CT Body Composition Enhances Survival Risk Stratification
NCT07109271 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 227
Last updated 2025-08-11
Summary
Gastric carcinoma remains the fifth most common malignancy and the second leading cause of cancer-related mortality worldwide. For patients with locally advanced disease, standard treatment includes radical gastrectomy followed by (neo)adjuvant chemotherapy and immune checkpoint inhibitors. Considerable variability in prognosis persists even within the same the American Joint Committee on Cancer (AJCC) substage, highlighting the importance of host-related factors such as nutritional status, systemic inflammation, and immune competence in shaping survival.
Computed tomography-based body composition (CTBC) analysis offers an objective means to quantify skeletal muscle, subcutaneous adipose tissue, and visceral adipose tissue, capturing key dimensions of patient physiology that are not accounted for in traditional staging systems. Advances in deep learning enables rapid, automated body composition analysis with high concordance to expert annotations.
Here, the investigators prepare to apply automated CTBC analysis to a homogeneous cohort of 300 patients with AJCC8 stage III gastric cancer to determine whether visceral adiposity-related metrics improve survival risk stratification beyond TNM staging.
Conditions
Sponsors & Collaborators
-
Ministry of Health and Welfare, Taiwan
collaborator OTHER_GOV -
Chang Gung Memorial Hospital
lead OTHER
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2007-01-01
- Primary Completion
- 2022-12-31
- Completion
- 2022-12-31
Countries
- Taiwan
Study Locations
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