# AI Model Analyses Body Composition to Predict Health Risks

- Link: https://www.thailand-business-news.com/pr-news/ai-model-analyses-body-composition-to-predict-health-risks
- Published: 2026-05-05T21:00:00+07:00
- Author: PR Newswire

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OAK BROOK, Ill., May 5, 2026 /PRNewswire/ — Researchers used AI to analyze whole-
body MRI scans from more than 66,000 participants to create the most detailed reference
map to date of how fat and muscle are distributed in the human body across age, 
sex and height. The study was published today in [_Radiology_](https://edge.prnewswire.com/c/link/?t=0&l=en&o=4680607-2&h=328576634&u=https%3A%2F%2Fpubs.rsna.org%2Fjournal%2Fradiology&a=Radiology),
a journal of the Radiological Society of North America ([RSNA](https://edge.prnewswire.com/c/link/?t=0&l=en&o=4680607-2&h=3289717308&u=https%3A%2F%2Fwww.rsna.org%2F&a=RSNA)).
Results of the study show that the quality and amount of skeletal muscle, not just
visceral fat, are strong predictors of diabetes, major cardiovascular events and
mortality.

Clinicians have long relied on body mass index (BMI) and body weight to estimate
cardiometabolic—the connection between cardiovascular (heart/blood vessel) and metabolic(
energy/nutrient processing) systems on health—and overall health risk. But BMI is
a crude measure of body composition that only relies on height and weight and does
not account for muscle mass or fat distribution.

"Many risk scores and treatment decisions still rely on BMI or waist circumference
because they are simple to obtain," said senior author Jakob Weiss, M.D., Ph.D.,
radiologist in the Department of Diagnostic and Interventional Radiology at University
Medical Center Freiburg in Germany. "But BMI does not reliably reflect a person’s
actual body composition."

Dr. Weiss said the medical community also lacks reference standards for how body
composition changes in asymptomatic individuals as they age, as well as differences
between men and women.

"There is growing evidence that body composition measures are independent risk factors
for cardiometabolic and oncological diseases and mortality," said first author Matthias
Jung, M.D., from the Department of Diagnostic and Interventional Radiology, University
Medical Center Freiburg. "However, these measures are influenced by height and sex
and change substantially with age."

The retrospective study included a cohort of 66,608 individuals (mean age 57.7 years,
34,443 males, mean BMI: 26.2) who underwent [whole-body MRI](https://edge.prnewswire.com/c/link/?t=0&l=en&o=4680607-2&h=2763601913&u=https%3A%2F%2Fwww.radiologyinfo.org%2Fen%2Finfo%2Fbodymr&a=whole-body+MRI)
as participants in the UK Biobank and the German National Cohort between April 2014
and May 2022.

The researchers calculated age-, sex-, and height-normalized body composition metrics
from the MRI scans using their open-source, fully automated deep learning framework.
The body composition metrics, including subcutaneous adipose tissue, visceral adipose
tissue, skeletal muscle, skeletal muscle fat fraction, and intramuscular adipose
tissue, were expressed as z–scores, which show how far an individual deviated from
the age-, sex-, and height-adjusted norm.

The researchers then conducted statistical analyses to assess the prognostic value
of z-score categories (low: z<-1; middle: z=-1 to 1; high: z>1) to predict the incidence
of diabetes, major adverse cardiovascular events and all-cause mortality.

They found that high visceral fat was associated with a 2.26-fold increased risk
of future diabetes, high intramuscular fat was associated with a 1.54-fold increased
risk of future major cardiovascular events, and low skeletal muscle was associated
with a 1.44-fold higher all-cause mortality beyond cardiometabolic risk factors.

"It’s not only how much muscle you have, but also it’s the quality of that muscle,"
Dr. Jung said. "Knowing the volume of intramuscular fat gives us a window into muscle
quality that other methods like BMI, bioelectrical impedance analysis, or DEXA can’t
easily provide."

The research team also generated age-, sex-, and height-normalized reference curves
for key body composition measures.

"Adjusting for confounding factors is critical for improving screening accuracy 
and tailoring treatment decisions," Dr. Weiss said. "This tool has the potential
to identify whether an individual’s body composition puts them at greater risk for
metabolic disease compared to their age-matched peers."

The researchers released their open-source web-based age-, sex-, and height-adjusted
body composition z-score calculator to support future research, accelerate clinical
translation, enabling researchers and clinicians to normalize their own datasets
for improved comparability and generalizability.

"This tool can allow clinicians to use routine imaging opportunistically," Dr. Weiss
said. "A dedicated whole-body MRI is not necessarily required. If a routine CT or
MRI body scan already exists, the information can be extracted for benchmarking 
against the reference values."

Dr. Weiss said the AI tool could also help improve risk stratification in oncology
or distinguish desirable fat loss from unwanted muscle loss in patients using weight-
loss drugs such as GLP–1 agonists.

"We’re already imaging patients every day," Dr. Weiss noted. "On every scan of the
abdomen or chest, the information is there, we just don’t routinely measure or report
it. AI now allows us to tap into this hidden layer of data in a quantitative, reproducible
way."

Next steps for the researchers include validating the reference curves in clinical
populations, especially predicting treatment toxicity, survival and recurrence in
cancer patients, and developing disease-specific reference values for other patient
groups.

"Body Composition in the General Population: Whole-body MRI-derived Reference Curves
from Over 66,000 Individuals." Collaborating with Drs. Weiss and Jung were Marco
Reisert, Ph.D., Hanna Rieder, Susanne Rospleszcz, Ph.D., Tobias Haueise, Ph.D., 
Tobias Pischon, Ph.D., Thoralf Niendorf, Ph.D., Hans-Ulrich Kauczor, M.D., Henry
Völzke, M.D., Robin Bülow, M.D., Maximilian F. Russe, M.D., Christopher L. Schlett,
M.D., M.P.H., Michael T. Lu, M.D., M.P.H., Fabian Bamberg, M.D., M.P.H., and Vineet
K. Raghu, Ph.D.

_Radiology_ is edited by Suhny Abbara, M.D., FACR, MSCCT, Mayo Clinic, Jacksonville,
Florida, and owned and published by the Radiological Society of North America, Inc.(
[https://pubs.rsna.org/journal/radiology](https://edge.prnewswire.com/c/link/?t=0&l=en&o=4680607-2&h=3033848998&u=https%3A%2F%2Fpubs.rsna.org%2Fjournal%2Fradiology&a=https%3A%2F%2Fpubs.rsna.org%2Fjournal%2Fradiology))

RSNA is an association of radiologists, radiation oncologists, medical physicists
and related scientists promoting excellence in patient care and health care delivery
through education, research and technologic innovation. The Society is based in 
Oak Brook, Illinois. ([RSNA.org](https://edge.prnewswire.com/c/link/?t=0&l=en&o=4680607-2&h=3755724733&u=https%3A%2F%2Fwww.rsna.org%2F&a=RSNA.org))

For patient-friendly information on MRI, visit [_RadiologyInfo.org_](https://edge.prnewswire.com/c/link/?t=0&l=en&o=4680607-2&h=853960946&u=http%3A%2F%2Fwww.radiologyinfo.org%2F&a=RadiologyInfo.org).

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