ArticleQuantitative imaging in medicine and surgery2025
Role of muscle glucometabolism derived from
Article in Quantitative imaging in medicine and surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Our previous studies have found that certain cancer patients with sarcopenia tend to present with lower glucometabolism within skeletal muscles. This study aimed to investigate the association between sarcopenia and Methods: Clinicopathological and Results: Among 1,024 patients, 459 patients (44.8%) were diagnosed with sarcopenia. Sarcopenia was more common in males (P<0.001), patients with low body mass index (BMI) (P=0.013), smoking history (P=0.007), diabetes (P=0.035), poor Eastern Cooperative Oncology Group (ECOG) status (P<0.001), multiple primary tumors (P=0.001), and low SUVmax of muscle (P<0.001). Sex (P<0.001), BMI (P=0.028), ECOG status (P<0.001), number of primary tumors (P=0.001), and SUVmax of muscle (P<0.001) were independent predictors of sarcopenia and utilized to construct a predictive nomogram. Furthermore, division by sex revealed that BMI (P=0.021), ECOG status (P<0.001), number of primary tumors (P<0.001), and SUVmax of muscle (P<0.001) independently predicted sarcopenia in males, while diabetes (P=0.028) and SUVmax of muscle (P<0.001) were independent predictors in females. Conclusions: Regardless of sex, SUVmax of muscle can independently predict sarcopenia in elderly patients with newly diagnosed malignancies. As an alternative to complex SMI measurements, a nomogram model incorporating SUVmax of muscle can effectively predict the likelihood of sarcopenia.
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