Evidence map›Paper›PMID 40528328›Full record

Observational studyEndocrinology and metabolism (Seoul, Korea)2025

Deep Learning-Based Adrenal Gland Volumetry for the Prediction of Diabetes.

Eu Jeong Ku, Soon Ho Yoon, Seung Shin Park, Ji Won Yoon, Jung Hee Kim

Abstract readObservational Study
In one paragraph

Observational study in Endocrinology and metabolism (Seoul, Korea), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Eu Jeong KuDepartment of Internal Medicine, Seoul National University Hospital Healthcare System Gangnam Center, Korea.
Soon Ho YoonDepartment of Radiology, Seoul National University Hospital, Seoul, Korea.
Seung Shin ParkDepartment of Internal Medicine, Seoul National University College of Medicine, Korea.
Ji Won YoonDepartment of Internal Medicine, Seoul National University Hospital Healthcare System Gangnam Center, Korea.
Jung Hee KimDepartment of Internal Medicine, Seoul National University College of Medicine, Korea.

Funding

Korea Health Industry Development InstituteMinistry of Health and Welfare HI21C0032Ministry of Health and Welfare HI22C0049Ministry of Science and ICTNational Research Foundation of Korea 2020R1C1C1010723NIEHS NIH HHS 27300C0032
6 · The paper itself

Abstract

backgruoundThe long-term association between adrenal gland volume (AGV) and type 2 diabetes (T2D) remains unclear. We aimed to determine the association between deep learning-based AGV and current glycemic status and incident T2D.

methodsIn this observational study, adults who underwent abdominopelvic computed tomography (CT) for health checkups (2011-2012), but had no adrenal nodules, were included. AGV was measured from CT images using a three-dimensional nnU-Net deep learning algorithm. We assessed the association between AGV and T2D using a cross-sectional and longitudinal design.

resultsWe used 500 CT scans (median age, 52.3 years; 253 men) for model development and a Multi-Atlas Labeling Beyond the Cranial Vault dataset for external testing. A clinical cohort included a total of 9708 adults (median age, 52.0 years; 5,769 men). The deep learning model demonstrated a dice coefficient of 0.71±0.11 for adrenal segmentation and a mean volume difference of 0.6± 0.9 mL in the external dataset. Participants with T2D at baseline had a larger AGV than those without (7.3 cm3 vs. 6.7 cm3 and 6.3 cm3 vs. 5.5 cm3 for men and women, respectively, all P<0.05). The optimal AGV cutoff values for predicting T2D were 7.2 cm3 in men and 5.5 cm3 in women. Over a median 7.0-year follow-up, T2D developed in 938 participants. Cumulative T2D risk was accentuated with high AGV compared with low AGV (adjusted hazard ratio, 1.27; 95% confidence interval, 1.11 to 1.46).

conclusionAGV, measured using deep learning algorithms, is associated with current glycemic status and can significantly predict the development of T2D.

Indexed as

Adrenal GlandsDeep LearningDiabetes Mellitus, Type 2AdultAgedCross-Sectional StudiesFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMiddle AgedOrgan SizePrognosisTomography, X-Ray ComputedAdrenal glandsDeep learningDiabetes mellitus, type 2Radiographic image interpretation, computer-assisted

Identifiers

PMID40528328
PMCPMC12765888

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.