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Alejandro Diaz Lab - Applied Chest Imaging Laboratory (ACIL)

Integrates clinical medicine with quantitative imaging and data science to better understand chronic obstructive pulmonary disease (COPD), bronchiectasis, and other lung diseases.
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phone
Call: 617-732-5188
6177325188
tertiary
email
Email: adiaz6@bwh.harvard.edu
adiaz6@bwh.harvard.edu

Overview

Dr. Diaz’ research group in the Division of Pulmonary and Critical Care Medicine at Brigham and Women’s Hospital within the Applied Chest Imaging Laboratory (ACIL) integrates clinical medicine with quantitative imaging and data science to better understand complex lung diseases, particularly chronic obstructive pulmonary disease (COPD) and bronchiectasis. Their research applied visual and engineering-based methodologies to computed tomography scans from large, well-characterized cohorts—such as COPDGene, ECLIPSE (Evaluation of COPD Longitudinally to Identify Predictive Surrogate Endpoints), DECAMP (Detection of Early Lung Cancer in Active Military Personnel Study), FHS (Framingham Heart Study), and CARDIA (Coronary Artery Risk Development in Young Adults)— to investigate imaging biomarkers, pathologic features, health outcomes, and other disease aspects.

Mucus plug gene expression could identify new COPD targets

A study of mucus plugs in COPD, Mucus Plugs-Associated Gene Expression Identifies Pathophysiology Shared With Chronic Bronchitis, identified dysregulated biologic pathways that could become useful therapeutic targets.  Gene expression profiles associated with mucus plugs reflect pathogenesis in ciliary, mucus, and immune pathways.
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Read more
https://www.chestphysician.org/mucus-plug-gene-expression-could-identify-new-copd-targets/?utm_source=bi-weekly-email&utm_medium=email&utm_campaign=chest-physician-01-07-2026&utm_content=article-title

Mucus plugs persisting across 5 years linked to larger FEV1 decreases in COPD

This story depicts a paper on persistent mucus plugs by Dr. Mettler. Patients with persistent mucus plugs had the lowest baseline FEV1 out of the four mucus plug change groups. Patients in this group vs. the group without mucus plugs had a meaningful difference in FEV1 decline.
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Read more
https://www.healio.com/news/pulmonology/20250730/mucus-plugs-persisting-across-5-years-linked-to-larger-fev1-decreases-in-copd

This lung disease can be dangerous for younger people, too

This story covers a paper on Young COPD by Dr. Diaz and collaborators. Young COPD is defined as a condition diagnosed before 50 years of age. “Young COPD” was present in 4.5% of adults under 50 in US populations. The diagnosis was associated with a significantly elevated risk of hospitalization due to lower respiratory disease and an increased risk of death before 75.
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https://www.cnn.com/2025/08/28/health/copd-lung-disease-wellness#openweb-convo

Suspected bronchiectasis in people who smoke

ANNALS ON CALL
In this episode of Annals On Call, Dr. Centor discusses suspected bronchiectasis and mortality in people who smoke with and without normal lung function with Dr. Alejandro Diaz.
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Learn more
https://www.acponline.org/cme-moc/online-learning-center/suspected-bronchiectasis-in-people-who-smoke
Alejandro Diaz, MD, MPH
Brigham and Women's Hospital
adiaz6@bwh.harvard.edu

Physician-scientist whose research focuses on the application of advanced imaging and computational methods to understand the structural and functional basis of chronic lung diseases, with the goal of improving diagnosis, phenotyping, and clinical outcomes.

Wei Wang, PhD
Biostatistician, Brigham and Women's Hospital
wwang4@bwh.harvard.edu

Dr. Wang has a strong background in many areas of biostatistics, with specific training in experimental design, clinical trials, cohort studies and performing time series, longitudinal data, and survival analyses.

Sofia Mettler, MD, MPH, MSc
Fellow, Brigham and Women's Hospital
smettler@bwh.harvard.edu
Ruchita Borgaonkar, MPH
Bioinformatician I, Brigham and Women's Hospital
ruchitaborgaonkar@bwh.harvard.edu

Ruchita’s research focuses on pulmonary imaging biomarkers, including mucus plugs and bronchiectasis, and their associations with lung health outcomes. Her work includes visual and quantitative assessment of CT scans for imaging biomarkers, data management, statistical analyses, and manuscript preparation for observational and longitudinal clinical research studies.

Rim Elalalmi, BS
Research Assistant, Brigham and Women's Hospital
relalami@bwh.harvard.edu
Titilope ("Titi") Olanipekun, MD, MPH
Fellow, Brigham and Women's Hospital
tolanipekun@bwh.harvard.edu
Jose Martinez-Manzano, MD
Fellow, Brigham and Women's Hospital
jmartinezmanzano@bwh.harvard.edu
Raul San Jose Estépar, PhD
Lead Scientist, Brigham and Women's Hospital
rsanjose@bwh.harvard.edu
George Washko, MD, MSc
Director ACIL, Brigham and Women's Hospital
gwashko@bwh.harvard.edu

Publications

View publications

How to reach us

Contact us with inquiries about ongoing studies, collaboration opportunities, or lab resources.
tertiary
email
Email: adiaz6@bwh.harvard.edu
adiaz6@bwh.harvard.edu