Abstract

This “proof-of-principle” study evaluates if the recently presented “Imiomics” technique could visualize how fat and lean tissue mass are associated with local tissue volume and fat content at high/unprecedented resolution. A whole-body quantitative water-fat MRI scan was performed in 159 men and 167 women aged 50 in the population-based POEM study. Total fat and lean mass were measured by DXA. Fat content was measured by the water-fat MRI. Fat mass and distribution measures were associated to the detailed differences in tissue volume and fat concentration throughout the body using Imiomics. Fat mass was positively correlated (r > 0.50, p < 0.05) with tissue volume in all subcutaneous areas of the body, as well as volumes of the liver, intraperitoneal fat, retroperitoneal fat and perirenal fat, but negatively to lung volume. Fat mass correlated positively with volumes of paravertebral muscles, and muscles in the ventral part of the thigh and lower limb. Fat mass was distinctly correlated with the fat content in subcutaneous adipose tissue at the trunk. Lean mass was positively related to the large skeletal muscles and the skeleton. The present study indicates the Imiomics technique to be suitable for studies of fat and lean tissue distribution, and feasible for large scale studies.

Highlights

  • Both the amount of adipose tissue and the distribution are major characteristics to be taken into account in obesity

  • The Imiomics technique showed that an increase in fat mass was positively correlated with volume of subcutaneous fat, as well as in other fat depots, such as liver, perirenal fat, intra-peritoneal fat, and retroperitoneal fat

  • Similar pictures emerged when the fat content was measured instead of volumes, but in this case the fat content in the subcutaneous adipose tissue could be distinctly divided into a superficial and a deep portion

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Summary

Introduction

Both the amount of adipose tissue and the distribution are major characteristics to be taken into account in obesity It is known from previous imaging studies that subjects with a high waist/hip-ratio (WHR) have increased amounts of fat in predefined ectopic fat depots, like the liver, intraperitoneally, retroperitoneally, perirenal and in the epi/pericardium[1,2,3,4], but the exact anatomical correlates of an increased fat mass or a high WHR are not known in detail. Another important characteristic of body composition is lean mass, which mainly constitutes of skeletal muscle mass. We investigated the anatomical correlate to lean mass using Imiomics

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