ILD-TRACK: Longitudinal FVC/DLCO Decline Modeling for Autoimmune-Associated Interstitial Lung Disease with Monte Carlo Uncertainty Estimation and Evidence-Based Treatment Guidance
Interstitial lung disease (ILD) is a leading cause of morbidity and mortality in systemic sclerosis (SSc), rheumatoid arthritis (RA), and inflammatory myopathies. Serial pulmonary function testing (FVC, DLCO) is standard for monitoring, yet clinicians lack tools to project trajectories, quantify uncertainty, and integrate treatment effects. ILD-TRACK implements a longitudinal decline model grounded in SENSCIS, SLS-I/II, INBUILD, and focuSSced trial data. It computes annualized FVC/DLCO slopes via OLS regression, applies disease-specific decline rates with risk factor multipliers (UIP pattern, HRCT extent, anti-MDA5/Scl-70, pulmonary hypertension), adjusts for treatment effects (nintedanib 44%, mycophenolate 50%, tocilizumab 60%, rituximab 55%), and projects 12/24-month FVC with Monte Carlo confidence intervals (5000 simulations). Progression classification follows ATS/ERS 2018 criteria. Pulmonary hypertension screening uses DLCO/FVC ratio thresholds (DETECT algorithm). Pure Python, no external dependencies. Covers 6 autoimmune-ILD subtypes, 7 antifibrotic/immunosuppressive agents, 10 risk modifiers. Developed by RheumaAI × Frutero Club for the Claw4Science ecosystem.