Journal publications
Research articles, clinical reports and letters describing research with Capillary.io or CAPI-Detect.
Letter
2026
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
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
Nicholas McClellan, Li Chen, Sophia Matossian, Aurora Rynda, Kirsten Grant, Erin Janssen, J. Michelle Kahlenberg, Jessica L. Turnier
Clinical and Translational Medicine. 2026;16(9):e70789.
University of Michigan researchers used Capillary.io to detect, classify and quantify nailfold capillary features in juvenile myositis and comparison groups.
Research article
2026
Mogeshni Govender, Natalie Tomson, Johnny Fang, Mohamed Bakry, Raymond Liu, Kathleen Morrisroe, Ross Penglase, Kokum Dissanayake, Ted Tsai
ACR Open Rheumatology. 2026;8(8):e90106.
An Australian study of nicotinamide supplementation in primary and scleroderma-related Raynaud phenomenon, using Capillary.io to assess nailfold capillaroscopy images.
Research article
2026
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.
Letter
2026
Angelo Nigro
Arthritis & Rheumatology. 2026;78(7):1557–1558.
A single-patient report using CAPI-Detect on Capillary.io for serial capillaroscopy in anti–Mi-2 dermatomyositis. It describes microvascular improvement occurring later than clinical remission.
Research article
2026
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.
Letter
2026
Angelo Nigro, Sandro Sanguigni, Giuseppe Nicoletti
Angiogenesis. 2026;29(3):47.
A clinical letter exploring possible microvascular vulnerability in carotid artery dissection. Automated quantitative analysis with CAPI-Detect identified enlarged nailfold capillaries.
Letter
2026
Angelo Nigro
Angiogenesis. 2026;29(2):14.
A clinical letter on microvascular abnormalities in vertebral hemangiomas. CAPI-Detect generated a quantitative report showing enlarged capillaries and microhemorrhages, with an overall non-specific pattern.
Research article
2026
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
2026
Angelo Nigro
Hormone Molecular Biology and Clinical Investigation. 2026;47(2):33–37.
A case report and narrative review of capillaroscopic abnormalities during dienogest treatment, using CAPI-Detect for automated quantitative analysis of capillary morphology.
Case report
2025
Angelo Nigro
Mediterranean Journal of Rheumatology. 2025;36(2).
A case report on navicular algodystrophy and microvascular abnormalities. Capillaroscopy was assessed using Capillary.io and its CAPI-Detect algorithm alongside expert interpretation.
Case report
2025
Angelo Nigro
ACR Open Rheumatology. 2025;7(1):e11784.
A case report using Capillary.io to assess a scleroderma-like capillaroscopic pattern in a patient without an underlying connective tissue disease.
A published correction updates an apical-diameter measurement in Figure 1.
Letter
2025
Angelo Nigro
Angiogenesis. 2025;28(2):22.
A clinical letter on microvascular and cerebrovascular abnormalities in Raynaud phenomenon and fibromyalgia, using CAPI-Detect to quantify enlarged capillaries.
Case report and review
2025
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
2026
S. Dimitrov et al.
EULAR 2026. Abstract POS0155.
Researchers in Varna, Bulgaria, compare automated capillaroscopy using Capillary.io with expert assessment in connective tissue diseases. The abstract reports preliminary diagnostic accuracy results.
Conference abstract
2025
Zilan Zheng, Laila Metni, Susan Kim, Jessica Neely
ACR Convergence 2025. Abstract 2158. Arthritis & Rheumatology. 2025;77(suppl 9).
A UCSF and UC Berkeley study examining nailfold capillary changes in juvenile dermatomyositis. Capillary.io measured capillary limb widths and apical diameters, followed by manual review.
Conference abstract
2025
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.
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
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.
Book chapter
2026
Antonia Valenzuela, Yazmin Espinosa
In: El Miedany Y, Elziaty RA, editors. Capillaroscopy. Contemporary Rheumatology. Springer. 2026:313–337.
A book chapter reviewing advances in digital capillaroscopy, quantitative analysis and artificial intelligence. It cites CAPI-Score, CAPI-Detect and earlier Capillary.io research on automated image analysis and its clinical validation.
Review
2026
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
Jaklin Doncheva-Dilova, Nikolay Stoilov, Vladimira Boyadzhieva
Rheumatology (Bulgaria). 33(3):11–23. Published online 10 February 2026.
A review of AI-assisted capillaroscopy discussing Capillary.io, CAPI-Score and CAPI-Detect. It explores automated measurement and pattern classification alongside the continuing role of expert clinical interpretation.
Review
2026
Rossella De Angelis
Sclerosis. 2026;4(2):10.
A review of nailfold capillaroscopy for diagnosis, prognosis and monitoring in systemic sclerosis. It cites CAPI-Detect when discussing how automated image analysis could reduce observer variability, accelerate assessment and improve reproducibility.
Review
2026
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
Ariane L Herrick
Rheumatology. 2026;65(2):keag081.
A review of digital vasculopathy assessment in systemic sclerosis, including quantitative and automated analysis of nailfold capillaroscopy images. It cites CAPI-Score among advances that may contribute to more personalized assessment and care.
Review
2026
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
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
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
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
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
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.
Editorial
2024
Antonia Valenzuela, Sara Concha, Cristiane Kayser
Rheumatology. 2024;63(12):3203–3204.
An independent editorial dedicated to the CAPI-Score paper. It discusses the algorithm’s potential to reduce observer variability, quantify capillary morphology and distinguish disease patterns, while acknowledging challenges in interpretation and access.