Upright CT adipose indices show higher sensitivity for metabolic syndrome than manual waist or supine CT

In a small Japanese cohort (n=47), upright CT-derived total and visceral fat areas showed higher sensitivity for metabolic syndrome than manual waist circumference or supine CT measures, and correlated with metabolic markers up to r=0.91.

• Upright CT indices had stronger correlations with metabolic blood markers (r up to 0.91) than manual waist (r up to 0.87) or supine CT (r up to 0.84).
• The study is preliminary, limited by small sample size (n=47) and requires larger prospective validation.
• Specific sensitivity and specificity values were not reported; only comparative p-values were provided.

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