Evidence map›Paper›PMID 39576146›Full record

ArticleJournal of diabetes investigation2025

Artificial intelligence-based body composition analysis using computed tomography images predicts both prevalence and incidence of diabetes mellitus.

Yoo Hyung Kim, Ji Won Yoon, Bon Hyang Lee, Jeong Hee Yoon, Hun Jee Choe, Tae Jung Oh, Jeong Min Lee, Young Min Cho

Abstract read
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Article in Journal of diabetes investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Yoo Hyung Kim *Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Ji Won Yoon *Department of Internal Medicine, Seoul National University Hospital Healthcare System Gangnam Center, Seoul, Korea.
Bon Hyang LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Jeong Hee YoonDepartment of Radiology, Seoul National University College of Medicine, Seoul, Korea.
Hun Jee ChoeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Tae Jung OhDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID https://orcid.org/0000-0002-5078-6123
Jeong Min LeeDepartment of Radiology, Seoul National University College of Medicine, Seoul, Korea.
Young Min ChoDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-2331-6126

Funding

Ministry of Health and Welfare (Ministry of Health, Welfare and Family Affairs), Republic of Korea
6 · The paper itself

Abstract

AIM/

introductionWe assess the efficacy of artificial intelligence (AI)-based, fully automated, volumetric body composition metrics in predicting the risk of diabetes. MATERIALS AND

methodsThis was a cross-sectional and 10-year retrospective longitudinal study. The cross-sectional analysis included health check-up data of 15,330 subjects with abdominal computed tomography (CT) images between January 1, 2011, and September 30, 2012. Of these, 10,570 subjects with available follow-up data were included in the longitudinal analyses. The volume of each body segment included in the abdominal CT images was measured using AI-based image analysis software.

resultsVisceral fat (VF) proportion and VF/subcutaneous fat (SF) ratio increased with age, and both strongly predicted the presence and risk of developing diabetes. Optimal cut-offs for VF proportion were 24% for men and 16% for women, while VF/SF ratio values were 1.2 for men and 0.5 for women. The subjects with higher VF/SF ratio and VF proportion were associated with a greater risk of having diabetes (adjusted OR 2.0 [95% CI 1.7-2.4] in men; 2.9 [2.2-3.9] in women). In subjects with normal glucose tolerance, higher VF proportion and VF/SF ratio were associated with higher risk of developing prediabetes or diabetes (adjusted HR 1.3 [95% CI 1.1-1.4] in men; 1.4 [1.2-1.7] in women). These trends were consistently observed across each specified cut-off value.

conclusionsAI-based volumetric analysis of abdominal CT images can be useful in obtaining body composition data and predicting the risk of diabetes.

Indexed as

Artificial IntelligenceBody CompositionDiabetes MellitusTomography, X-Ray ComputedAdultAgedCross-Sectional StudiesFemaleFollow-Up StudiesHumansIncidenceIntra-Abdominal FatLongitudinal StudiesMaleMiddle AgedPrevalenceArtificial intelligenceBody compositionDiabetes mellitus

Identifiers

PMID39576146
PMCPMC11786173

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