Using Adipose Measures from Health Care Provider-Based Imaging Data for Discovery

The location and type of adipose tissue is an important factor in metabolic syndrome. A database of picture archiving and communication system (PACS) derived abdominal computerized tomography (CT) images from a large health care provider, Geisinger, was used for large-scale research of the relations...

Full description

Saved in:
Bibliographic Details
Main Authors: Elliot D. K. Cha, Yogasudha Veturi, Chirag Agarwal, Aalpen Patel, Mohammad R. Arbabshirani, Sarah A. Pendergrass
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2018/3253096
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832563986200002560
author Elliot D. K. Cha
Yogasudha Veturi
Chirag Agarwal
Aalpen Patel
Mohammad R. Arbabshirani
Sarah A. Pendergrass
author_facet Elliot D. K. Cha
Yogasudha Veturi
Chirag Agarwal
Aalpen Patel
Mohammad R. Arbabshirani
Sarah A. Pendergrass
author_sort Elliot D. K. Cha
collection DOAJ
description The location and type of adipose tissue is an important factor in metabolic syndrome. A database of picture archiving and communication system (PACS) derived abdominal computerized tomography (CT) images from a large health care provider, Geisinger, was used for large-scale research of the relationship of volume of subcutaneous adipose tissue (SAT) and visceral adipose tissue (VAT) with obesity-related diseases and clinical laboratory measures. Using a “greedy snake” algorithm and 2,545 CT images from the Geisinger PACS, we measured levels of VAT, SAT, total adipose tissue (TAT), and adipose ratio volumes. Sex-combined and sex-stratified association testing was done between adipose measures and 1,233 disease diagnoses and 37 clinical laboratory measures. A genome-wide association study (GWAS) for adipose measures was also performed. SAT was strongly associated with obesity and morbid obesity. VAT levels were strongly associated with type 2 diabetes-related diagnoses (p = 1.5 × 10−58), obstructive sleep apnea (p = 7.7 × 10−37), high-density lipoprotein (HDL) levels (p = 1.42 × 10−36), triglyceride levels (p = 1.44 × 10−43), and white blood cell (WBC) counts (p = 7.37 × 10−9). Sex-stratified tests revealed stronger associations among women, indicating the increased influence of VAT on obesity-related disease outcomes particularly among women. The GWAS identified some suggestive associations. This study supports the utility of pursuing future clinical and genetic discoveries with existing imaging data-derived adipose tissue measures deployed at a larger scale.
format Article
id doaj-art-59bf9ca374b64a89b0e471337d8a2165
institution Kabale University
issn 2090-0708
2090-0716
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Journal of Obesity
spelling doaj-art-59bf9ca374b64a89b0e471337d8a21652025-02-03T01:12:08ZengWileyJournal of Obesity2090-07082090-07162018-01-01201810.1155/2018/32530963253096Using Adipose Measures from Health Care Provider-Based Imaging Data for DiscoveryElliot D. K. Cha0Yogasudha Veturi1Chirag Agarwal2Aalpen Patel3Mohammad R. Arbabshirani4Sarah A. Pendergrass5Biomedical and Translational Informatics Institute, Geisinger Research, Danville, PA, USABiomedical and Translational Informatics Institute, Geisinger Research, Danville, PA, USADepartment of Imaging Science and Innovation, Geisinger Research, Danville, PA, USADepartment of Imaging Science and Innovation, Geisinger Research, Danville, PA, USABiomedical and Translational Informatics Institute, Geisinger Research, Danville, PA, USABiomedical and Translational Informatics Institute, Geisinger Research, Danville, PA, USAThe location and type of adipose tissue is an important factor in metabolic syndrome. A database of picture archiving and communication system (PACS) derived abdominal computerized tomography (CT) images from a large health care provider, Geisinger, was used for large-scale research of the relationship of volume of subcutaneous adipose tissue (SAT) and visceral adipose tissue (VAT) with obesity-related diseases and clinical laboratory measures. Using a “greedy snake” algorithm and 2,545 CT images from the Geisinger PACS, we measured levels of VAT, SAT, total adipose tissue (TAT), and adipose ratio volumes. Sex-combined and sex-stratified association testing was done between adipose measures and 1,233 disease diagnoses and 37 clinical laboratory measures. A genome-wide association study (GWAS) for adipose measures was also performed. SAT was strongly associated with obesity and morbid obesity. VAT levels were strongly associated with type 2 diabetes-related diagnoses (p = 1.5 × 10−58), obstructive sleep apnea (p = 7.7 × 10−37), high-density lipoprotein (HDL) levels (p = 1.42 × 10−36), triglyceride levels (p = 1.44 × 10−43), and white blood cell (WBC) counts (p = 7.37 × 10−9). Sex-stratified tests revealed stronger associations among women, indicating the increased influence of VAT on obesity-related disease outcomes particularly among women. The GWAS identified some suggestive associations. This study supports the utility of pursuing future clinical and genetic discoveries with existing imaging data-derived adipose tissue measures deployed at a larger scale.http://dx.doi.org/10.1155/2018/3253096
spellingShingle Elliot D. K. Cha
Yogasudha Veturi
Chirag Agarwal
Aalpen Patel
Mohammad R. Arbabshirani
Sarah A. Pendergrass
Using Adipose Measures from Health Care Provider-Based Imaging Data for Discovery
Journal of Obesity
title Using Adipose Measures from Health Care Provider-Based Imaging Data for Discovery
title_full Using Adipose Measures from Health Care Provider-Based Imaging Data for Discovery
title_fullStr Using Adipose Measures from Health Care Provider-Based Imaging Data for Discovery
title_full_unstemmed Using Adipose Measures from Health Care Provider-Based Imaging Data for Discovery
title_short Using Adipose Measures from Health Care Provider-Based Imaging Data for Discovery
title_sort using adipose measures from health care provider based imaging data for discovery
url http://dx.doi.org/10.1155/2018/3253096
work_keys_str_mv AT elliotdkcha usingadiposemeasuresfromhealthcareproviderbasedimagingdatafordiscovery
AT yogasudhaveturi usingadiposemeasuresfromhealthcareproviderbasedimagingdatafordiscovery
AT chiragagarwal usingadiposemeasuresfromhealthcareproviderbasedimagingdatafordiscovery
AT aalpenpatel usingadiposemeasuresfromhealthcareproviderbasedimagingdatafordiscovery
AT mohammadrarbabshirani usingadiposemeasuresfromhealthcareproviderbasedimagingdatafordiscovery
AT sarahapendergrass usingadiposemeasuresfromhealthcareproviderbasedimagingdatafordiscovery