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

Background and objectives: In 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 methods: DyViA 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. Results: Using 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 implications: Given 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.