{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T11:46:22Z","timestamp":1792583182045,"version":"4.5.0"},"reference-count":35,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","dldjournalonline.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Digestive and Liver Disease"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.dld.2026.10.009","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T11:28:38Z","timestamp":1792582118000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative assessment of ultrasound and bioelectrical impedance analysis for sarcopenia screening in chronic liver disease"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8292-1134","authenticated-orcid":false,"given":"Gallo","family":"Paolo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flagiello","family":"Valentina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"De Vincentis","family":"Antonio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Falcomat\u00e0","family":"Andrea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motamedrad","family":"Maryam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terracciani","family":"Francesca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lemme","family":"Daniela","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faiella","family":"Eliodoro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Picardi","family":"Antonio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonelli-Incalzi","family":"Raffaele","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aldo J.","family":"Montano-Loza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vespasiani-Gentilucci","family":"Umberto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.dld.2026.10.009_bib0001","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1016\/j.cgh.2011.08.028","article-title":"Muscle wasting is associated with mortality in patients with cirrhosis","volume":"10","author":"Montano\u2013Loza","year":"2012","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1016\/j.dld.2026.10.009_bib0002","doi-asserted-by":"crossref","first-page":"1550","DOI":"10.1097\/MEG.0000000000001472","article-title":"Sarcopenia impairs health-related quality of life in cirrhotic patients","volume":"31","author":"Ando","year":"2019","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"10.1016\/j.dld.2026.10.009_bib0003","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1093\/ageing\/afy169","article-title":"Sarcopenia: revised European consensus on definition and diagnosis","volume":"48","author":"Cruz-Jentoft","year":"2019","journal-title":"Age Ageing"},{"key":"10.1016\/j.dld.2026.10.009_bib0004","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.ejim.2023.06.019","article-title":"Ultrasonography as a diagnostic tool for sarcopenia in patients with cirrhosis: examining the pros and cons","volume":"116","author":"Becchetti","year":"2023","journal-title":"Eur J Intern Med"},{"key":"10.1016\/j.dld.2026.10.009_bib0005","doi-asserted-by":"crossref","first-page":"5324","DOI":"10.3748\/wjg.v28.i36.5324","article-title":"Impact of sarcopenia on tumor response and survival outcomes in patients with hepatocellular carcinoma treated by trans-arterial (chemo)-embolization","volume":"28","author":"Roth","year":"2022","journal-title":"World J Gastroenterol"},{"issue":"10","key":"10.1016\/j.dld.2026.10.009_bib0006","doi-asserted-by":"crossref","DOI":"10.1097\/HC9.0000000000000261","article-title":"Transversal psoas muscle thickness measurement is associated with response and survival in patients with HCC undergoing immunotherapy","volume":"7","author":"Scheiner","year":"2023","journal-title":"Hepatol Commun"},{"key":"10.1016\/j.dld.2026.10.009_bib0007","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0037563","article-title":"Sarcopenia predicts early dose-limiting toxicities and pharmacokinetics of Sorafenib in patients with hepatocellular carcinoma","volume":"7","author":"Mir","year":"2012","journal-title":"PLoS One"},{"key":"10.1016\/j.dld.2026.10.009_bib0008","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000028680","article-title":"Prognostic significance of sarcopenia in patients with hepatocellular carcinoma treated with lenvatinib: a retrospective analysis","volume":"101","author":"Dong","year":"2022","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.dld.2026.10.009_bib0009","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1159\/000504604","article-title":"Skeletal muscle mass influences tolerability and prognosis in hepatocellular carcinoma patients treated with Lenvatinib","volume":"9","author":"Uojima","year":"2020","journal-title":"Liver Cancer"},{"key":"10.1016\/j.dld.2026.10.009_bib0010","doi-asserted-by":"crossref","DOI":"10.1016\/j.jhepr.2025.101455","article-title":"Type