic>692/700/1421/1846/2771</topic><topic>Adult</topic><topic>Calories</topic><topic>Computed tomography</topic><topic>Female</topic><topic>Gastrointestinal tract</topic><topic>Gastrointestinal Tract - diagnostic imaging</topic><topic>Gastrointestinal Tract - pathology</topic><topic>Gastrointestinal Tract - physiopathology</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Intestine</topic><topic>Intravenous administration</topic><topic>Lupus</topic><topic>Lupus Erythematosus, Systemic - diagnostic imaging</topic><topic>Lupus Erythematosus, Systemic - pathology</topic><topic>Lupus Erythematosus, Systemic - physiopathology</topic><topic>Male</topic><topic>multidisciplinary</topic><topic>Recovery of function</topic><topic>Science</topic><topic>Science (multidisciplinary)</topic><topic>Systemic lupus erythematosus</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Zhiwei</creatorcontrib><creatorcontrib>Zhou, Jiaxin</creatorcontrib><creatorcontrib>Li, Jiaoyu</creatorcontrib><creatorcontrib>Zhou, Yiquan</creatorcontrib><creatorcontrib>Wang, Xiaodong</creatorcontrib><creatorcontrib>Li, Ting</creatorcontrib><creatorcontrib>Gu, Liyang</creatorcontrib><creatorcontrib>Sun, Fangfang</creatorcontrib><creatorcontrib>Wu, Wanlong</creatorcontrib><creatorcontrib>Xu, Wenwen</creatorcontrib><creatorcontrib>Sun, Shuhui</creatorcontrib><creatorcontrib>Chen, Jie</creatorcontrib><creatorcontrib>Li, Jiajie</creatorcontrib><creatorcontrib>Lu, Liangjing</creatorcontrib><creatorcontrib>Zhang, Wen</creatorcontrib><creatorcontrib>Zhao, Yan</creatorcontrib><creatorcontrib>Ye, Shuang</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Zhiwei</au><au>Zhou, Jiaxin</au><au>Li, Jiaoyu</au><au>Zhou, Yiquan</au><au>Wang, Xiaodong</au><au>Li, Ting</au><au>Gu, Liyang</au><au>Sun, Fangfang</au><au>Wu, Wanlong</au><au>Xu, Wenwen</au><au>Sun, Shuhui</au><au>Chen, Jie</au><au>Li, Jiajie</au><au>Lu, Liangjing</au><au>Zhang, Wen</au><au>Zhao, Yan</au><au>Ye, Shuang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systemic lupus erythematosus gastrointestinal involvement: a computed tomography-based assessment</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2020-04-14</date><risdate>2020</risdate><volume>10</volume><issue>1</issue><spage>6400</spage><epage>6400</epage><pages>6400-6400</pages><artnum>6400</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>Systemic lupus erythematosus (SLE) gastrointestinal (GI) complication is characterized by multi-segment and multi-compartment involvement. The aim of this study is to develop a computed tomography (CT) image-based system for disease evaluation. SLE patients with GI involvement from two independent cohorts were retrospectively included. Baseline abdominal CT scan with intravenous and oral contrast was obtained from each individual. A CT scoring system incorporating the extent of GI tract involvement and intestinal wall thickness, along with extra-GI compartment involvement, was developed and validated. The outcome measurement was the time to GI functional recovery, defined as the time to tolerable
per os
(PO) intake ≥50% of ideal calories (PO50). A total of 54 and 37 patients with SLE GI involvement were enrolled in the derivation and validation cohorts, respectively. The CT scores for SLE GI involvement were positively correlated with patients’ time to PO50 (r = 0.57, p < 0.0001, derivation cohort; r = 0.42, p = 0.0093, validation cohort). Patients with a CT score ≤ 3 had a shorter time to PO50 (median time of 0 day) in pooled cohort, whereas those with a CT score > 3 incurred a significantly prolonged recovery with a median time to PO50 of 13 days (p < 0.0001). The CT-based scoring system may facilitate more accurate assessment and individualized management of SLE patients with GI involvement.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32286471</pmid><doi>10.1038/s41598-020-63476-9</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-1664-3495</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | 692/4023/1670/1613 692/700/1421/1846/2771 Adult Calories Computed tomography Female Gastrointestinal tract Gastrointestinal Tract - diagnostic imaging Gastrointestinal Tract - pathology Gastrointestinal Tract - physiopathology Humanities and Social Sciences Humans Intestine Intravenous administration Lupus Lupus Erythematosus, Systemic - diagnostic imaging Lupus Erythematosus, Systemic - pathology Lupus Erythematosus, Systemic - physiopathology Male multidisciplinary Recovery of function Science Science (multidisciplinary) Systemic lupus erythematosus Tomography Tomography, X-Ray Computed Treatment Outcome |
| title | Systemic lupus erythematosus gastrointestinal involvement: a computed tomography-based assessment |
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