Muscle thickness from amplitude mode ultrasound and clinical outcomes in patients with cancer

Abstract The reduction of skeletal muscle mass in catabolic conditions, such as cancer, is linked to adverse outcomes. Assessing muscle health provides valuable prognostic information, aiding therapeutic decisions to improve survival and quality of life. A-mode ultrasound is a portable, low-cost too...

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Main Authors: Rodrigo Albert Baracho Rüegg, Jarson P. Costa-Pereira, Amanda de Sousa Rebouças, Agnes Denise de Lima Bezerra, Nithaela Alves Bennemann, Jadson Gomes Xavier, Ana Paula Trussardi Fayh
Format: Article
Language:English
Published: Nature Portfolio 2025-08-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-15995-6
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author Rodrigo Albert Baracho Rüegg
Jarson P. Costa-Pereira
Amanda de Sousa Rebouças
Agnes Denise de Lima Bezerra
Nithaela Alves Bennemann
Jadson Gomes Xavier
Ana Paula Trussardi Fayh
author_facet Rodrigo Albert Baracho Rüegg
Jarson P. Costa-Pereira
Amanda de Sousa Rebouças
Agnes Denise de Lima Bezerra
Nithaela Alves Bennemann
Jadson Gomes Xavier
Ana Paula Trussardi Fayh
author_sort Rodrigo Albert Baracho Rüegg
collection DOAJ
description Abstract The reduction of skeletal muscle mass in catabolic conditions, such as cancer, is linked to adverse outcomes. Assessing muscle health provides valuable prognostic information, aiding therapeutic decisions to improve survival and quality of life. A-mode ultrasound is a portable, low-cost tool for body composition assessment, particularly useful in resource-limited settings. This study investigated the association between A-mode ultrasound -derived muscle thickness and adverse outcomes, including mortality, prolonged hospital stays, and readmissions. We included 358 patients (53.6% women, 50.4% with gastrointestinal tumors, 42.5% with TNM stage IV). Muscle thickness was measured at the biceps (BMT) and thigh (TMT). Only BMT independently predicted 30-day and 6-month mortality. Each millimeter increase in BMT reduced 30-day mortality risk by 9% (95% CI 0.85–0.96) and 6-month mortality risk by 6% (95% CI 0.91–0.98). TMT had no predictive value. BMT measured by A-mode ultrasound is a predictor of poor survival in cancer, highlighting its value as a bedside tool for early risk identification and timely interventions. Further research is needed to validate these findings and refine protocols for broader clinical use.
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spelling doaj-art-e6ad5abc2fd3469e81ab4aee899e2d192025-08-20T04:02:56ZengNature PortfolioScientific Reports2045-23222025-08-011511810.1038/s41598-025-15995-6Muscle thickness from amplitude mode ultrasound and clinical outcomes in patients with cancerRodrigo Albert Baracho Rüegg0Jarson P. Costa-Pereira1Amanda de Sousa Rebouças2Agnes Denise de Lima Bezerra3Nithaela Alves Bennemann4Jadson Gomes Xavier5Ana Paula Trussardi Fayh6Postgraduate Program in Health Science, Federal University of Rio Grande do NortePostgraduate Program in Nutrition, Federal University of PernambucoPostgraduate Program in Health Science, Federal University of Rio Grande do NortePostgraduate Program in Health Science, Federal University of Rio Grande do NortePostgraduate Program in Health Science, Federal University of Rio Grande do NortePesqClin Lab, Brazilian Company of Hospital Services (EBSERH), Onofre Lopes University Hospital, Federal University of Rio Grande do NortePesqClin Lab, Brazilian Company of Hospital Services (EBSERH), Onofre Lopes University Hospital, Federal University of Rio Grande do NorteAbstract The reduction of skeletal muscle mass in catabolic conditions, such as cancer, is linked to adverse outcomes. Assessing muscle health provides valuable prognostic information, aiding therapeutic decisions to improve survival and quality of life. A-mode ultrasound is a portable, low-cost tool for body composition assessment, particularly useful in resource-limited settings. This study investigated the association between A-mode ultrasound -derived muscle thickness and adverse outcomes, including mortality, prolonged hospital stays, and readmissions. We included 358 patients (53.6% women, 50.4% with gastrointestinal tumors, 42.5% with TNM stage IV). Muscle thickness was measured at the biceps (BMT) and thigh (TMT). Only BMT independently predicted 30-day and 6-month mortality. Each millimeter increase in BMT reduced 30-day mortality risk by 9% (95% CI 0.85–0.96) and 6-month mortality risk by 6% (95% CI 0.91–0.98). TMT had no predictive value. BMT measured by A-mode ultrasound is a predictor of poor survival in cancer, highlighting its value as a bedside tool for early risk identification and timely interventions. Further research is needed to validate these findings and refine protocols for broader clinical use.https://doi.org/10.1038/s41598-025-15995-6Body compositionCancerMuscle healthSurvivalUltrasound
spellingShingle Rodrigo Albert Baracho Rüegg
Jarson P. Costa-Pereira
Amanda de Sousa Rebouças
Agnes Denise de Lima Bezerra
Nithaela Alves Bennemann
Jadson Gomes Xavier
Ana Paula Trussardi Fayh
Muscle thickness from amplitude mode ultrasound and clinical outcomes in patients with cancer
Scientific Reports
Body composition
Cancer
Muscle health
Survival
Ultrasound
title Muscle thickness from amplitude mode ultrasound and clinical outcomes in patients with cancer
title_full Muscle thickness from amplitude mode ultrasound and clinical outcomes in patients with cancer
title_fullStr Muscle thickness from amplitude mode ultrasound and clinical outcomes in patients with cancer
title_full_unstemmed Muscle thickness from amplitude mode ultrasound and clinical outcomes in patients with cancer
title_short Muscle thickness from amplitude mode ultrasound and clinical outcomes in patients with cancer
title_sort muscle thickness from amplitude mode ultrasound and clinical outcomes in patients with cancer
topic Body composition
Cancer
Muscle health
Survival
Ultrasound
url https://doi.org/10.1038/s41598-025-15995-6
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