II fibre atrophy and nuclear disruption in decompensated cirrhosis","volume":"7","author":"Motamedrad","year":"2025","journal-title":"JHEP Reports"},{"key":"10.1016\/j.dld.2026.10.009_bib0011","first-page":"152","article-title":"Sarcopenia in hepatocellular carcinoma: pathogenesis and management","volume":"67","author":"Gallo","year":"2022","journal-title":"Chemotherapy (Los Angel)"},{"key":"10.1016\/j.dld.2026.10.009_bib0012","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.jhep.2018.06.024","article-title":"European Association for the study of the Liver. EASL clinical practice guidelines on nutrition in chronic liver disease","volume":"70","year":"2019","journal-title":"J Hepatol"},{"key":"10.1016\/j.dld.2026.10.009_bib0013","doi-asserted-by":"crossref","first-page":"2333","DOI":"10.1152\/japplphysiol.00744.2004","article-title":"Total body skeletal muscle and adipose tissue volumes: estimation from a single abdominal cross-sectional image","volume":"97","author":"Shen","year":"2004","journal-title":"J Appl Physiol (1985)"},{"key":"10.1016\/j.dld.2026.10.009_bib0014","doi-asserted-by":"crossref","first-page":"2792","DOI":"10.1002\/jcsm.13630","article-title":"Ultrasound-defined sarcopenia independently predicts acute decompensation in advanced chronic liver disease","volume":"15","author":"G\u00f6diker","year":"2024","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"10.1016\/j.dld.2026.10.009_bib0015","doi-asserted-by":"crossref","first-page":"86","DOI":"10.3390\/life11020086","article-title":"Radiologic definition of sarcopenia in chronic liver disease","volume":"11","author":"Lee","year":"2021","journal-title":"Life"},{"key":"10.1016\/j.dld.2026.10.009_bib0016","doi-asserted-by":"crossref","first-page":"3335","DOI":"10.3390\/nu15153335","article-title":"Detection of sarcopenia in patients with liver cirrhosis using the bioelectrical impedance analysis","volume":"15","author":"Bozic","year":"2023","journal-title":"Nutrients"},{"key":"10.1016\/j.dld.2026.10.009_bib0017","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.jhep.2024.08.028","article-title":"EASL clinical practice guidelines on the management of hepatocellular carcinoma","volume":"82","author":"Sangro","year":"2025","journal-title":"J Hepatol"},{"key":"10.1016\/j.dld.2026.10.009_bib0018","doi-asserted-by":"crossref","first-page":"2287","DOI":"10.3748\/wjg.v30.i17.2287","article-title":"Quick and easy assessment of sarcopenia in cirrhosis: can ultrasound be the solution?","volume":"30","author":"Campani","year":"2024","journal-title":"World J Gastroenterol"},{"key":"10.1016\/j.dld.2026.10.009_bib0019","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1016\/j.clnu.2014.07.010","article-title":"Assessing appendicular skeletal muscle mass with bioelectrical impedance analysis in free-living Caucasian older adults","volume":"34","author":"Sergi","year":"2015","journal-title":"Clin Nutr"},{"key":"10.1016\/j.dld.2026.10.009_bib0020","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1016\/j.cgh.2016.04.040","article-title":"A model to identify sarcopenia in patients with cirrhosis","volume":"14","author":"Tandon","year":"2016","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1016\/j.dld.2026.10.009_bib0021","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1007\/s00535-017-1378-2","article-title":"Application of transcutaneous ultrasonography for the diagnosis of muscle mass loss in patients with liver cirrhosis","volume":"53","author":"Kobayashi","year":"2018","journal-title":"J Gastroenterol"},{"key":"10.1016\/j.dld.2026.10.009_bib0022","doi-asserted-by":"crossref","DOI":"10.1016\/j.jhepr.2023.100985","article-title":"Enhancing ACLF prediction by integrating sarcopenia assessment and frailty in liver transplant candidates on the waiting list","volume":"6","author":"Perdiguero","year":"2024","journal-title":"JHEP Reports"},{"key":"10.1016\/j.dld.2026.10.009_bib0023","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1097\/SLA.0000000000002555","article-title":"Impact of sarcopenic obesity on outcomes in patients undergoing hepatectomy for hepatocellular carcinoma","volume":"269","author":"Kobayashi","year":"2019","journal-title":"Ann Surg"},{"key":"10.1016\/j.dld.2026.10.009_bib0024","doi-asserted-by":"crossref","first-page":"1641","DOI":"10.1007\/s10620-022-07806-z","article-title":"Sarcopenia defined by Psoas muscle thickness predicts mortality after transjugular intrahepatic portosystemic shunt","volume":"68","author":"Li","year":"2023","journal-title":"Dig Dis Sci"},{"key":"10.1016\/j.dld.2026.10.009_bib0025","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.jhep.2015.02.031","article-title":"Sarcopenia, intramuscular