{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:10:06Z","timestamp":1791976206873,"version":"4.4.0"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Radiol"],"DOI":"10.1007\/s00330-025-11796-7","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T11:49:40Z","timestamp":1755776980000},"page":"998-1011","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Automated psoas muscle segmentation: imaging features and surgical fitness in spinal metastatic lung cancer"],"prefix":"10.1007","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4103-830X","authenticated-orcid":false,"given":"Marco P\u00e9rez","family":"Caceres","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omer","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00e9ronique","family":"Freire","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse","family":"Shen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fidaa","family":"Al-Shakfa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Boul\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhi","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,8,21]]},"reference":[{"key":"11796_CR1","doi-asserted-by":"publisher","first-page":"e016022","DOI":"10.1136\/bmjopen-2017-016022","volume":"7","author":"E Svensson","year":"2017","unstructured":"Svensson E, Christiansen CF, Ulrichsen SP, R\u00f8rth MR, S\u00f8rensen HT (2017) Survival after bone metastasis by primary cancer type: a Danish population-based cohort study. BMJ Open 7:e016022","journal-title":"BMJ Open"},{"key":"11796_CR2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-29825-5","volume":"8","author":"BA Derstine","year":"2018","unstructured":"Derstine BA, Holcombe SA, Ross BE, Wang NC, Su GL, Wang SC (2018) Skeletal muscle cutoff values for sarcopenia diagnosis using T10 to L5 measurements in a healthy US population. Sci Rep 8:11369","journal-title":"Sci Rep"},{"key":"11796_CR3","first-page":"24","volume":"32","author":"H Chin","year":"2015","unstructured":"Chin H, Kim J (2015) Bone metastasis: concise overview. Fed Pract 32:24\u201330","journal-title":"Fed Pract"},{"key":"11796_CR4","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1111\/iju.13170","volume":"23","author":"S Tsuzuki","year":"2016","unstructured":"Tsuzuki S, Park SH, Eber MR, Peters CM, Shiozawa Y (2016) Skeletal complications in cancer patients with bone metastases. Int J Urol 23:825\u2013832","journal-title":"Int J Urol"},{"key":"11796_CR5","doi-asserted-by":"publisher","first-page":"1891","DOI":"10.1016\/j.injury.2015.07.028","volume":"46","author":"DJ Bryson","year":"2015","unstructured":"Bryson DJ, Wicks L, Ashford RU (2015) The investigation and management of suspected malignant pathological fractures: a review for the general orthopaedic surgeon. Injury 46:1891\u20131899","journal-title":"Injury"},{"key":"11796_CR6","unstructured":"Zhang, X-M, Dou, Q-L, Zeng, Y, Yang, Y, Cheng, ASK, Zhang, W-W (2023) Sarcopenia as a predictor of mortality in women with breast cancer: a meta-analysis and systematic review. BMC Cancer. Available via https:\/\/bmccancer.biomedcentral.com\/articles\/10.1186\/s12885-020-6645-6. Cited 14 Oct 2023"},{"key":"11796_CR7","unstructured":"Preoperative sarcopenia is associated with poor overall survival in pancreatic cancer patients following pancreaticoduodenectomy. SpringerLink. Available via https:\/\/link.springer.com\/article\/10.1007\/s00330-020-07294-7#citeas. Cited 14 Oct 2023"},{"key":"11796_CR8","doi-asserted-by":"publisher","first-page":"2427","DOI":"10.1245\/s10434-020-08224-z","volume":"27","author":"S Shinohara","year":"2020","unstructured":"Shinohara S, Otsuki R, Kobayashi K, Sugaya M, Matsuo M, Nakagawa M (2020) Impact of sarcopenia on surgical outcomes in non-small cell lung cancer. Ann Surg Oncol 27:2427\u20132435","journal-title":"Ann Surg Oncol"},{"key":"11796_CR9","first-page":"405","volume":"7","author":"E