Journals / Diagnostic and Interventional Radiology / 2019 / Cilt: 25 - Sayı: 5

Is visceral obesity associated with colorectal cancer? The first volumetric study using all CT slices

Pages
338–345
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Volumetric adipose tissue measurements may be more accurate than area measurements and can easily be performed on abdominopelvic CT examination,which is the routine imaging modality for CRC patients.

📌 3 Key Takeaways

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Objective & Hypothesis:PURPOSEWe aimed to examine the possible relationship between abdominal adiposity parameters andthe presence of colorectal cancer (CRC) and between these adiposity parameters and varioushistopathologic findings of the tumor.METHODSA total of 60 control subjects and 111 CRC patients, 63 with early-stage and 48 with advanced-stage disease, were enrolled.
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Key Findings & Data:However, this relationship was not statistically significant (P = 0.721 forVAT and P = 0.432 for SAT volumes).
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Conclusion & Impact:Volumetric adipose tissue measurements may be more accurate than area measurements and can easily be performed on abdominopelvic CT examination,which is the routine imaging modality for CRC patients.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

PURPOSEWe aimed to examine the possible relationship between abdominal adiposity parameters andthe presence of colorectal cancer (CRC) and between these adiposity parameters and varioushistopathologic findings of the tumor.METHODSA total of 60 control subjects and 111 CRC patients, 63 with early-stage and 48 with advanced-stage disease, were enrolled. Medical data and abdominopelvic computed tomography(CT) examinations of each study group were retrospectively reviewed. Abdominal adiposity parameters, including visceral adipose tissue (VAT) volume, subcutaneous adipose tissue (SAT) volume, and total adipose tissue (TAT) volume, were calculated on all slices of the CT examinationswith specialized software, and results for each study group were compared. Adiposity parameters were also compared with tumor histopathologic findings.RESULTSWe found lower VAT and higher SAT volumes in advanced-stage CRC patients, compared withthe early-stage group. However, this relationship was not statistically significant (P = 0.721 forVAT and P = 0.432 for SAT volumes). We detected significantly lower VAT and SAT volumes inthe early-stage CRC group compared with the control group (P = 0.014 for both). There was nosignificant relationship between TAT volumes and the study groups (P = 0.06). No statisticallysignificant relationship was detected between adipose tissue parameters and histopathologicfeatures of the CRC group (P > 0.05).CONCLUSIONWe found statistically significant lower VAT and SAT volumes in patients with early-stage CRCcompared with the control group. Volumetric adipose tissue measurements may be more accurate than area measurements and can easily be performed on abdominopelvic CT examination,which is the routine imaging modality for CRC patients.

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Cite This Article

AKAY, S., URKAN, M., BALYEMEZ, U., ERŞEN, M., TAŞAR, M. (2019). Is visceral obesity associated with colorectal cancer? The first volumetric study using all CT slices. Diagnostic and Interventional Radiology, Cilt: 25 - Sayı: 5, 338–345. https://ajindex.com/articles/350000

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References (15)

  1. Shuster A, Patlas M, Pinthus JH, Mourtzakis M. The clinical importance of visceral adiposity: a critical review of methods for visceral adipose tissue analysis. Br J Radiol 2012
  2. 1–10. [CrossRef] 2. Wu CH, Yao WJ, Lu FH, Yang YC, Wu JS, Chang CJ. Sex differences of body fat distribution and cardiovascular dysmetabolic factors in old age. Age Ageing 2001
  3. 331–336. [CrossRef] 3. Evans EM, Van Pelt RE, Binder EF, Williams DB, Ehsani AA, Kohrt WM. Effects of HRT and exercise training on insulin action, glucose tolerance, and body composition in older women. J Appl Physiol 2001
  4. 2033–2040. [CrossRef] 4. Ramos de Marins VM, Varnier Almeida RM, Pereira RA, Barros MB. Factors associated with overweight and central body fat in the city of Rio de Janeiro: results of a two-stage random sampling survey. Public Health 2001
  5. 236–242. [CrossRef] 5. Feinleib M. Epidemiology of obesity in relation to health hazards. Ann Intern Med 1985
  6. 1019–1024. [CrossRef] 6. Reynolds DW, Stagno S, Stubbs KG, et al. Inapparent congenital cytomegalovirus infection with elevated cord IgM levels. Casual relation with auditory and mental deficiency. N Engl J Med 1974
  7. 291–296. [CrossRef] 7. Renehan AG, Tyson M, Egger M, Heller RF, Zwahlen M. Body-mass index and incidence of cancer: a systematic review and meta-analysis of prospective observational studies. Lancet 2008
  8. 569–578. [CrossRef] 8. Ibrahim MM. Subcutaneous and visceral adipose tissue: structural and functional differences. Obes Rev 2010
  9. 11–18. [CrossRef] 9. Fearon K, Strasser F, Anker SD, et al. Definition and classification of cancer cachexia: an international consensus. Lancet Oncol 2011
  10. 489–495. [CrossRef] 10. Inui A. Cancer anorexia-cachexia syndrome: are neuropeptides the key? Cancer Res 1999
  11. 4493–4501. 11. Bardou M, Barkun AN, Martel M. Republished: obesity and colorectal cancer. Postgrad Med J 2013
  12. 519–533. [CrossRef] 12. Lee JY, Lee HS, Lee DC, et al. Visceral fat accumulation is associated with colorectal cancer in postmenopausal women. PLoS One 2014
  13. e110587. [CrossRef] 13. Schoen RE, Tangen CM, Kuller LH, et al. Increased blood glucose and insulin, body size, and incident colorectal cancer. J Natl Cancer Inst 1999
  14. 1147–1154. [CrossRef] 14. Giovannucci E, Ascherio A, Rimm EB, Colditz GA, Stampfer MJ, Willett WC. Physical activity, obesity, and risk for colon cancer and adenoma in men. Ann Intern Med 1995
  15. 327–334. [CrossRef] 15. Oh TH, Byeon JS, Myung SJ, et al. Viscer