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SarcopeniaSOMANCT07600866

Validation of a Body-Composition Segmentation Software on a Diverse Public CT Scan Cohort

An observational study of Sarcopenia and Body Composition, run by Nucleo Research, Inc. at 1 site in United States.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study evaluates the standalone performance of Soma, a deep-learning software developed by Nucleo Research, Inc. for the automated segmentation of body-composition tissues (skeletal muscle, subcutaneous adipose tissue, visceral adipose tissue, and intramuscular adipose tissue) on whole-body computed tomography… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Sarcopenia, Body Composition, Obesity
What is being tested?
Soma Body-Composition Segmentation Software
Type of treatment
Injection or infusion
How many people
200 participants
Where
1 siteUnited States
Study dates
31 May 2026to 15 Jun 2026
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Subjects older than 16 years old whose de-identified abdominal CT imaging is available from one of six publicly accessible imaging datasets (autoPET, AMOS, MSD Pancreas, CT-ORG, ENHANCE.PET, RATIC). The 200-scan study cohort is selected by stratified sampling from a curated pool of 2,066 scans to ensure representation across BMI category, age band, sex, body region (abdomen-only vs. whole-body), and clinical context (oncologic vs. non-oncologic).

Who may be able to join

  • Subjects above 16 years or older at the time the source imaging was acquired.
  • De-identified abdominal computed tomography (CT) scan available from one of the six predefined publicly available datasets (autoPET, AMOS, MSD Pancreas, CT-ORG, ENHANCE.PET, or RATIC).
  • Scan covers the third lumbar vertebra (L3) with a contiguous axial slice suitable for L3-level body-composition analysis.
  • Demographic metadata required for stratified sampling (age, sex; BMI where available; clinical context as encoded in source dataset) is present.

Who cannot join

  • Subject under 16 years of age at the time the source imaging was acquired.
  • Scan does not include the L3 vertebra or has severe motion artifact, truncation, or metallic artifact precluding analysis at the L3 level.
  • Duplicate or near-duplicate scans of the same subject already included in the cohort.
  • Missing demographic metadata required for at least one stratification axis.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Angelica Iacovelli contact

302-855-3039

info@nucleoresearch.com

United States1 site
  • Nucleo Research, Inc.

    San Francisco, California, 94133

    Angelica Iacovelli, +1-415-000-0000, angelica@nucleoresearch.com

Other trials in United States

About this study

Official title: Validation of a Body-Composition Segmentation Software (Soma) on a Diverse Cohort of Publicly Available CT Scans

This study evaluates the standalone performance of Soma, a deep-learning software developed by Nucleo Research, Inc. for the automated segmentation of body-composition tissues (skeletal muscle, subcutaneous adipose tissue, visceral adipose tissue, and intramuscular adipose tissue) on whole-body computed tomography (CT) images. The aim is to confirm that Soma produces segmentations and tissue-area measurements that agree with a multi-rater expert reference standard, on a diverse cohort representative of demographic and clinical variation. A total of 200 CT scans are sampled by stratified design from a curated pool of 2,066 scans aggregated from six publicly available, de-identified imaging datasets (autoPET, AMOS, MSD Pancreas, CT-ORG, ENHANCE.PET, RATIC). Three board-certified radiologists independently annotate the reference standard at the L3 slice. Primary performance is assessed using the Dice similarity coefficient against the multi-rater reference, with predefined thresholds and BCa bootstrap confidence intervals, both in aggregate and within every demographic and clinical subgroup. Secondary endpoints include Bland-Altman analysis of tissue-area agreement, 95th-percentile Hausdorff distance, Pearson correlation of derived indices, and Cohen's kappa for sarcopenia classification using Skeletal Muscle Index (SMI). The study is fully retrospective on de-identified images, involves no patient contact, and has been determined exempt by Salus IRB (Salus Number 26328) under 45 CFR 46.104(d)(4).

Read the detailed description

Background. Body composition derived from cross-sectional imaging is increasingly used to assess sarcopenia, cachexia, and metabolic risk across oncology, surgical, and metabolic conditions. Manual segmentation at the L3 vertebra is the established reference but is time-consuming and rater-dependent. Soma is a deep-learning software pipeline (U-Net segmentation of skeletal muscle, subcutaneous adipose tissue, visceral adipose tissue, and intramuscular adipose tissue; EfficientNet-Lite0 + BiLSTM for automated L3 slice detection) developed by Nucleo Research, Inc. to provide reproducible, automated body-composition measurements from routine abdominal CT.