fat deposition, and visceral adiposity independently predict the outcomes of hepatocellular carcinoma","volume":"63","author":"Fujiwara","year":"2015","journal-title":"J Hepatol"},{"key":"10.1016\/j.dld.2026.10.009_bib0026","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1097\/MCG.0000000000001745","article-title":"Assessment of sarcopenia using muscle ultrasound in patients with cirrhosis and sarcopenic obesity (AMUSE STUDY)","volume":"57","author":"Dhariwal","year":"2023","journal-title":"J Clin Gastroenterol"},{"key":"10.1016\/j.dld.2026.10.009_bib0027","doi-asserted-by":"crossref","first-page":"788","DOI":"10.3390\/diagnostics13040788","article-title":"How to identify advanced fibrosis in adult patients with Non-Alcoholic fatty liver disease (NAFLD) and Non-Alcoholic steatohepatitis (NASH) using ultrasound elastography-A review of the literature and proposed multistep approach","volume":"13","author":"Taru","year":"2023","journal-title":"Diagnostics (Basel)"},{"key":"10.1016\/j.dld.2026.10.009_bib0028","doi-asserted-by":"crossref","first-page":"91","DOI":"10.3390\/diagnostics13010091","article-title":"Screening for liver fibrosis in the general population: where do we stand in 2022?","volume":"13","author":"Canivet","year":"2022","journal-title":"Diagnostics"},{"key":"10.1016\/j.dld.2026.10.009_bib0029","doi-asserted-by":"crossref","DOI":"10.1097\/HC9.0000000000000055","article-title":"Increased accuracy in identifying NAFLD with advanced fibrosis and cirrhosis: independent validation of the Agile 3+ and 4 scores","volume":"7","author":"Noureddin","year":"2023","journal-title":"Hepatol Commun"},{"issue":"5","key":"10.1016\/j.dld.2026.10.009_bib0030","doi-asserted-by":"crossref","first-page":"1816","DOI":"10.1002\/hep.30828","article-title":"A North American expert opinion statement on sarcopenia in liver transplantation","volume":"70","author":"Carey","year":"2019","journal-title":"Hepatology"},{"key":"10.1016\/j.dld.2026.10.009_bib0031","doi-asserted-by":"crossref","first-page":"1941","DOI":"10.1016\/j.cgh.2020.08.066","article-title":"Phase angle from bioelectrical impedance for the assessment of sarcopenia in cirrhosis with or without ascites","volume":"19","author":"Ruiz-Marg\u00e1in","year":"2021","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1016\/j.dld.2026.10.009_bib0032","doi-asserted-by":"crossref","DOI":"10.1016\/j.aohep.2022.100723","article-title":"A nomogram as an indirect method to identify sarcopenia in patients with liver cirrhosis","volume":"27","author":"Hern\u00e1ndez-Conde","year":"2022","journal-title":"Ann Hepatol"},{"key":"10.1016\/j.dld.2026.10.009_bib0033","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/j.clnesp.2021.05.029","article-title":"Evaluation of techniques used to assess skeletal muscle quantity in patients with cirrhosis","volume":"44","author":"Woodward","year":"2021","journal-title":"Clin Nutr ESPEN"},{"key":"10.1016\/j.dld.2026.10.009_bib0034","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1186\/s12876-022-02236-7","article-title":"Utility of handgrip strength (HGS) and bioelectrical impedance analysis (BIA) in the diagnosis of sarcopenia in cirrhotic patients","volume":"22","author":"Luengpradidgun","year":"2022","journal-title":"BMC Gastroenterol"},{"key":"10.1016\/j.dld.2026.10.009_bib0035","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1159\/000526563","article-title":"Evaluation of skeletal muscle mass in patients with chronic liver disease shows different results based on bioelectrical impedance analysis and computed tomography","volume":"78","author":"Kikuchi","year":"2022","journal-title":"Ann Nutr Metab"}],"container-title":["Digestive and Liver Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1590865826009874?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1590865826009874?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T11:28:44Z","timestamp":1792582124000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1590865826009874"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":35,"alternative-id":["S1590865826009874"],"URL":"https:\/\/doi.org\/10.1016\/j.dld.2026.10.009","relation":{},"ISSN":["1590-8658"],"issn-type":[{"value":"1590-8658","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Comparative assessment of ultrasound and bioelectrical impedance analysis for sarcopenia screening in chronic liver disease","name":"articletitle","label":"Article Title"},{"value":"Digestive and Liver Disease","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.dld.2026.10.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V. on behalf of Editrice Gastroenterologica Italiana S.r.l.","name":"copyright","label":"Copyright"}]}}