← Capillary.io team publications

Independent research and scientific citations

Publications by other researchers

Explore how researchers use Capillary.io and CAPI-Detect in their studies, and read expert perspectives on CAPI-Detect, CAPI-Score and automated capillaroscopy.

Journal publications

Research articles, clinical reports and letters describing research with Capillary.io or CAPI-Detect.

Letter 2026

Peripheral Capillary Rarefaction Is Associated With Cerebral Small Vessel Disease Burden: A Population-Based Study

Oscar H. Del Brutto, Denisse A. Rumbea, Robertino M. Mera, Fernando Góngora-Rivera, Eduardo J. Guzmán, Carlos Ríos, Emilio E. Arias, Víctor J. Del Brutto

Stroke. 2026;57(10):e483–e484.

Examines the relationship between nailfold capillary abnormalities and cerebral small vessel disease burden in 289 older adults from the Atahualpa cohort in Ecuador.

The study’s preprint describes image analysis with Capillary.io. The research draws on the same Atahualpa cohort as the study of white matter hyperintensities.

Research article 2026

Nailfold capillaroscopy in peripheral artery disease. A case-control study of microvascular alterations in fingers and toes

Carlos Peñas Juárez, Francesca Urgnani, Elisabet Sarri, Anna Arnau

Angiología. 2026;78(5):216–224.

A pilot case-control study of 20 patients with peripheral arterial disease and 20 healthy controls, using Capillary.io to quantify capillary density, diameters and morphology in fingers and toes. Patients showed lower capillary density in the fingers and larger arterial and venous capillary diameters in the toes.

Published on 23 September 2026.

Research article 2026

Habitual Oily Fish Intake and Microvascular Integrity in Frequent Fish Consumers: A Population-Based, Cross-Sectional Pilot Study

Oscar H. Del Brutto, Denisse A. Rumbea, Carlos Ríos, Emilio E. Arias, Robertino M. Mera

Journal of Primary Care & Community Health. 2026;17:21501319261473346.

A population study of 306 older adults in Ecuador examining oily fish intake and microvascular integrity. Capillary.io analyzed the images automatically, followed by expert review.

Research article 2026

Megacapillaries on nailfold capillaroscopy are associated with white matter hyperintensities burden: a population study

Oscar H. Del Brutto, Robertino M. Mera, Denisse A. Rumbea, Eduardo J. Guzmán, Carlos Ríos, Emilio E. Arias, Víctor J. Del Brutto

Journal of Stroke and Cerebrovascular Diseases. 2026;35:108633.

A study of 289 older adults in Ecuador combining nailfold capillaroscopy with brain MRI. Capillary.io quantified capillary abnormalities to help researchers examine their relationship with white matter hyperintensities.

Research article 2026

Dermatoscopy limitation and the critical role of capillaroscopy in the evaluation of systemic sclerosis and Raynaud's phenomenon among African American Veterans

Genessis Maldonado, Maurizio Cutolo, Tracy Frech, Mislav Radic, Marcus Snow, Vanessa Smith

Seminars in Arthritis and Rheumatism. 2026;78:152961.

A study of 38 US veterans with Raynaud phenomenon comparing how clearly nailfold images can be interpreted across skin tones using a dermatoscope and a USB capillaroscope.

The earlier ACR 2025 conference abstract describes analysis with Capillary.io of capillary density, apical enlargement, hemorrhages and abnormal shapes.

Case report and review 2025

Fast-track capillaroscopic progression in systemic sclerosis: a case-based review of active pattern emerging within 3 months of raynaud's phenomenon onset

Angelo Nigro

Rheumatology International. 2025;45(9):203.

A case report and literature review describing an active scleroderma pattern within three months of Raynaud onset. CAPI-Detect generated quantitative measurements and classified the capillaroscopic pattern as active.

Conference abstracts

Conference abstracts from studies using or evaluating Capillary.io or CAPI-Detect.

Conference abstract 2025

Capillaroscopic Signatures in Autoimmune Rheumatic Diseases: Unveiling Patterns in Systemic Sclerosis, Polyautoimmunity, and PAH

María Paula Carrillo, Juan Esteban Bedoya-Loaiza, Claudia Ibáñez-Antequera, Laura Gallego, Alejandro Escobar, Adriana Rojas-Villarraga, Jairo Cajamarca-Baron

ACR Convergence 2025. Abstract 0252. Arthritis & Rheumatology. 2025;77(suppl 9).

A Colombian study of 136 patients with autoimmune rheumatic diseases. Images acquired with Smart G-Scope were processed using Capillary.io to characterize capillaroscopic patterns.

Preprints

Research manuscripts shared as preprints before peer review.

Citations and commentary

Expert perspectives on automated capillaroscopy, including editorials, reviews, book chapters and comparative studies that discuss or cite CAPI-Detect, CAPI-Score and related research.