Objective. To validate the standalone segmentation performance of Soma against an expert multi-rater reference standard, in aggregate and across predefined demographic and clinical subgroups.

Design. Retrospective, multi-source observational validation on 200 de-identified abdominal CT scans, drawn by stratified sampling from a curated pool of 2,066 scans across six publicly available datasets (autoPET, AMOS, MSD Pancreas, CT-ORG, ENHANCE.PET, RATIC). Stratification ensures representation across: BMI category (4 levels), age band (4 levels), sex (2 levels), body region (abdomen-only vs. whole-body), and clinical context (oncologic vs. non-oncologic).

Reference Standard. Three board-certified radiologists independently annotate the four tissue classes on every fifth axial slice (stride of 5) across the full scan depth. Inter-rater agreement is summarized prior to consolidation; consensus reference is derived per pre-specified consolidation rules.

Index Test. Soma processes each scan blinded to ground truth. Outputs include per-tissue segmentation masks, tissue cross-sectional areas, and downstream indices including Skeletal Muscle Index (SMI = muscle area / height^2).

Primary Endpoint. Mean Dice similarity coefficient between Soma and the multi-rater reference computed across all annotated slices, with predefined performance thresholds: greater than or equal to 0.90 for muscle, subcutaneous adipose, and visceral adipose tissues; greater than or equal to 0.85 for intramuscular adipose tissue. Thresholds must be met both in aggregate AND within every demographic or clinical subgroup with at least 20 scans. 95% bias-corrected and accelerated (BCa) bootstrap confidence intervals are reported.

Secondary Endpoints. (1) Bland-Altman analysis of agreement on tissue cross-sectional areas (bias and 95% limits of agreement). (2) 95th-percentile Hausdorff distance per tissue class. (3) Pearson correlation coefficient for tissue areas and SMI. (4) Cohen's kappa for sarcopenia classification (binary, by sex-specific SMI cutoffs) with prespecified threshold of greater than or equal to 0.80.

Safety, Privacy, and Ethics. The study is fully retrospective on previously collected, publicly available, de-identified imaging data, with no patient contact and no intervention. There is no foreseeable risk to subjects. The protocol has been determined exempt by Salus IRB (Salus Number 26328) under 45 CFR 46.104(d)(4) on 04 May 2026.

Being tested
Soma Body-Composition Segmentation Software
Keywords
Body Composition, CT, Computed Tomography, Segmentation, Deep Learning, Artificial Intelligence, Skeletal Muscle Index, Sarcopenia, Validation
Medical subject headings
Sarcopenia, Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Soma Body-Composition Segmentation SoftwareDiagnostic test

    Soma is a deep-learning software pipeline developed by Nucleo Research, Inc. for the automated quantitative analysis of body composition from abdominal CT. It comprises (i) a U-Net segmentation model that delineates skeletal muscle, subcutaneous adipose tissue, visceral adipose tissue, and intramuscular adipose tissue on each axial CT slice; and (ii) an EfficientNet-Lite0 + BiLSTM model for automated L3 vertebra detection from axial CT volumes. In this validation study, segmentation performance is assessed on every fifth axial slice across the full scan depth. Outputs include per-tissue segmentation masks, tissue cross-sectional areas (cm^2), and derived indices including the Skeletal Muscle Index (SMI = muscle area / height^2). In this study, Soma is applied as the index test in standalone mode, fully blinded to the multi-rater radiologist reference standard.

