ICLR 2026 Poster accepted paper at ICLR 2026. Body composition analysis through CT and MRI imaging provides critical insights for cardio-metabolic health assessment but remains limited by accessibility barriers including radiation exposure, high costs, and infrastructure requirements. We present AbdCTBench, a large-scale dataset containing 23,506 CT-derived abdominal surface meshes from 18,719 patients, paired with 87 comorbidity labels, 31 specific diagnosis codes, and 16 CT-derived biomarkers. Our key insight is that external surface geometry is predictive of internal tissue composition, enabling accessible health screening through consumer devices. We establish comprehensive benchmarks across seven computer vision architectures (ResNet-18/34/50, DenseNet-121, EfficientNet-B0, ViT-Small, Swin Transformer-Base), demonstrating that models can learn robust surface-to-biomarker representations directly from 2D mesh projections. Code/project link: https://abdctbenchrepo.github.io/AbdCTBench/
