Data-driven abdominal phenotypes of type 2 diabetes in lean, overweight, and obese cohorts from computed tomography

We found similar abdominal signatures of type 2 diabetes across the separate lean, overweight, and obese groups, which suggests that the abdominal drivers of type 2 diabetes may be consistent across weight classes. Although our model had a modest AUC, the explainable components allowed for a clear interpretation of feature importance. In addition, in both lean and obese subgroups, the most important feature for identifying type 2 diabetes was fatty skeletal muscle.

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Publication Details

Journal
Journal of Medical Imaging
Published
2025-12-18
DOI
https://doi.org/10.1117/1.jmi.12.6.064006
Primary Topic
Diabetes, Cardiovascular Risks, and Lipoproteins
Type
article
Field-Weighted Citation Impact
0.00

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article

Data-driven abdominal phenotypes of type 2 diabetes in lean, overweight, and obese cohorts from computed tomography

John Virostko, Chenyu Gao, Chloe Cho, Adam M. Saunders et al.
Journal of Medical Imaging
Diabetes, Cardiovascular Risks, and Lipoproteins
article

Data-driven abdominal phenotypes of type 2 diabetes in lean, overweight, and obese cohorts from computed tomography

John Virostko, Chenyu Gao, Chloe Cho, Adam M. Saunders, Alvin C. Powers, Shunxing Bao, Lucas W. Remedios, Michael E. Kim, Bennett A. Landman, Aravind R. Krishnan, Gaurav Rudravaram, Dong Su, Trent Schwartz
article en

Abstract

We found similar abdominal signatures of type 2 diabetes across the separate lean, overweight, and obese groups, which suggests that the abdominal drivers of type 2 diabetes may be consistent across weight classes. Although our model had a modest AUC, the explainable components allowed for a clear interpretation of feature importance. In addition, in both lean and obese subgroups, the most important feature for identifying type 2 diabetes was fatty skeletal muscle.

Journal of Medical ImagingVol. 12(06)
Vanderbilt University (US), The University of Texas at Austin (US), Vanderbilt University Medical Center (US)
National Science Foundation, Vanderbilt University, Nvidia, Vanderbilt Institute for Clinical and Translational Research, Georgia Clinical and Translational Science Alliance, National Institutes of Health, Vanderbilt Diabetes Research and Training Center, Vanderbilt University Medical Center, National Institute on Aging, National Cancer Institute, National Institute of General Medical Sciences, National Center for Advancing Translational Sciences, Division of Diabetes, Endocrinology, and Metabolic Diseases
Openalex Percentile: Top 47%
Diabetes, Cardiovascular Risks, and Lipoproteins
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