Title |
Temporal muscle thickness is an independent prognostic marker in melanoma patients with newly diagnosed brain metastases
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Published in |
Journal of Neuro-Oncology, July 2018
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DOI | 10.1007/s11060-018-2948-8 |
Pubmed ID | |
Authors |
Julia Furtner, Anna S. Berghoff, Veronika Schöpf, Robert Reumann, Benjamin Pascher, Ramona Woitek, Ulrika Asenbaum, Sebastian Pelster, Johannes Leitner, Georg Widhalm, Brigitte Gatterbauer, Karin Dieckmann, Christoph Höller, Daniela Prayer, Matthias Preusser |
Abstract |
The purpose of this study was to evaluate the prognostic relevance of temporal muscle thickness (TMT) in melanoma patients with newly diagnosed brain metastases. TMT was retrospectively assessed in 146 melanoma patients with newly diagnosed brain metastases on cranial magnetic resonance images. Chart review was used to retrieve clinical parameters, including disease-specific graded prognostic assessment (DS-GPA) and survival times. Patients with a TMT > median showed a statistically significant increase in survival time (13 months) compared to patients with a TMT < median (5 months; p < 0.001; log rank test). A Cox regression model revealed that the risk of death was increased by 27.9% with every millimeter reduction in TMT. In the multivariate analysis, TMT (HR 0.724; 95% 0.642-0.816; < 0.001) and DS-GPA (HR 1.214; 95% CI 1.023-1.439; p = 0.026) showed a statistically significant correlation with overall survival. TMT is an independent predictor of survival in melanoma patients with brain metastases. This parameter may aid in patient selection for clinical trials or to the choice of different treatment options based on the determination of frail patient populations. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 12 | 50% |
Mexico | 1 | 4% |
Japan | 1 | 4% |
Ireland | 1 | 4% |
Unknown | 9 | 38% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 17 | 71% |
Scientists | 3 | 13% |
Practitioners (doctors, other healthcare professionals) | 2 | 8% |
Science communicators (journalists, bloggers, editors) | 2 | 8% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 64 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 12 | 19% |
Researcher | 11 | 17% |
Other | 6 | 9% |
Student > Doctoral Student | 6 | 9% |
Student > Postgraduate | 4 | 6% |
Other | 8 | 13% |
Unknown | 17 | 27% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 22 | 34% |
Neuroscience | 4 | 6% |
Unspecified | 3 | 5% |
Psychology | 3 | 5% |
Biochemistry, Genetics and Molecular Biology | 1 | 2% |
Other | 4 | 6% |
Unknown | 27 | 42% |