基于人工智能的身体组成分析,使用计算机断层扫描图像预测糖尿病的流行率和发病率
Yoo Hyung Kim1, Ji Won Yoon2, Bon Hyang Lee1
1Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Journal of diabetes investigation
|November 22, 2024
概括
人工智能 (AI) 对腹部CT扫描的分析准确地预测糖尿病风险,使用身体成分指标,如内脏脂肪比例和内脏脂肪与皮下脂肪比例. 这些人工智能衍生措施为早期糖尿病检测和预防策略提供了宝贵的见解.
科学领域:
- 放射学和医学成像学 医学成像学
- 医疗保健中的人工智能
- 代谢性疾病研究研究
背景情况:
- 身体成分,特别是内脏脂肪,与代谢健康有关.
- 为了风险预测,需要准确和自动化的方法来评估身体成分.
- 糖尿病风险评估通常依赖于传统的风险因素,需要新的预测工具.
研究的目的:
- 评估基于人工智能 (AI) 的体积体质成分指标在预测糖尿病风险方面的有效性.
- 为了确定AI衍生的内脏脂肪 (VF) 的比例和VF/皮下脂肪 (SF) 的比率是否可以预测糖尿病的存在和发病率.
- 为了在糖尿病风险分层中建立AI衍生的身体组成指标的最佳切断值.
主要方法:
- 一项横截面和10年后期纵向研究,涉及15330名受试者,使用腹部CT图像.
- 基于人工智能的图像分析软件被用于测量体积组成,包括VF和SF.
- 纵向分析包括10570名受试者,随访数据用于评估发生糖尿病和糖尿病前期.
主要成果:
- 内脏脂肪比例和VF/SF比率随着年龄的增长而增加,并强烈预测糖尿病风险.
- 确定了最佳截止值:VF比例 (24%的男性,16%的女性) 和VF/SF比率 (1.2的男性,0.5的女性).
- 较高的VF/SF比率和VF比率显著与糖尿病的几率增加和患前糖尿病/糖尿病的风险增加有关.
结论:
- 腹部CT扫描的基于AI的体积分析提供了宝贵的身体组成数据.
- 这些来自人工智能的指标在预测患糖尿病的风险方面是有效的.
- 自动化AI分析为糖尿病风险评估和早期干预提供了一个有前途的工具.
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