RT Journal Article SR Electronic T1 Rectal organoid morphology analysis (ROMA) as a promising diagnostic tool in cystic fibrosis JF Thorax JO Thorax FD BMJ Publishing Group Ltd and British Thoracic Society SP 1146 OP 1149 DO 10.1136/thoraxjnl-2020-216368 VO 76 IS 11 A1 Cuyx, Senne A1 Ramalho, Anabela Santo A1 Corthout, Nikky A1 Fieuws, Steffen A1 Fürstová, Eva A1 Arnauts, Kaline A1 Ferrante, Marc A1 Verfaillie, Catherine A1 Munck, Sebastian A1 Boon, Mieke A1 Proesmans, Marijke A1 Dupont, Lieven A1 De Boeck, Kris A1 Vermeulen, François YR 2021 UL http://thorax.bmj.com/content/76/11/1146.abstract AB Diagnosing cystic fibrosis (CF) when sweat chloride is not in the CF range and less than 2 disease-causing CFTR mutations are found requires physiological CFTR assays, which are not always feasible or available. We developed a new physiological CFTR assay based on the morphological differences between rectal organoids from subjects with and without CF. In organoids from 167 subjects with and 22 without CF, two parameters derived from a semi-automated image analysis protocol (rectal organoid morphology analysis, ROMA) fully discriminated CF subjects with two disease-causing mutations from non-CF subjects (p<0.001). ROMA, feasible at all ages, can be centralised to improve standardisation.