Generative AI Models Reveal Dynamic Views of Aging (DyViA) Phenotypes in Healthy Individuals

Background and objectivesIn recent years, the need to develop analytical strategies for healthy aging has assumed great importance. In this study, we introduce DyViA, a generative artificial intelligence (genAI) platform that can construct personalized trajectories capable of predicting the plausible progression of selected phenotypes with advancing age. Research design and methodsDyViA presents a suite of deep learning models covering two major GenAI approaches: DyViA-Diff, a new diffusion model; and DyViA-mGAN, an improved version of a recent Generative Adversarial Network model. It demonstrated the dynamic progression of femoral neck bone mineral density (BMD) using data from a longitudinal cohort study of women in the U.S. of age 65 years or above. ResultsUsing very few initial measurements, DyViA generated individual-specific continuous trajectories of BMD, with a corresponding region of acceptable predictions, from 66 to 89 years. The results were subjected to rigorous quality-control and comparative analysis across multiple methods. While DyViA-Diff is the superior model with more coherent and accurate predictions, DyViA-mGAN allows for encoding population- and individual-level effects with a better control. Discussion and implicationsGiven the prevalence of osteoporosis in the aging population, the main impact of DyViAs genAI-driven contribution in the form of personalized, plausible models of BMD progression with age lies in the systematic yet rigorous transition from otherwise static models of inference about a clearly dynamic phenomenon to a continuous one. The foresight offered by DyViAs outputs empowers an individual by conferring a certain degree of strategic preparedness in the course of aging.