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. 2022 Feb 1;13(1):73–86. doi: 10.14336/AD.2021.0730

Table 2.

Suggested criteria or definitions of progressive fibrosis in clinical practice.

Suggested inclusion criteria 1 for clinical practice Ref.
Patients meeting any of the following criteria within a 24-month period may have PF-ILD:
•Relative decline of ≥10% in FVC
•Relative decline of ≥15% in DLCO
•Worsening symptoms or worsening HRCT signs accompanied by a relative decline of FVC ≥5-<10%
(HRCT signs must be assessed by experienced thoracic radiologist)
[11]
Suggested inclusion criteria 2 for clinical practice Ref.
Patients excluded the alternative explanations such as respiratory tract infection and meeting any of the following criteria can be considered to have PF-ILD:
•Relative decline of 10% or more in FVC over 24 months despite treatment
•Relative decline in FVC of 5% or more with decline in DLCO of 15% or more over 24 months despite treatment
•Relative decline in FVC of 5% or more with increased fibrosis on HRCT over 24 months despite treatment
•Relative decline in FVC of 5% or more with progressive symptoms over 24 months despite treatment
•Progressive symptoms with increased fibrosis on HRCT over 24 months despite treatment
(HRCT signs must be assessed by experienced thoracic radiologist)
[19]

CPI: Composite Physiologic Index; DLCO: diffusing capacity of the lung for carbon monoxide; FVC: forced vital capacity; HRCT: high-resolution CT; PF-ILD: progressive-fibrosing interstitial lung disease.