Editorial 2026

From Vasospasm to Precision Microvascular Medicine: Rethinking the Evaluation and Management of Raynaud's Phenomenon

Chieh Chen, Jeffrey Liao, Su-Boon Yong

International Journal of Rheumatic Diseases. 2026;29(10):e70902.

An independent editorial on Raynaud’s phenomenon cites CAPI-Detect when discussing the potential of AI-assisted capillaroscopy to improve reproducibility, reduce observer variability and shorten interpretation time.

The authors describe AI-assisted capillaroscopy as an emerging research tool requiring further external and prospective validation.

Review 2026

Artificial Intelligence in Systemic Sclerosis: Clinical Applications, Challenges, and Future Directions

Cristiana Sieiro Santos, José Miguel Sequí-Sabater, Diego Benavent

Arthritis Care & Research. 2026. Published online. doi:10.1002/acr.80068.

A narrative review of AI in systemic sclerosis that discusses how CAPI-Detect uses machine learning to analyze capillary morphology and identify diagnostic variables. It also examines the need to validate automated microvascular assessment across centers and imaging devices.

Review 2026

Rethinking Strategies for a Pharmaceutical Approach to Pain Related to Connective Tissue-Related Raynaud Phenomenon in the United States

Tracy M Frech, Charles G Frech, W David Merryman, Andrew Sternlicht, Justin Baba

Arthritis Care & Research. 2026;78(1):106–112.

A narrative review of Raynaud-related pain and treatment research. It cites CAPI-Detect and CAPI-Score when discussing accessible image acquisition and cloud-based capillaroscopy interpretation beyond specialist centers.

Review 2026

Nailfold capillaroscopy in diabetic retinopathy: microvascular insights, clinical value, and translational challenges - a narrative review

Yi-Mai Zhou, Lu-Sha Cen

Frontiers in Endocrinology. 2026;17:1866310.

A narrative review exploring nailfold capillaroscopy in diabetic retinopathy. It cites CAPI-Score and CAPI-Detect as methodological references for quantitative analysis and discusses how similar approaches might inform future research in diabetes.

The proposed diabetic-retinopathy framework is exploratory. Applying these approaches to diabetes requires disease-specific validation.

Review 2025

Capillaroscopy in Systemic Autoimmune Rheumatic Diseases: A Clinical Tool Linking Diagnosis and Pathogenesis

Roko P.A. Nikolic, Maggie Larché, Mohammed Osman

Canadian Rheumatology Today. 2025;2(1):5–15.

A clinical review linking capillaroscopy with diagnosis and risk stratification in systemic autoimmune rheumatic diseases. It cites CAPI-Detect when describing machine-learning software that helps identify abnormal capillaries, including changes associated with scleroderma.

Book chapter 2025

Quantitative Analysis

Michael Berks, Chris Taylor

In: Herrick AL, Murray A, Taylor C, Smith V, Cutolo M, editors. Nailfold Capillaroscopy in Rheumatological Diseases. Springer. 2025:65–89.

A book chapter on objective measurement and automated analysis in nailfold capillaroscopy. It reviews quantitative approaches and their remaining challenges, and includes both CAPI-Detect and CAPI-Score in its references.

First published online on 2 January 2026.

Review 2025

Transition to Artificial Intelligence in Imaging and Laboratory Diagnostics in Rheumatology

Stoimen Dimitrov, Simona Bogdanova, Zhaklin Apostolova, Boryana Kasapska, Plamena Kabakchieva, Tsvetoslav Georgiev

Applied Sciences. 2025;15(21):11666.

A narrative review of AI in rheumatology imaging and laboratory diagnostics. It discusses CAPI-Detect and CAPI-Score in a dedicated section on automated capillaroscopy, placing them alongside other approaches to image analysis and disease-pattern classification.

Research article 2025

Evaluation of different algorithms to identify the scleroderma pattern in nailfold videocapillaroscopy

Andressa Higa Shinzato, Juliana Yuri Sekiyama, Cristiane Kayser

Clinical and Experimental Rheumatology. 2025;43(8):1499–1507.

A Brazilian study of 258 capillaroscopies evaluates selected criteria from CAPI-Score and Fast Track for identifying scleroderma patterns. Lower capillary-density thresholds showed high specificity but lower sensitivity; the authors propose a modified approach combining density and giant capillaries.

The comparison excludes abnormal capillary shapes and evaluates selected published criteria rather than the complete automated Capillary.io system.

Review 2025

Emerging AI- and Biomarker-Driven Precision Medicine in Autoimmune Rheumatic Diseases: From Diagnostics to Therapeutic Decision-Making

Ola A. Al-Ewaidat, Moawiah M. Naffaa

Rheumato. 2025;5(4):17.

A review of AI and biomarkers in autoimmune rheumatic diseases that discusses CAPI-Detect within automated microvascular assessment. It examines the potential of these approaches for precision medicine alongside the need for further external validation and prospective clinical studies.