Obesity

Ultrasound and magnetic resonance imaging (MRI) abdominal fat distribution and its associations with metabolic conditions in adults with abdominal obesity

Diabetes Obes MetabPublished Cross-sectional study

Main finding · VAT thickness, US vs MRI correlationResult — go to the resultr 0.82

Authors' conclusion

Ultrasound represents a useful screening tool for VAT thickness evaluation with an easy translation to clinical practice. Particularly, VAT thickness and VAT/SAT ratio (thickness) are positively associated with prediabetes and metabolic syndrome, especially in women.

Study context

Population
Adults with abdominal obesity (waist circumference ≥102 cm men, ≥88 cm women); 65.5% women; mean age 52.8 ± 10.9 years
Participants
113 adults
Exposure
Ultrasound (US) vs MRI for visceral adipose tissue (VAT) and SAT measurement
Outcome
Accuracy of US-assessed SAT and VAT vs MRI
Methodological detailsdiagnostic accuracy vs MRI (gold standard), ROC curve analysis
  • Diagnostic accuracy vs MRI (gold standard)
  • ROC curve analysis

Main finding

VAT thickness, US vs MRI correlation

r

0.82

As reported in the abstract

Observational data: associations, not effects.

Further findings

Prediabetes in women: US-measured VAT thickness
0.71 · AUC · proposed cut-off 5.87 cm
Metabolic syndrome in women: US-measured VAT thickness
0.69 · AUC · proposed cut-off 4.83 cm
Prediabetes in women: US VAT/SAT ratio (thickness)
0.72 · AUC · proposed cut-off 3.04
Metabolic syndrome in women: US VAT/SAT ratio (thickness)
0.69 · AUC · proposed cut-off 2.52

Original publication

Ultrasound and MRI abdominal fat distribution and its associations with metabolic conditions in adults with abdominal obesity. Diabetes Obes Metab. Published 17 December 2025. doi:10.1111/dom.70390

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