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Title:Radiological assessment of skeletal muscle index and myosteatosis and their impact postoperative outcomes after liver transplantation
Authors:ID Petrič, Miha (Author)
ID Jordan, Taja (Author)
ID Popuri, Karteek (Author)
ID Ličen, Sabina (Author)
ID Trotovšek, Blaž (Author)
ID Tomažič, Aleš (Author)
Files:URL URL - Source URL, visit https://doi.org/10.2478/raon-2023-0025
 
URL URL - Source URL, visit https://www.radioloncol.com/index.php/ro/article/view/4062/5150
 
.pdf PDF - Presentation file, download (1,69 MB)
MD5: 0DF992716798DE1C4D664FFFB0024A21
 
Language:English
Typology:1.01 - Original Scientific Article
Organization:Logo OI - Institute of Oncology
Abstract:Background. Liver transplantation offers curative treatment to patients with acute and chronic end-stage liver disease. The impact of nutritional status on postoperative outcomes after liver transplantation remains poorly under-stood. The present study investigated the predictive value of radiologically assessed skeletal muscle index (SMI) and myosteatosis (MI) on postoperative outcomes.Patients and methods. Data of 138 adult patients who underwent their first orthotopic liver transplantation were retrospectively analysed. SMI and MI in computer tomography (CT) scan at the third lumbar vertebra level were cal-culated. Results were analyzed for the length of hospitalisation and postoperative outcomes.Results. In 63% of male and 28.9% of female recipients, low SMI was found. High MI was found in 45(32.6%) patients. Male patients with high SMI had longer intensive care unit (ICU) stay (P < 0.025). Low SMI had no influence on ICU stay in female patients (P = 0.544), length of hospitalisation (male, P > 0.05; female, P = 0.843), postoperative complication rates (males, P = 0.883; females, P = 0.113), infection rate (males, P = 0.293, females, P = 0.285) and graft rejection (males, P = 0.875; females, P = 0.135). The presence of MI did not influence ICU stay (P = 0.161), hospitalization (P = 0.771), postoperative complication rates (P = 0.467), infection rate (P = 0.173) or graft rejection rate (P = 0.173).Conclusions. In our study, changes in body composition of liver transplant recipients observed with SMI and MI had no impact on postoperative course after liver transplantation. CT body composition analysis of recipients and uni-formly accepted cut-off points are crucial to producing reliable data in the future.
Keywords:muscle mass, liver transplantation, myosteatosis, skeletal muscle index, GLIM score
Publication status:Published
Publication version:Version of Record
Publication date:01.01.2023
Publisher:Association of Radiology and Oncology
Year of publishing:2023
Number of pages:str. 168-177
Numbering:Vol. 57, iss. 2
Source:Ljubljana
PID:20.500.12556/DiRROS-19836 New window
UDC:616-089
ISSN on article:1318-2099
DOI:10.2478/raon-2023-0025 New window
COBISS.SI-ID:159734019 New window
Copyright:by Authors
Note:Soavtorji: Kaja Jordan, Popuri Karteek, Sabina Licen, Blaz Trotovsek, Ales Tomazic;
Publication date in DiRROS:25.07.2024
Views:318
Downloads:307
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Record is a part of a journal

Title:Radiology and oncology
Shortened title:Radiol. oncol.
Publisher:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 New window

Secondary language

Language:Slovenian
Keywords:mišična masa, presaditev jeter, miosteatoza, indeks skeletnih mišic, vrednost GLIM


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