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Table 3 Prognostic impact, HRCT findings, and IPF diagnostic criteria

From: Association of tracheal diameter with respiratory function and fibrosis severity in idiopathic pulmonary fibrosis patients

Parameter

Clinical Value

Diagnostic Criteria

Differential Features from Other ILDs

Mortality Rate

20.9% (18/86)

-

-

Definite UIP Pattern

Count: 42 (48.8%) Mean GAP: 3.95 Median: 4.0 SD: 1.85

- Basal and peripheral distribution - Honeycombing - Reticulation - Traction bronchiectasis

- Absence of upper lobe predominance - Absence of extensive ground glass - Absence of micronodules - Absence of cysts

Probable UIP Pattern

Count: 38 (44.2%) Mean GAP: 4.05 Median: 4.0 SD: 1.77

- Basal and peripheral distribution - Reticulation - Traction bronchiectasis - Without honeycombing

- Absence of consolidation - Absence of non-subpleural nodules - Absence of air trapping

Indeterminate Pattern

Count: 6 (7.0%) Mean GAP: 3.83 Median: 4.0 SD: 1.83

- Atypical distribution pattern - Mild reticulation - Inconclusive fibrosis findings

- Absence of extensive mosaic perfusion - Absence of peribronchovascular distribution

Comorbidity Rate

69.3% (61/86)

-

-

Mean FVC

72.59% ± 21.39%

Restrictive pattern on PFTs

Differentiation from obstructive patterns

Mean DLCO

53.31% ± 17.43%

Reduced DLCO with preserved KCO

Disproportionate DLCO reduction in PH

GAP Index

Mean: 3.99 ± 1.80 Range: 0.0–8.0

Core Diagnostic Requirements: - Age > 60 years - Dyspnea > 6 months - Bilateral basal crackles - Restrictive pattern

Exclusion Criteria: - Known causes of ILD - Collagen tissue disease - Drug/environmental exposure - Occupational exposure

  1. Notes: UIP: Usual Interstitial Pneumonia; FVC: Forced Vital Capacity; DLCO: Diffusing Capacity of the Lungs for Carbon Monoxide; GAP: Gender-Age-Physiology; HRCT: High-Resolution Computed Tomography; ILD: Interstitial Lung Disease; SD: Standard Deviation; PFTs: Pulmonary Function Tests; KCO: Transfer Coefficient for Carbon Monoxide; PH: Pulmonary Hypertension. Diagnostic criteria are based on the 2018 IPF diagnostic guidelines