Collaborative European research in non-Cystic Fibrosis bronchiectasis 

The European Bronchiectasis Registry (EMBARC) is a multidisciplinary research network advancing knowledge across the full spectrum of bronchiectasis. As of 2025, it has collected data from over 20,000 patients in more than 30 countries, forming one of the largest real-world bronchiectasis datasets globally. This infrastructure supports international research and clinical trials, with AI-based imaging increasingly enabling deeper disease phenotyping and mechanistic insights.

Through collaborative initiatives with study sponsors, we partner with EMBARC as part of the EMBARC-BRIDGE initiative, applying AI-powered lung image analysis to enable deeper insights and a more comprehensive understanding of bronchiectasis disease mechanisms. This work is instrumental in generating robust clinical evidence and high-quality scientific publications, ultimately strengthening the scientific foundation for improved patient care.

 

Project highlights

  • Over 600 thoracic CT scans analyzed using advanced AI-based methods, with further analyses currently in progress

  • Integration of quantitative imaging biomarkers into the EMBARC registry, enhancing clinical data with objective structural CT metrics

  • Development of cross-sectional and longitudinal datasets, enabling robust associations between imaging biomarkers, clinical outcomes, and disease progression

Contribution by Thirona

Thirona conducts automated AI-based analysis of thoracic CT scans using LungQ® Bronchus–Artery (BA) and LungQ® Mucus Plug (MP), providing quantitative evidence for: 

  • Bronchial dilatation severity and extent 
  • Bronchial wall thickening 
  • Number and volume of mucus plugs 
  • Lobar distribution of abnormalities 

These analyses continue to reveal substantial variation in structural lung changes, both within individual patients and across patient cohorts, highlighting pronounced intra- and inter-patient heterogeneity, as demonstrated in recent publications.

When integrated with patient-level registry data, these imaging biomarkers enable longitudinal assessment and contribute to deeper phenotyping and improved disease stratification within the EMBARC registry, supporting ongoing research and future discoveries.

 

Relevant Publications

November 2025

Lobar differences on chest CTs of bronchiectasis patients from the EMBARC registry

October 2024

Automatic analysis of bronchus-artery ratios and mucus plugs of 640 chest CTs of EMBARC bronchiectasis patients

May 2024

Fully Automatic Analysis of Bronchus-artery Dimensions and Ratios of 625 Chest CTS of Bronchiectasis Patients Participating in the EMBARC Registry

October 2023

The relationship between chest CT scoring, aetiology and severity of disease in Bronchiectasis: an EMBARC analysis

October 2023

The spectrum of structural lung changes in bronchiectasis: Analysis of 524 EMBARC CTs.

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