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August 24, 2026Diseases of the Esophagus

P1.153. Dietitian-Led Integration of CT Body Composition Analysis in Oesophagogastric Cancer Care

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Authors

CZCarmel ZoanettiLMLisa MurnaneABAndrea Bramley

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Overview

Prospective quality improvement project demonstrates the feasibility of dietitian-led CT body composition analysis in oesophagogastric cancer, suggesting practical integration into clinical care.

Key Points

  • To assess the feasibility of integrating dietitian-led CT body composition analysis into the routine clinical care of patients undergoing curative-intent oesophagogastric cancer surgery.
  • Conducted a single-center prospective quality improvement project enrolling adult patients undergoing curative-intent treatment for oesophagogastric cancer.
  • Engaged multidisciplinary stakeholders (radiologists, surgeons, oncologists, dietitians, nurses, and consumers) and performed a literature review to determine optimal workflows.
  • Trained two dietitians in manual and automated segmentation of diagnostic and restaging CT scans to quantify skeletal muscle cross-sectional area and muscle attenuation.
  • Multidisciplinary stakeholders identified dietitians as the most appropriate health professionals to perform CT body composition analysis within existing clinical workflows.
  • Both trained dietitians achieved competency in standardized CT segmentation protocols, with automated segmentation software identified as the most efficient tool for clinical integration.

Cite This Study

Zoanetti et al. (2026) studied this question.

synapsesocial.com/papers/6a8c0070bca056c88e6df267https://doi.org/10.1093/dote/doag077.301
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