Volpi","year":"2004","unstructured":"Volpi E, Nazemi R, Fujita S (2004) Muscle tissue changes with aging. Curr Opin Clin Nutr Metab Care 7:405\u2013410","journal-title":"Curr Opin Clin Nutr Metab Care"},{"key":"11796_CR10","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-023-10582-2","volume":"23","author":"L Luo","year":"2023","unstructured":"Luo L, Shen X, Fang S et al (2023) Sarcopenia as a risk factor of progression-free survival in patients with metastases: a systematic review and meta-analysis. BMC Cancer 23:127","journal-title":"BMC Cancer"},{"key":"11796_CR11","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1016\/j.chest.2019.04.115","volume":"156","author":"M Yang","year":"2019","unstructured":"Yang M, Shen Y, Tan L, Li W (2019) Prognostic value of sarcopenia in lung cancer: a systematic review and meta-analysis. Chest 156:101\u2013111","journal-title":"Chest"},{"key":"11796_CR12","doi-asserted-by":"crossref","unstructured":"Caffard T, Arzani A, Amoroso K et al (2024) Importance of the lumbar paraspinal muscles on the maintenance of global sagittal alignment after lumbar pedicle subtraction osteotomy. Available via https:\/\/thejns.org\/spine\/view\/journals\/j-neurosurg-spine\/aop\/article-10.3171-2024.3.SPINE231052\/article-10.3171-2024.3.SPINE231052.xml. Cited 20 Jul 2024","DOI":"10.3171\/2024.3.SPINE231052"},{"key":"11796_CR13","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-020-01751-1","volume":"15","author":"W Wang","year":"2020","unstructured":"Wang W, Sun Z, Li W, Chen Z (2020) The effect of paraspinal muscle on functional status and recovery in patients with lumbar spinal stenosis. J Orthop Surg Res 15:235","journal-title":"J Orthop Surg Res"},{"key":"11796_CR14","doi-asserted-by":"publisher","first-page":"1025","DOI":"10.1093\/neuros\/nyaa245","volume":"87","author":"HM Zakaria","year":"2020","unstructured":"Zakaria HM, Wilkinson BM, Pennington Z et al (2020) Sarcopenia as a prognostic factor for 90-day and overall mortality in patients undergoing spine surgery for metastatic tumors: a multicenter retrospective cohort study. Neurosurgery 87:1025\u20131036","journal-title":"Neurosurgery"},{"key":"11796_CR15","doi-asserted-by":"crossref","unstructured":"Ritz A, Froeba-Pohl A, Kolorz J et al (2021) Total psoas muscle area as a marker for sarcopenia is related to outcome in children with neuroblastoma. Front Surg 8:718184","DOI":"10.3389\/fsurg.2021.718184"},{"key":"11796_CR16","doi-asserted-by":"publisher","first-page":"1888","DOI":"10.3390\/cancers13081888","volume":"13","author":"E Daffr\u00e8","year":"2021","unstructured":"Daffr\u00e8 E, Prieto M, Martini K et al (2021) Total psoas area and total muscular parietal area affect long-term survival of patients undergoing pneumonectomy for non-small cell lung cancer. Cancers (Basel) 13:1888","journal-title":"Cancers (Basel)"},{"key":"11796_CR17","doi-asserted-by":"publisher","first-page":"1593","DOI":"10.1007\/s11605-015-2835-y","volume":"19","author":"N Amini","year":"2015","unstructured":"Amini N, Spolverato G, Gupta R et al (2015) Impact total psoas volume on short- and long-term outcomes in patients undergoing curative resection for pancreatic adenocarcinoma: a new tool to assess sarcopenia. J Gastrointest Surg 19:1593\u20131602","journal-title":"J Gastrointest Surg"},{"key":"11796_CR18","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1093\/icvts\/ivw274","volume":"24","author":"SY Park","year":"2017","unstructured":"Park SY, Yoon JK, Lee SJ, Haam S, Jung J (2017) Prognostic value of preoperative total psoas muscle area on long-term outcome in surgically treated oesophageal cancer patients. Interact Cardiovasc Thorac Surg 24:13\u201319","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"11796_CR19","doi-asserted-by":"crossref","unstructured":"Song G, Zhou J, Wang K, Yao D, Chen S, Shi Y (2023) Segmentation of multi-regional