Visceral fat quantification in asymptomatic adults using abdominal CT: is it predictive of future cardiac events?

Verfasser / Beitragende:
[Eva Ryckman, Ronald Summers, Jiamin Liu, Alejandro del Rio, Perry Pickhardt]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/1(2015-01-01), 222-226
Format:
Artikel (online)
ID: 605492158
LEADER caa a22 4500
001 605492158
003 CHVBK
005 20210128100513.0
007 cr unu---uuuuu
008 210128e20150101xx s 000 0 eng
024 7 0 |a 10.1007/s00261-014-0192-z  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-014-0192-z 
245 0 0 |a Visceral fat quantification in asymptomatic adults using abdominal CT: is it predictive of future cardiac events?  |h [Elektronische Daten]  |c [Eva Ryckman, Ronald Summers, Jiamin Liu, Alejandro del Rio, Perry Pickhardt] 
520 3 |a Purpose: The purpose of this study was to determine if quantifying visceral adipose tissue (VAT) at CT in asymptomatic adults can predict the likelihood of future cardiac events. Methods: Subcutaneous and visceral fat volumes were obtained from abdominal CT utilizing a validated semi-automated software tool in 663 asymptomatic adults (mean age 57.3years, 379F/284M) undergoing colorectal screening. Patients were followed for subsequent cardiac events, defined as myocardial infarction or coronary intervention for a mean follow-up interval of 7.0±1.4years. Relevant clinical data including Framingham risk score (FRS) were also collected. Statistical analysis included logistic regression, Pearson correlation coefficients, and Welch and Wilcoxon rank sum tests. Results: Cardiac events were documented in 32 subjects (4.8%) an average 3.0years after index CT. FRS was predictive of future cardiac events, signified by a higher score (mean score 11.9 vs. 7.4; p<0.001). HDL levels were significantly lower in the cardiac event cohort (mean 52.2 vs. 61.0; p<0.01). None of the other clinical variables were predictive and none of the CT-based fat measurements (visceral, subcutaneous, and total adipose tissue; visceral fat %) correlated with future cardiac events (p=0.561-0.886). Mean visceral fat % in the cardiac event cohort was 38.1% vs. 39.1% for the non-event group. Conclusion: Quantification of VAT at abdominal CT was not predictive of future cardiac events in this asymptomatic cohort, whereas HDL levels and FRSs correlated well with risk. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a CT  |2 nationallicence 
690 7 |a Visceral fat  |2 nationallicence 
690 7 |a Obesity  |2 nationallicence 
690 7 |a Cardiovascular risk  |2 nationallicence 
690 7 |a CT colonography screening  |2 nationallicence 
700 1 |a Ryckman  |D Eva  |u Department of Radiology, University of Wisconsin School of Medicine and Public Health, E3/311 Clinical Science Center, 600 Highland Ave, 53792-3252, Madison, WI, USA  |4 aut 
700 1 |a Summers  |D Ronald  |u Imaging Biomarkers and Computer-aided Diagnosis Laboratory Radiology and Imaging Sciences, National Institutes of Health Clinical Center, 20892-1182, Bethesda, MD, USA  |4 aut 
700 1 |a Liu  |D Jiamin  |u Imaging Biomarkers and Computer-aided Diagnosis Laboratory Radiology and Imaging Sciences, National Institutes of Health Clinical Center, 20892-1182, Bethesda, MD, USA  |4 aut 
700 1 |a del Rio  |D Alejandro  |u Department of Radiology, University of Wisconsin School of Medicine and Public Health, E3/311 Clinical Science Center, 600 Highland Ave, 53792-3252, Madison, WI, USA  |4 aut 
700 1 |a Pickhardt  |D Perry  |u Department of Radiology, University of Wisconsin School of Medicine and Public Health, E3/311 Clinical Science Center, 600 Highland Ave, 53792-3252, Madison, WI, USA  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/1(2015-01-01), 222-226  |x 0942-8925  |q 40:1<222  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-014-0192-z  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-014-0192-z  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ryckman  |D Eva  |u Department of Radiology, University of Wisconsin School of Medicine and Public Health, E3/311 Clinical Science Center, 600 Highland Ave, 53792-3252, Madison, WI, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Summers  |D Ronald  |u Imaging Biomarkers and Computer-aided Diagnosis Laboratory Radiology and Imaging Sciences, National Institutes of Health Clinical Center, 20892-1182, Bethesda, MD, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Liu  |D Jiamin  |u Imaging Biomarkers and Computer-aided Diagnosis Laboratory Radiology and Imaging Sciences, National Institutes of Health Clinical Center, 20892-1182, Bethesda, MD, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a del Rio  |D Alejandro  |u Department of Radiology, University of Wisconsin School of Medicine and Public Health, E3/311 Clinical Science Center, 600 Highland Ave, 53792-3252, Madison, WI, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Pickhardt  |D Perry  |u Department of Radiology, University of Wisconsin School of Medicine and Public Health, E3/311 Clinical Science Center, 600 Highland Ave, 53792-3252, Madison, WI, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/1(2015-01-01), 222-226  |x 0942-8925  |q 40:1<222  |1 2015  |2 40  |o 261