![]() ![]() Spirometry flow-volume curve displays airflow versus volume during maximum forced inspiration and expiration, it can be influenced by various factors. ![]() Patients with the sign are less likely to have airway hyperresponsiveness, automatic visualizing of this sign is helpful for primary care centers where BPT cannot available. SP sign is featured on the flow-volume curve and recognized by the SP-Network model. SP-Network achieved an accuracy of 95.2% in the task of automatic recognition of the sign. Of 48 patients (16 with and 32 without the sign) who performed laryngoscopy and spirometry, the rate of laryngoscopy-diagnosis upper airway abnormalities in patients with the sign (63%) was higher than those without the sign (31%) ( P = 0.038). Patients with SP sign had higher median FVC and FEV 1% predicted (both P < .0001). Among them, there were 1,782 (83.9%) with the negative-BPT and 194 (88.6%) with the negative-BDT. ![]() Of 13,661 BPTs and 8,168 BDTs completed, we labeled 2,123 (15.5%) and 219 (2.7%) patients with the sign, respectively. SP-Network was developed to recognition of the sign using flow-volume curves. Patients who underwent laryngoscopy were assigned to perform spirometry to analyze the relationship of the sign and upper airway abnormalities. We involved patients by reviewing the bronchoprovocation test (BPT) and bronchodilator test (BDT) completed between October 2017 and October 2020 to assess the characteristics of the sign. Therefore, we aimed to characterize its clinical features. Small plateau (SP) on the flow-volume curve was found in parts of patients with suspected asthma or upper airway abnormalities, but it lacks clear scientific proof. ![]()
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