Chart 2. Criteria for evaluating progressive fibrosing interstitial lung diseases.a .
PPF is defined as at least two of the following three criteria occurring within the past year with no alternative explanation: |
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1. Worsening respiratory symptoms |
2. Physiological evidence of disease progression (either of the following): • Decline in FVC ≥ 5% predicted within 1 year of follow-up • Decline in DLCO (corrected for hemoglobin) ≥ 10% predicted within 1 year of follow-up |
3. Radiological evidence of disease progression (one or more of the following): • Increased extent or severity of traction bronchiectasis and bronchiolectasis • New ground-glass opacity with traction bronchiectasis • New fine reticulation • Increased extent or increased coarseness of reticular abnormality • New or increased honeycombing • Increased lobar volume loss |
PPF: progressive pulmonary fibrosis. aBased on Raghu et al.(4)