Study groups in NCT07600866
Study groupRoleWhat they receive
Public CT Validation CohortTwo hundred de-identified abdominal CT scans selected by stratified sampling from a curated pool of 2,066 scans aggregated across six publicly available imaging datasets (autoPET, AMOS, MSD Pancreas, CT-ORG, ENHANCE.PET, RATIC). Stratification covers BMI category, age band, sex, body region (abdomen-only vs. whole-body), and clinical context (oncologic vs. non-oncologic). Each scan is processed by the Soma software (index test) and independently annotated on every fifth axial slice across the full scan depth by three board-certified radiologists (reference standard).
Receives: Diagnostic Test: Soma Body-Composition Segmentation Software

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dice Similarity Coefficient (DSC) of Soma Segmentation Versus Multi-Rater Radiologist Reference Standard

    Mean Dice Similarity Coefficient (DSC) between Soma-generated segmentation masks and the consensus reference from three board-certified radiologists, computed per tissue class (skeletal muscle, subcutaneous adipose tissue, visceral adipose tissue, intramuscular adipose tissue) on all annotated axial slices (every fifth slice across the full scan depth). Predefined performance thresholds: mean DSC greater than or equal to 0.90 for skeletal muscle, subcutaneous adipose, and visceral adipose tissues; mean DSC greater than or equal to 0.85 for intramuscular adipose tissue. Thresholds must be met both in aggregate and within every demographic and clinical subgroup with at least 20 scans (BMI category, age band, sex, body region, clinical context). Reported with 95% bias-corrected and accelerated (BCa) bootstrap confidence intervals.

    Measured: Single time point: completion of standalone Soma inference and consolidated multi-rater annotation on all 200 study scans, anticipated within two weeks of study start.

Secondary outcomes (4)
  1. Bland-Altman Agreement for Tissue Cross-Sectional Areas (cm^2)

    Bland-Altman analysis comparing tissue cross-sectional areas (in cm^2) computed by Soma versus the multi-rater radiologist reference, for each tissue class (skeletal muscle, subcutaneous adipose, visceral adipose, intramuscular adipose). Reported: mean bias and 95% limits of agreement, in aggregate and within demographic and clinical subgroups.

    Measured: Single time point: completion of Soma inference and consolidated multi-rater annotation on all 200 study scans, anticipated within two weeks of study start.

  2. 95th-Percentile Hausdorff Distance Per Tissue Class

    95th-percentile Hausdorff distance (HD95, in mm) between Soma segmentation contours and the multi-rater radiologist reference, computed per tissue class at the L3 vertebra. Reported in aggregate and within demographic and clinical subgroups.

    Measured: Single time point: completion of Soma inference and consolidated multi-rater annotation on all 200 study scans, anticipated within two weeks of study start.

  3. Pearson Correlation of Tissue Areas and Skeletal Muscle Index (SMI)

    Pearson correlation coefficient (r) between Soma-derived and multi-rater-reference values for: (i) per-tissue cross-sectional areas (skeletal muscle, subcutaneous adipose, visceral adipose, intramuscular adipose, in cm^2); and (ii) Skeletal Muscle Index (SMI = skeletal muscle area / height^2, in cm^2/m^2). Reported with 95% confidence intervals, in aggregate and within subgroups.

    Measured: Single time point: completion of Soma inference and consolidated multi-rater annotation on all 200 study scans, anticipated within two weeks of study start.

  4. Cohen's Kappa for Sarcopenia Classification by Skeletal Muscle Index (SMI)

    Cohen's kappa coefficient quantifying agreement between Soma-derived and reference-derived binary sarcopenia classification, defined by sex-specific Skeletal Muscle Index (SMI) cutoffs. Prespecified performance threshold: kappa greater than or equal to 0.80. Reported in aggregate and within demographic and clinical subgroups.

    Measured: Single time point: completion of Soma inference and consolidated multi-rater annotation on all 200 study scans, anticipated within two weeks of study start.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 May 2026
  2. Study start31 May 2026 (estimated)
  3. Primary completion15 Jun 2026 (estimated)
  4. Study completion15 Jun 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07600866
Sponsor's protocol ID
SOMA-26328
Acronym
SOMA
Status last verified
May 2026
First submitted
15 May 2026
Last updated
22 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Sarcopenia and Body Composition, run by Nucleo Research, Inc. at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 22 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Angelica Iacovelli (302-855-3039, info@nucleoresearch.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dice Similarity Coefficient (DSC) of Soma Segmentation Versus Multi-Rater Radiologist Reference Standard (time frame: Single time point: completion of standalone Soma inference and consolidated multi-rater annotation on all 200 study scans, anticipated within two weeks of study start.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 May 2026.

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