在开始治疗赛马格卢提德 (葡萄糖类-1受体激动剂) 后,CT基体构成的患者内变化
Leslie W Nelson1, Matthew H Lee1, John W Garrett1,2,3
1Department of Radiology, University of Wisconsin School of Medicine and Public Health, E3/311 Clinical Science Center, 600 Highland Ave, Madison, WI 53792-3252.
AJR. American journal of roentgenology
|September 4, 2024
概括
在患有2型糖尿病或肥胖的成年人中,塞马格卢提德的使用导致那些减肥的人的身体组成发生了有利的变化,包括内脏脂肪组织 (VAT) 和皮下脂肪组织 (SAT) 的减少. 体重增加与增加的VAT,SAT和肌肉间脂肪组织 (IMAT) 有关.
科学领域:
- 放射学和成像学 放射学和成像学
- 内分泌学和新陈代谢学
- 人工智能在医学中的应用
背景情况:
- 作为一种类似于葡萄糖的-1受体激动剂的塞马格卢提德 (semaglutide) 是用于2型糖尿病和肥胖症的药物.
- 临床研究表明,塞马格卢提德在促进减肥,改善血糖控制和降低心血管风险方面具有有效性.
- 身体组成的变化是代谢健康和治疗反应的关键指标.
研究的目的:
- 评估在开始服用西马格卢提德后患者体内的身体组成变化.
- 利用人工智能 (AI) 驱动的计算机断层扫描 (CT) 工具进行精确的身体组成分析.
主要方法:
- 对241名成年患者进行了回顾性分析,这些患者接受了塞马格卢提德治疗.
- 腹腔皮层CT扫描在塞马格卢提德开始 (2016-2023) 之前和之后获得.
- 基于AI的CT分析量化了内脏脂肪组织 (VAT),皮下脂肪组织 (SAT),骨肌面积和衰减,肌际脂肪组织 (IMAT),肝体积/衰减和骨矿物质密度 (BMD).
主要成果:
- 减肥组 (n=67) 显示了VAT,SAT,肌肉面积和肝脏体积的显著减少,同时增加了semaglutide后的肝脏衰减.
- 体重增加组 (n=48) 在VAT,SAT和IMAT显著增加,肌肉衰减减少,表明肌肉质量下降.
- 在减肥和体重增加队列之间观察到明显的身体组成变化模式.
结论:
- 塞马格卢提德治疗与明显的患者体内组成变化有关,以体重变化区分开来.
- 在西马格卢提德治疗期间减肥与心脏代谢风险标志物的有利转变有关.
- 人工智能驱动的CT分析提供了有价值的生物标志物,用于评估超越标准临床指标的身体组成变化.
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