skeletal muscle in abdominal CT image for cirrhotic sarcopenia diagnosis. Front Neurosci 17:1203823","DOI":"10.3389\/fnins.2023.1203823"},{"key":"11796_CR20","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1002\/lt.24750","volume":"23","author":"EJ Carey","year":"2017","unstructured":"Carey EJ, Lai JC, Wang CW et al (2017) A multicenter study to define sarcopenia in patients with end-stage liver disease. Liver Transpl 23:625\u2013633","journal-title":"Liver Transpl"},{"key":"11796_CR21","doi-asserted-by":"publisher","first-page":"1671","DOI":"10.1093\/gerona\/glz034","volume":"74","author":"B Amini","year":"2019","unstructured":"Amini B, Boyle SP, Boutin RD, Lenchik L (2019) Approaches to assessment of muscle mass and myosteatosis on computed tomography: a systematic review. J Gerontol A 74:1671\u20131678","journal-title":"J Gerontol A"},{"key":"11796_CR22","doi-asserted-by":"publisher","first-page":"E133","DOI":"10.1097\/BSD.0000000000001062","volume":"34","author":"VT Truong","year":"2021","unstructured":"Truong VT, Shedid D, Al-Shakfa F et al (2021) Surgical intervention for patients with spinal metastasis from lung cancer: a retrospective study of 87 cases. Clinical Spine Surg 34:E133\u2013E140","journal-title":"Clinical Spine Surg"},{"key":"11796_CR23","doi-asserted-by":"publisher","first-page":"2016","DOI":"10.1177\/21925682211072626","volume":"13","author":"MN Pernik","year":"2023","unstructured":"Pernik MN, Hicks WH, Akbik OS et al (2023) Psoas muscle index as a predictor of perioperative outcomes in geriatric patients undergoing spine surgery. Global Spine J 13:2016\u20132024","journal-title":"Global Spine J"},{"key":"11796_CR24","doi-asserted-by":"publisher","first-page":"620","DOI":"10.1016\/j.clnu.2022.01.011","volume":"41","author":"MH Hu","year":"2022","unstructured":"Hu MH, Yen HK, Chen IH et al (2022) Decreased psoas muscle area is a prognosticator for 90-day and 1-year survival in patients undergoing surgical treatment for spinal metastasis. Clin Nutr 41:620\u2013629","journal-title":"Clin Nutr"},{"key":"11796_CR25","doi-asserted-by":"publisher","first-page":"2227","DOI":"10.1016\/j.clnu.2019.10.003","volume":"39","author":"KE Rollins","year":"2020","unstructured":"Rollins KE, Gopinath A, Awwad A, Macdonald IA, Lobo DN (2020) Computed tomography-based psoas skeletal muscle area and radiodensity are poor sentinels for whole L3 skeletal muscle values. Clin Nutr 39:2227\u20132232","journal-title":"Clin Nutr"},{"key":"11796_CR26","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1002\/jcsm.12221","volume":"8","author":"VE Baracos","year":"2017","unstructured":"Baracos VE (2017) Psoas as a sentinel muscle for sarcopenia: a flawed premise. J Cachexia Sarcopenia Muscle 8:527","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"11796_CR27","doi-asserted-by":"publisher","DOI":"10.1148\/ryai.230024","volume":"5","author":"J Wasserthal","year":"2023","unstructured":"Wasserthal J, Breit HC, Meyer MT et al (2023) TotalSegmentator: robust segmentation of 104 anatomical structures in CT images. Radiol Artif Intell 5:e230024","journal-title":"Radiol Artif Intell"},{"key":"11796_CR28","doi-asserted-by":"publisher","first-page":"e104","DOI":"10.1158\/0008-5472.CAN-17-0339","volume":"77","author":"JJM van Griethuysen","year":"2017","unstructured":"van Griethuysen JJM, Fedorov A, Parmar C et al (2017) Computational radiomics system to decode the radiographic phenotype. Cancer Res 77:e104\u2013e107","journal-title":"Cancer Res"},{"key":"11796_CR29","doi-asserted-by":"publisher","first-page":"1200","DOI":"10.1016\/j.nut.2016.04.003","volume":"32","author":"Y Hamaguchi","year":"2016","unstructured":"Hamaguchi Y, Kaido T, Okumura S et al (2016) Proposal for new diagnostic criteria for low skeletal muscle mass based on computed tomography imaging in Asian adults. Nutrition 