دورية أكاديمية

CT-based muscle and adipose measurements predict prognosis in patients with digestive system malignancy.

التفاصيل البيبلوغرافية
العنوان: CT-based muscle and adipose measurements predict prognosis in patients with digestive system malignancy.
المؤلفون: Zheng K; Cancer Center, The First Hospital of Jilin University, Xinmin St No 126, Changchun, 130021, Jilin, China., Liu X; Cancer Center, The First Hospital of Jilin University, Xinmin St No 126, Changchun, 130021, Jilin, China., Li Y; College of Instrumentation and Electrical Engineering, Jilin University, Changchun, Jilin, China., Cui J; Cancer Center, The First Hospital of Jilin University, Xinmin St No 126, Changchun, 130021, Jilin, China. cuijw@jlu.edu.cn., Li W; Cancer Center, The First Hospital of Jilin University, Xinmin St No 126, Changchun, 130021, Jilin, China. liwei66@jlu.edu.cn.
المصدر: Scientific reports [Sci Rep] 2024 Jun 06; Vol. 14 (1), pp. 13036. Date of Electronic Publication: 2024 Jun 06.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : Nature Publishing Group, copyright 2011-
مواضيع طبية MeSH: Adipose Tissue*/diagnostic imaging , Adipose Tissue*/pathology , Tomography, X-Ray Computed*/methods , Digestive System Neoplasms*/pathology , Digestive System Neoplasms*/diagnostic imaging , Digestive System Neoplasms*/mortality , Muscle, Skeletal*/diagnostic imaging , Muscle, Skeletal*/pathology , Body Composition*, Humans ; Male ; Female ; Middle Aged ; Prognosis ; Retrospective Studies ; Aged ; Adult ; ROC Curve ; Proportional Hazards Models ; Nomograms
مستخلص: The role of skeletal muscle and adipose tissue in the progression of cancer has been gradually discussed, but it needs further exploration. The objective of this study was to provide an in-depth analysis of skeletal muscle and fat in digestive malignancies and to construct novel predictors for clinical management. This is a retrospective study that includes data from Cancer Center, the First Hospital of Jilin University. Basic characteristic information was analyzed by T tests. Correlation matrices were drawn to explore the relationship between CT-related indicators and other indicators. Cox risk regression analyses were performed to analyze the association between the overall survivals (OS) and various types of indicators. A new indicator body composition score (BCS) was then created and a time-dependent receiver operating characteristic curve was plotted to analyze the efficacy of the BCS. Finally, a nomogram was produced to develop a scored-CT system based on BCS and other indicators. C-index and calibration curve analyses were performed to validate the predictive accuracy of the scored-CT system. A total of 575 participants were enrolled in the study. Cox risk regression model revealed that VFD, L3 SMI and VFA/SFA were associated with prognosis of cancer patients. After adjustment, BCS index based on CT was significantly associated with prognosis, both in all study population and in subgroup analysis according to tumor types (all study population: HR 2.036, P < 0.001; colorectal cancer: HR 2.693, P < 0.001; hepatocellular carcinoma: HR 4.863, P < 0.001; esophageal cancer: HR 4.431, P = 0.008; pancreatic cancer: HR 1.905, P = 0.016; biliary system malignancies: HR 23.829, P = 0.035). The scored-CT system was constructed according to tumor type, stage, KPS, PG-SGA and BCS index, and it was of great predictive validity. This study identified VFD, L3 SMI and VFA/SFA associated with digestive malignancies outcomes. BCS was created and the scored-CT system was established to predict the OS of cancer patients.
(© 2024. The Author(s).)
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معلومات مُعتمدة: 2016YFC1303804 National Key R&D Program of China
فهرسة مساهمة: Keywords: Adipose tissue; Body composition analysis; Computed tomography; Digestive system cancer; Skeletal muscle
تواريخ الأحداث: Date Created: 20240606 Date Completed: 20240606 Latest Revision: 20240609
رمز التحديث: 20240609
مُعرف محوري في PubMed: PMC11156914
DOI: 10.1038/s41598-024-63806-1
PMID: 38844600
قاعدة البيانات: MEDLINE
الوصف
تدمد:2045-2322
DOI:10.1038/s41598-024-63806-1