Analysis of muscle mass by computed tomography in patients with head and neck cancer: a prospective study.
Autor: | Miola TM; A.C.Camargo Cancer Center, São Paulo, SP, Brazil., Bitencourt AGV; A.C.Camargo Cancer Center, São Paulo, SP, Brazil., Souza JO; A.C.Camargo Cancer Center, São Paulo, SP, Brazil., Kowalski LP; A.C.Camargo Cancer Center, São Paulo, SP, Brazil., Gonçalves Filho J; A.C.Camargo Cancer Center, São Paulo, SP, Brazil. |
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Jazyk: | angličtina |
Zdroj: | Radiologia brasileira [Radiol Bras] 2023 Sep-Oct; Vol. 56 (5), pp. 269-274. |
DOI: | 10.1590/0100-3984.2023.0037 |
Abstrakt: | Objective: To evaluate the preoperative muscle mass of patients with head and neck cancer (HNC) with computed tomography (CT), comparing the results obtained through analysis of cross-sectional areas at the level of the third lumbar vertebra (L3) with those obtained through analysis of cross-sectional areas at the levels of the third cervical and fourth thoracic vertebrae (C3 and T4, respectively). Materials and Methods: A total of 63 patients with HNC were evaluated preoperatively. Using CT, we assessed muscle mass at L3, as well as at C3 and T4. Results: Most (73.0%) of the patients had low muscle mass at L3, whereas 50.8% had a normal body mass index. The cross-sectional area at L3 correlated strongly with those at C3 and T4 (r = 0.831 and r = 0.763, respectively; p < 0.001 for both). In addition, the muscle mass index at L3 correlated strongly with those at C3 and T4 (r = 0.781 and r = 0.715, respectively; p < 0.001 for both). Conclusion: Low muscle mass appears to be highly prevalent in patients with HNC. Measurements at C3 and T4 could represent alternative means of assessing muscle mass in such patients. |
Databáze: | MEDLINE |
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