Dietz, B.* ; Machann, J. ; Agrawal, V.* ; Heni, M. ; Schwab, P.* ; Dienes, J.K.* ; Reichert, S.* ; Birkenfeld, A.L. ; Häring, H.-U. ; Schick, F. ; Stefan, N. ; Fritsche, A. ; Preissl, H. ; Schölkopf, B.* ; Bauer, S.* ; Wagner, R.
Detection of diabetes from whole-body MRI using deep learning.
JCI insight 6:e146999 (2021)
Obesity is one of the main drivers of type 2 diabetes, but it is not uniformly associated with the disease. The location of fat accumulation is critical for metabolic health. Specific patterns of body fat distribution, such as visceral fat, are closely related to insulin resistance. There might be further, hitherto unknown, features of body fat distribution that could additionally contribute to the disease. We used machine learning with dense convolutional neural networks to detect diabetes-related variables from 2371 T1-weighted whole-body MRI data sets. MRI was performed in participants undergoing metabolic screening with oral glucose tolerance tests. Models were trained for sex, age, BMI, insulin sensitivity, HbA1c, and prediabetes or incident diabetes. The results were compared with those of conventional models. The area under the receiver operating characteristic curve was 87% for the type 2 diabetes discrimination and 68% for prediabetes, both superior to conventional models. Mean absolute regression errors were comparable to those of conventional models. Heatmaps showed that lower visceral abdominal regions were critical in diabetes classification. Subphenotyping revealed a group with high future diabetes and microalbuminuria risk. Our results show that diabetes is detectable from whole-body MRI without additional data. Our technique of heatmap visualization identifies plausible anatomical regions and highlights the leading role of fat accumulation in the lower abdomen in diabetes pathogenesis.
Impact Factor
Scopus SNIP
Web of Science
Times Cited
Scopus
Cited By
Altmetric
Publication type
Article: Journal article
Document type
Scientific Article
Thesis type
Editors
Keywords
Adipose-tissue; Insulin-resistance; Glucose-tolerance; Fat; Obesity
Keywords plus
Language
english
Publication Year
2021
Prepublished in Year
HGF-reported in Year
2021
ISSN (print) / ISBN
2379-3708
e-ISSN
2379-3708
ISBN
Book Volume Title
Conference Title
Conference Date
Conference Location
Proceedings Title
Quellenangaben
Volume: 6,
Issue: 21,
Pages: ,
Article Number: e146999
Supplement: ,
Series
Publisher
Clarivate
Publishing Place
Ann Arbor, Michigan
Day of Oral Examination
0000-00-00
Advisor
Referee
Examiner
Topic
University
University place
Faculty
Publication date
0000-00-00
Application date
0000-00-00
Patent owner
Further owners
Application country
Patent priority
Reviewing status
Peer reviewed
POF-Topic(s)
90000 - German Center for Diabetes Research
Research field(s)
Helmholtz Diabetes Center
PSP Element(s)
G-502400-001
Grants
state of Baden-Wurttemberg
Federal Ministry of Education and Research
Copyright
Erfassungsdatum
2021-12-20