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AI CT Studies Link Adult Thymus Health to Longer Survival, Better Immunotherapy Response

Harvard-led papers in Nature quantified thymus status from routine chest scans using deep learning across tens of thousands of adults.

Overview

  • In a cohort of 27,612 initially healthy adults followed for about 12 years, higher thymus scores were associated with roughly 50% lower all-cause mortality.
  • Disease-specific mortality fell with better thymus health, including lung cancer (about 36% lower), other pulmonary diseases (61%), cardiovascular causes (63%), metabolic diseases (68%) and digestive causes (54%).
  • Among 3,476 patients treated with cancer immunotherapy, healthier thymus status predicted a 37% lower risk of progression and a 44% lower risk of death post-treatment.
  • The deep-learning model evaluated thymic size, shape and fatty involution on standard CT scans, enabling large-scale, noninvasive estimation of an immune-related biomarker.
  • Thymus health was better in women and physically active people and worse with obesity and smoking, and researchers call for validated clinical assays since no routine test is available yet.