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. 2019 Jul 19;14(4):441–451. doi: 10.1007/s11523-019-00656-2

Table 1.

Diagnostic classification of respiratory symptoms [5]

CTCAE gradea (dyspnea, cough, fever) PFT declineb Chest CT parenchymal abnormalities Infectious analysis Conclusionc
0 Non-significant Absent No ILD
Present Suspected ILD
Significant Absent General Inconclusive
Present General + consider BAL ILD
1 or 2 Non-significant Absent General Airway disease
Present General + consider BAL Suspected ILD
Significant Absent General + consider BAL Suspected ILD
Present General + BAL ILD
3 or 4 Non-significant Absent General + consider BAL Inconclusive
Present General + BAL ILD
Significant Absent General + BAL Inconclusive
Present General + BAL ILD

CTCAE Common Terminology Criteria for Adverse Events, PFT pulmonary function test, ILD interstitial lung disease, BAL bronchoalveolar lavage, DLCOc diffusion capacity of the lungs for carbon monoxide corrected for hemoglobin

aCTCAE pneumonitis NOT included

bSignificant PFT decline defined as: DLCOc corrected for Hb decline ≥ 2 SD compared to baseline AND/OR FVC decline ≥ 2 SD compared to baseline

cProvided that other possible diagnoses are considered or excluded, such as pulmonary infection, congestive heart failure, pulmonary embolism, carcinomatous lymphangitis or pleuritis, radiation recall pneumonitis, asthma bronchiale, or gastroesophageal reflux