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CardioVascular and Interventional Radiology
Article . 2020 . Peer-reviewed
License: CC BY
Data sources: Crossref
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Other literature type . 2020
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Correlation Between Sarcopenia and Growth Rate of the Future Liver Remnant After Portal Vein Embolization in Patients with Colorectal Liver Metastases

Authors: M. Schulze-Hagen; D. Truhn; F. Duong; S. Keil; F. Pedersoli; C. K. Kuhl; G. Lurje; +4 Authors

Correlation Between Sarcopenia and Growth Rate of the Future Liver Remnant After Portal Vein Embolization in Patients with Colorectal Liver Metastases

Abstract

Abstract Purpose To investigate whether sarcopenia and myosteatosis correlate with the degree of hypertrophy (DH) and kinetic growth rate (KiGR) of the future liver remnant (FLR) in patients with colorectal liver metastases undergoing portal vein embolization (PVE) in preparation for right hepatectomy. Materials and Methods Forty-two patients were included. Total liver volume and FLR volume were measured before and 2–4 weeks after PVE. KiGR of the FLR was calculated. Sarcopenia was assessed using the total psoas muscle volume (PMV), the psoas muscle cross-sectional area (PMCS) and the total skeletal muscle index (L3SMI) at the level of 3rd lumbar vertebra. Degree of myosteatosis was assessed by mean muscle attenuation at L3 (L3MA). Correlations between muscle indices and DH and KiGR were assessed using simple linear regression analyses. Results Mean DH was 8.9 ± 5.7%, and mean KiGR was 3.6 ± 2.3. Mean PMV was 55.56 ± 14.19 cm3/m3, mean PMCS was 8.76 ± 2.3 cm2/m2, mean L3SMI was 45.6 ± 9.89 cm2/m2, and mean L3MA was 27.9 ± 18.6 HU. There was a strong positive correlation between PMV and DH (R = 0.503, p = 0.001) and PMV and KiGR (R = 0.545, p < 0.001). Furthermore, there was a moderate correlation between PMCS and KiGR (R = 0.389, p = 0.014). L3SMI and L3MA were neither associated with DH (p = 0.390 and p = 0.768, respectively) nor with KiGR (p = 0.188 and p = 0.929, respectively). Conclusion We identified a positive correlation between PMV and PMCS, as markers for sarcopenia, and the KiGR of the FLR after PVE. PMV and PMCS might therefore aid to identify patients who are poor candidates for FLR augmentation using PVE alone.

Keywords

Adult, Male, Clinical Investigation ; Aged [MeSH] ; Liver Neoplasms/therapy [MeSH] ; Embolization, Therapeutic/methods [MeSH] ; Tomography, X-Ray Computed/methods [MeSH] ; Sarcopenia/diagnostic imaging [MeSH] ; Organ Size [MeSH] ; Male [MeSH] ; Liver/growth ; Sarcopenia ; FLR ; Female [MeSH] ; PVE ; Liver/anatomy ; Adult [MeSH] ; Humans [MeSH] ; Sarcopenia/physiopathology [MeSH] ; Ultrasonography, Interventional/methods [MeSH] ; Portal Vein/diagnostic imaging [MeSH] ; Retrospective Studies [MeSH] ; Middle Aged [MeSH] ; Liver hypertrophy ; Liver Neoplasms/secondary [MeSH] ; Colorectal Neoplasms/pathology [MeSH] ; Interventional Oncology ; Portal vein embolization, Sarcopenia, Portal Vein, Liver Neoplasms, Organ Size, Middle Aged, Embolization, Therapeutic, Liver, Humans, Female, Clinical Investigation, Colorectal Neoplasms, Tomography, X-Ray Computed, Ultrasonography, Interventional, Aged, Retrospective Studies

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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
18
Top 10%
Top 10%
Top 10%
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