Division of Endocrinology, Diabetes, & Metabolism, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, 21287, USA.
Department Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, 21287, USA.
Diabetes Metab Syndr. 2023 Mar;17(3):102732. doi: 10.1016/j.dsx.2023.102732. Epub 2023 Feb 26.
Although obesity is associated with chronic disease, a large section of the population with high BMI does not have an increased risk of metabolic disease. Increased visceral adiposity and sarcopenia are also risk factors for metabolic disease in people with normal BMI. Artificial Intelligence (AI) techniques can help assess and analyze body composition parameters for predicting cardiometabolic health. The purpose of the study was to systematically explore literature involving AI techniques for body composition assessment and observe general trends.
We searched the following databases: Embase, Web of Science, and PubMed. There was a total of 354 search results. After removing duplicates, irrelevant studies, and reviews(a total of 303), 51 studies were included in the systematic review.
AI techniques have been studied for body composition analysis in the context of diabetes mellitus, hypertension, cancer and many specialized diseases. Imaging techniques employed for AI methods include CT (Computerized Tomography), MRI (Magnetic Resonance Imaging), ultrasonography, plethysmography, and EKG(Electrocardiogram). Automatic segmentation of body composition by deep learning with convolutional networks has helped determine and quantify muscle mass. Limitations include heterogeneity of study populations, inherent bias in sampling, and lack of generalizability. Different bias mitigation strategies should be evaluated to address these problems and improve the applicability of AI to body composition analysis.
AI assisted measurement of body composition might assist in improved cardiovascular risk stratification when applied in the appropriate clinical context.
尽管肥胖与慢性病有关,但很大一部分 BMI 较高的人群并没有增加代谢疾病的风险。内脏脂肪增加和肌肉减少也是 BMI 正常人群代谢疾病的危险因素。人工智能 (AI) 技术可以帮助评估和分析身体成分参数,以预测心脏代谢健康。本研究的目的是系统地探索涉及 AI 技术进行身体成分评估的文献,并观察其总体趋势。
我们搜索了以下数据库:Embase、Web of Science 和 PubMed。共有 354 个搜索结果。去除重复项、不相关的研究和综述(共 303 项)后,有 51 项研究被纳入系统评价。
AI 技术已在糖尿病、高血压、癌症和许多专业疾病的背景下用于身体成分分析。用于 AI 方法的成像技术包括 CT(计算机断层扫描)、MRI(磁共振成像)、超声、体积描记术和 EKG(心电图)。深度学习的自动身体成分分割有助于确定和量化肌肉量。局限性包括研究人群的异质性、采样中的固有偏差以及缺乏普遍性。应该评估不同的偏差缓解策略,以解决这些问题并提高 AI 对身体成分分析的适用性。
当应用于适当的临床环境时,AI 辅助测量身体成分可能有助于改善心血管风险分层。