KJR View Calls for Standardized Imaging to Move Beyond BMI Toward Body Composition Phenotyping in Obesity

A new review argues that clinical obesity imaging should transition from simple adiposity confirmation to integrated body composition phenotyping using CT/MRI biomarkers to guide personalized risk assessment and therapy. (exact figures not reported in source)

• Design: Narrative review proposing a framework for standardizing obesity imaging across modalities.
• Key proposal: Shift from BMI-centric confirmation of excess fat to multi-compartment body composition reporting (subcutaneous/visceral fat, muscle mass/quality, liver fat) on routine CT and MRI.
• Limitation: This is an expert-opinion-driven framework, not an empirical validation study; clinical implementation and outcome impact remain to be demonstrated.

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