{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T05:18:40Z","timestamp":1787980720239,"version":"build-2784847793"},"reference-count":45,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Artificial Organs"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Development of novel organ viability assessment methods during MP under hypothermic conditions is important to expand the donor pool with DCD donors for transplantation. This study proposed a novel quantitative method using Indocyanine Green (ICG) fluorescence image for assessing organ viability during hypothermic oxygenated machine perfusion (HOPE), specifically focusing on homogeneous flow distribution analyzed with the gray\u2010scale level co\u2010occurrence matrix (GLCM) method, which is one of the most effective texture analysis method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      The proposed method quantifies ICG image uniformity using GLCM's \u2018contrast\u2019 feature, defining an evaluation index\n                      <jats:italic>h<\/jats:italic>\n                      as the average contrast (\ud835\udc50\ud835\udc5c\ud835\udc5b\ud835\udc61\ud835\udc5f\ud835\udc4e\ud835\udc60\ud835\udc61\n                      <jats:sub>\ud835\udc4e\ud835\udc63\ud835\udc52<\/jats:sub>\n                      ) after 200\u2009s of ICG inflow. Experiments involved porcine livers with 0\u2009min (WIT0) or 45\u2009min (WIT45) of warm ischemia, preserved by dual\u2010hypothermic oxygenated machine perfusion (HOPE), then evaluated using autologous blood reperfusion under normothermic conditions with an Isolated Reperfusion Model (IRM).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Qualitatively, WIT45 livers showed more heterogeneous perfusion with \u201clocalized non\u2010fluorescent regions\u201d. Quantitatively, the evaluation index\n                      <jats:italic>h<\/jats:italic>\n                      indicated a strong positive correlation with portal vein resistance at 120\u2009min during IRM (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.70,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015). A correlation with hepatic artery (HA) resistance (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.40) was also investigated. This method enables quantitative prediction of ischemic injury status before transplantation, which is crucial for making informed decisions about DCD and marginal organs. It could expand the possibilities for HOPE perfusion.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In conclusion, the evaluation index h obtained from GLCM analysis of ICG fluorescence images in organs during MP can predict portal vein resistance induced by ischemic reperfusion injury before transplantation and is a method that can expand the possibilities of HOPE perfusion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aor.70199","type":"journal-article","created":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T04:36:26Z","timestamp":1787978186000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Texture Analysis Using Indocyanine Green Fluorescence Measurement During Porcine Hypothermic Oxygenated Machine Perfusion"],"prefix":"10.1111","author":[{"given":"Yuga","family":"Okazawa","sequence":"first","affiliation":[{"name":"Tokyo Metropolitan University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0662-6138","authenticated-orcid":false,"given":"Hiromichi","family":"Obara","sequence":"additional","affiliation":[{"name":"Tokyo Metropolitan University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8787-1370","authenticated-orcid":false,"given":"Taiki","family":"Mori","sequence":"additional","affiliation":[{"name":"Tokyo Metropolitan University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2535-5895","authenticated-orcid":false,"given":"Satoshi","family":"Muto","sequence":"additional","affiliation":[{"name":"Tokyo Metropolitan University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mio","family":"Takashima","sequence":"additional","affiliation":[{"name":"Tokyo Metropolitan University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masafumi","family":"Furukawa","sequence":"additional","affiliation":[{"name":"Tokyo Metropolitan University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Azabu University Veterinary Teaching Hospital  Sagamihara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8332-658X","authenticated-orcid":false,"given":"Tetsuya","family":"Nakajo","sequence":"additional","affiliation":[{"name":"One for Animals Tokyo  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shohei","family":"Ishizawa","sequence":"additional","affiliation":[{"name":"Nippon Veterinary and Life Science University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3031-7319","authenticated-orcid":false,"given":"Seisuke","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"National Center for Child Health and Development  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoto","family":"Matsuno","sequence":"additional","affiliation":[{"name":"Tokyo Metropolitan University  Tokyo Japan"},{"name":"National Center for Child Health and Development  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"issue":"9","key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"1892","DOI":"10.1097\/TP.0000000000003825","article-title":"Recommendations for Donor and Recipient Selection and Risk Prediction: Working Group Report From the ILTS Consensus Conference in DCD Liver Transplantation","volume":"105","author":"Schlegel A.","year":"2021","journal-title":"Transplantation"},{"issue":"6","key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.1016\/j.jhep.2025.01.042","article-title":"Deceased Donor Liver Utilisation and Assessment: Consensus Guidelines From the European Liver and Intestine Transplant Association","volume":"82","author":"Hessheimer A. 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