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@ARTICLE{Haueise:300113,
author = {T. Haueise and F. Schick and N. Stefan and E. Grune and
M.-N. von Itter and H.-U. Kauczor and J. Nattenmüller and
T. Norajitra$^*$ and T. Nonnenmacher and S. Rospleszcz and
K. H. Maier-Hein$^*$ and C. L. Schlett and J. B. Weiss and
B. Fischer and K.-H. Jöckel and L. Krist and T. Niendorf
and A. Peters and A. M. Sedlmeier and S. N. Willich and F.
Bamberg and J. Machann},
title = {{R}efining visceral adipose tissue quantification:
{I}nfluence of sex, age, and {BMI} on single slice
estimation in 3{D} {MRI} of the {G}erman {N}ational
{C}ohort.},
journal = {Zeitschrift für medizinische Physik},
volume = {36},
number = {1},
issn = {0939-3889},
address = {Amsterdam [u.a.]},
publisher = {Elsevier},
reportid = {DKFZ-2025-00611},
pages = {114-124},
year = {2026},
note = {2026 Feb;36(1):114-124},
abstract = {High prevalence of visceral obesity and its associated
complications underscore the importance of accurately
quantifying visceral adipose tissue (VAT) depots. While
whole-body MRI offers comprehensive insights into adipose
tissue distribution, it is resource-intensive.
Alternatively, evaluation of defined single slices provides
an efficient approach for estimation of total VAT volume.
This study investigates the influence of sex-, age-, and BMI
on VAT distribution along the craniocaudal axis and total
VAT volume obtained from single slice versus volumetric
assessment in 3D MRI and aims to identify age-independent
locations for accurate estimation of VAT volume from single
slice assessment.This secondary analysis of the prospective
population-based German National Cohort (NAKO) included 3D
VIBE Dixon MRI from 11,191 participants (screened between
May 2014 and December 2016). VAT and spine segmentations
were automatically generated using fat-selective images.
Standardized craniocaudal VAT profiles were generated. Axial
percentage of total VAT was used for identification of
reference locations for volume estimation of VAT from a
single slice.Data from 11,036 participants (mean age, 52 ±
11 years, 5681 men) were analyzed. Craniocaudal VAT
distribution differed qualitatively between men/women and
with respect to age/BMI. Age-independent single slice VAT
estimates demonstrated strong correlations with reference
VAT volumes. Anatomical locations for accurate VAT
estimation varied with sex/BMI.The selection of reference
locations should be different depending on BMI groups, with
a preference for caudal shifts in location with increasing
BMI. For women with obesity (BMI >30 kg/m2), the L1 level
emerges as the optimal reference location.},
keywords = {Deep learning (Other) / Magnetic resonance imaging (Other)
/ Obesity (Other) / Single slice quantification (Other) /
Visceral adipose tissue (Other)},
cin = {E230},
ddc = {610},
cid = {I:(DE-He78)E230-20160331},
pnm = {315 - Bildgebung und Radioonkologie (POF4-315)},
pid = {G:(DE-HGF)POF4-315},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40122750},
doi = {10.1016/j.zemedi.2025.02.005},
url = {https://inrepo02.dkfz.de/record/300113},
}