Lung Cancer
Conditions
Keywords
Lung cancer, Body composition analysis, Ct-Scan, Muscle mass, Cachexia
Brief summary
Rationale: With 1.6 million new cases diagnosed each year and 1.3 million deaths, lung cancer is the leading cancer-related death worldwide and it represents a pressing health issue. Patients with lung cancer are more likely to experience cachexia, a severe debilitating disorder causing fatigue, weight loss, muscle wasting and associated with reduced physical function, increased chemotherapy toxicity and reduced survival. This syndrome occurring in about 80% of advanced cancer patients is the direct cause of death in about 20% of cases. However, despite the importance of cachexia in lung cancer, it has been mainly studied from several assessment methods which do not usually differentiate muscle from other tissues. Aim: To analyze body composition of patients with lung cancer at diagnosis using computed tomography (CT-Scan) image analysis. Methods: This is a retrospective study extending over a period of 3 years conducted at the Institut universitaire de cardiologie et de pneumologie de Québec (2009-2012). We listed patients newly diagnosed with lung cancer who had a thoraco-abdominal CT-scan performed in our institution. Following the collection of clinical data from patient records, we used SliceOmatic software to quantify muscle area, visceral fat area and subcutaneous fat area from a single abdominal cross-sectional image at the level of the third lumbar vertebra.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Men or women * Between 40-80 years of age * Primary lung cancer diagnosed between 2009 and 2012 * CT-Scan done at the time of the diagnosis
Exclusion criteria
* Chemotherapy, radiotherapy or surgery at the time of the first Ct-Scan image * History of other cancer (during the last five years)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change of muscle area (cm2/m2) at the level of the third lumbar vertebra | at the time of the diagnosis of lung cancer and one year following it. |
| Change of fat area (cm2/m2) at the level of the third lumbar vertebra | at the time of the diagnosis of lung cancer and one year following it. |
Secondary
| Measure | Time frame |
|---|---|
| days of survival | From the time of the diagnosis of lung cancer until one year |
Countries
Canada