Evidence map›Paper›PMID 41820585›Full record

ArticleEuropean radiology2026

Preoperative skeletal muscle assessment as a predictor of liver regeneration in living donor liver transplantation.

Ji Hyun Lee, Woo Kyoung Jeong, Jong Man Kim, Gyu-Seong Choi, Jinsoo Rhu, Dong Ik Cha

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Article in European radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Ji Hyun LeeDepartment of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-8582-5436
Woo Kyoung JeongDepartment of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Jong Man KimDepartment of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Gyu-Seong ChoiDepartment of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Jinsoo RhuDepartment of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Dong Ik ChaDepartment of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. dongik.cha@samsung.com.ORCID http://orcid.org/0000-0003-3271-6532

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study investigated whether liver regeneration after living donor liver transplantation (LDLT) is associated with baseline skeletal muscle status, based on preoperative computed tomography (CT). MATERIALS AND

methodsIn this retrospective cohort study, skeletal muscle mass and skeletal muscle attenuation (SMA) from preoperative CT scans of living liver donors who underwent right hemihepatectomy were analyzed. The liver regeneration rate was calculated as the percentage of remnant liver volume on postoperative CT performed 45-90 days after surgery, divided by the estimated preoperative left hemiliver volume. Logistic regression analysis identified risk factors for suboptimal regeneration, defined as the lower 10

resultsA total of 171 living liver donors (101 men, 70 women; median age, 34 years) were included. Lower SMA, measured on contrast-enhanced CT images acquired in the portal venous phase, was significantly and independently associated with an increased risk of suboptimal regeneration (adjusted odds ratio: 1.14 per 1 Hounsfield unit decrease; 95% confidence interval: 1.04-1.25). SMA showed a significant positive correlation with liver regeneration rate (ρ = 0.191, p = 0.013).

conclusionsLower SMA, as assessed on preoperative CT, is associated with suboptimal liver regeneration following right hemihepatectomy for living donor liver transplantation. KEY POINTS: Question Adequate liver regeneration is crucial after living donor liver transplantation, but reliable donor-related prognostic factors to predict it remain limited. Findings Lower skeletal muscle attenuation on portal venous phase CT acquired 45-90 days after right hemihepatectomy was independently associated with suboptimal liver regeneration among living liver donors. Clinical relevance Preoperative skeletal muscle attenuation may help identify living liver donors at risk for suboptimal liver regeneration, offering a potential tool for donor selection and personalized assessment to ensure adequate postoperative liver volume and long-term hepatic reserve in clinical practice.

Indexed as

Liver RegenerationLiver TransplantationLiving DonorsMuscle, SkeletalTomography, X-Ray ComputedAdultFemaleHepatectomyHumansMaleMiddle AgedPreoperative CareRetrospective StudiesRisk FactorsComputed tomographyLiver transplantationLiving donorMyosteatosisSkeletal muscle

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