32:1200\u20131205","journal-title":"Nutrition"},{"key":"11796_CR30","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1007\/s00068-013-0313-3","volume":"40","author":"L Ebbeling","year":"2014","unstructured":"Ebbeling L, Grabo DJ, Shashaty M et al (2014) Psoas:lumbar vertebra index: central sarcopenia independently predicts morbidity in elderly trauma patients. Eur J Trauma Emerg Surg 40:57\u201365","journal-title":"Eur J Trauma Emerg Surg"},{"key":"11796_CR31","doi-asserted-by":"publisher","unstructured":"Urakawa H, Sato K, Vaishnav AS et al (2023) Preoperative cross-sectional area of psoas muscle correlates with short-term functional outcomes after posterior lumbar surgery. Eur Spine J. https:\/\/doi.org\/10.1007\/s00586-023-07533-7","DOI":"10.1007\/s00586-023-07533-7"},{"key":"11796_CR32","doi-asserted-by":"publisher","first-page":"3277","DOI":"10.1007\/s00432-022-04234-4","volume":"149","author":"Y Yamada","year":"2023","unstructured":"Yamada Y, Shimada Y, Makino Y et al (2023) Clinical utility of psoas muscle volume in assessment of sarcopenia in patients with early-stage non-small cell lung cancer. J Cancer Res Clin Oncol 149:3277\u20133285","journal-title":"J Cancer Res Clin Oncol"},{"key":"11796_CR33","doi-asserted-by":"publisher","first-page":"S381","DOI":"10.33549\/physiolres.934816","volume":"70","author":"A Peka\u0159ov\u00e1","year":"2021","unstructured":"Peka\u0159ov\u00e1 A, Peka\u0159 M, Dani\u0161 D, Nov\u00e1kov\u00e1 Z (2021) CT evaluated sarcopenia signals: shorter survival for small cell lung cancer patients. Physiol Res 70:S381\u2013S386","journal-title":"Physiol Res"}],"container-title":["European Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00330-025-11796-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00330-025-11796-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00330-025-11796-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T09:25:46Z","timestamp":1772443546000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00330-025-11796-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,21]]},"references-count":33,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2]]}},"alternative-id":["11796"],"URL":"https:\/\/doi.org\/10.1007\/s00330-025-11796-7","relation":{},"ISSN":["1432-1084"],"issn-type":[{"value":"1432-1084","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,21]]},"assertion":[{"value":"16 November 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 May 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 June 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 August 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The scientific guarantor of this publication is Dr. Zhi Wang.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Guarantor"}},{"value":"We would like to disclose that one of our authors, Dr. Shen, has received grant funding from the Scoliosis Research Society and is currently an investor in Statera Medical. Both associations are unrelated to the present work.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"No complex statistical methods were employed.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Statistics and biometry"}},{"value":"Written informed consent was waived by the Institutional Review Board.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"Institutional Review Board approval was obtained.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"It should be disclosed that a portion of the patients' files discussed in our study were previously reviewed and analyzed in a publication in Clinical Spine Surgery in April 2021 (\n                      \n                      ). This previous work had no emphasis on the value of sarcopenia in these patients, the focus of our current study.","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Study subjects or cohorts overlap"}},{"order":8,"name":"Ethics","group":{"name":"EthicsHeading","label":"Methodology"}}]}}