{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T04:10:32Z","timestamp":1778731832787,"version":"3.51.4"},"reference-count":48,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,7,28]],"date-time":"2017-07-28T00:00:00Z","timestamp":1501200000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81373156"],"award-info":[{"award-number":["81373156"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81471583"],"award-info":[{"award-number":["81471583"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The accuracy of computed tomography (<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>) for detecting donor hepatic steatosis (<jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>) before liver transplantation is not well established.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A meta\u2010analysis was performed to determine the accuracy of <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> for <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content> detection in liver donor candidates. Pooled sensitivity, specificity, positive and negative likelihood ratios, hierarchical summary receiver operating characteristic (<jats:styled-content style=\"fixed-case\">HSROC<\/jats:styled-content>) curves, and the area under the curve (<jats:styled-content style=\"fixed-case\">AUC<\/jats:styled-content>) were estimated using <jats:styled-content style=\"fixed-case\">HSROC<\/jats:styled-content> and bivariate random\u2010effects models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve studies involving 1782 subjects were eligible for this meta\u2010analysis. For detecting significant <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content> (&gt;10%\u201030% steatosis in liver pathology) with <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> in liver donors, the pooled sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio were 0.81 (95% confidence interval [<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>]: 0.70\u20100.89), 0.94 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.90\u20100.96), 13.7 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 8.1\u201023.1), and 0.20 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.12\u20100.33). The <jats:styled-content style=\"fixed-case\">AUC<\/jats:styled-content> was 0.95 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.92\u20100.96). For detecting the presence of <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>, these corresponding diagnostic estimates were 0.50 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.36\u20100.64), 0.90 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.83\u20100.95), 5.2 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 3.1\u20108.9), 0.55 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.42\u20100.72), and 0.80 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.76\u20100.83). Moderate\u2010to\u2010high heterogeneity was detected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Computed tomography shows high accuracy in detecting significant <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content> while poor accuracy in detecting the presence of <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content> in liver donors. Donors estimated to have significant <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content> by <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> may avoid unnecessary liver biopsy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.13013","type":"journal-article","created":{"date-parts":[[2017,5,18]],"date-time":"2017-05-18T10:29:13Z","timestamp":1495103353000},"source":"Crossref","is-referenced-by-count":16,"title":["Accuracy of computed tomography for detecting hepatic steatosis in donors for liver transplantation: A meta\u2010analysis"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9253-1834","authenticated-orcid":false,"given":"Danping","family":"Zheng","sequence":"first","affiliation":[{"name":"Organ Transplant Center The First Affiliated Hospital Sun Yat\u2010Sen University  Guangzhou China"},{"name":"Guangdong Provincial Key Laboratory of Organ Donation and Transplant Immunology  Guangzhou China"},{"name":"Guangdong Provincial International Cooperation Base of Science and Technology (Organ Transplantation)  Guangzhou China"},{"name":"Department of Gastroenterology The First Affiliated Hospital Sun Yat\u2010Sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenshuo","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Ultrasound The First Affiliated Hospital Sun Yat\u2010Sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhouying","family":"Zheng","sequence":"additional","affiliation":[{"name":"Organ Transplant Center The First Affiliated Hospital Sun Yat\u2010Sen University  Guangzhou China"},{"name":"Guangdong Provincial Key Laboratory of Organ Donation and Transplant Immunology  Guangzhou China"},{"name":"Guangdong Provincial International Cooperation Base of Science and Technology (Organ Transplantation)  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jincui","family":"Gu","sequence":"additional","affiliation":[{"name":"Organ Transplant Center The First Affiliated Hospital Sun Yat\u2010Sen University  Guangzhou China"},{"name":"Guangdong Provincial Key Laboratory of Organ Donation and Transplant Immunology  Guangzhou China"},{"name":"Guangdong Provincial International Cooperation Base of Science and Technology (Organ Transplantation)  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhiyong","family":"Guo","sequence":"additional","affiliation":[{"name":"Organ Transplant Center The First Affiliated Hospital Sun Yat\u2010Sen University  Guangzhou China"},{"name":"Guangdong Provincial Key Laboratory of Organ Donation and Transplant Immunology  Guangzhou China"},{"name":"Guangdong Provincial International Cooperation Base of Science and Technology (Organ Transplantation)  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoshun","family":"He","sequence":"additional","affiliation":[{"name":"Organ Transplant Center The First Affiliated Hospital Sun Yat\u2010Sen University  Guangzhou China"},{"name":"Guangdong Provincial Key Laboratory of Organ Donation and Transplant Immunology  Guangzhou China"},{"name":"Guangdong Provincial International Cooperation Base of Science and Technology (Organ Transplantation)  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,7,28]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2009.05.023"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2001-12933"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-199101000-00024"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-199611150-00011"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1091-255X(98)80025-5"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/jlts.2003.50222"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200102153440706"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2005.03.084"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181bcd6dd"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004424-200005000-00006"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.22580"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2393042218"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1872-034X.2009.00620.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.16.16565"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-200105150-00007"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2535"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-155-8-201110180-00009"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2005.02.022"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1994.03510330081039"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.942"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0258(19980430)17:8<857::AID-SIM777>3.0.CO;2-E"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1186"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1186"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.323.7305.157"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-149-12-200812160-00008"},{"key":"e_1_2_7_27_1","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1080\/00401706.2000.10485981","article-title":"Detection of influential observation in linear regression","volume":"42","author":"Cook RD","year":"2000","journal-title":"Technometrics"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2005.01.016"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.TP.0000140499.23683.0D"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2391050361"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2442061177"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2007.02.007"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e3181b11c19"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2010.01.008"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-009-1560-x"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.24105"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2301021176"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acra.2014.01.007"},{"key":"e_1_2_7_39_1","first-page":"69","article-title":"The assessment of hepatosteatosis in living\u2010donor liver transplant: comparison of liver attenuation index and histopathologic results","volume":"15","author":"Sagir KA","year":"2017","journal-title":"Exp Clin Transplant"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.12782"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8278(97)80288-7"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0455.2003.00002.x"},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.142.4.741"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2006.11.005"},{"key":"e_1_2_7_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8278(98)80228-6"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.1097\/RLI.0b013e31820e1486"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0110964"},{"key":"e_1_2_7_48_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2421052066"},{"key":"e_1_2_7_49_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrgastro.2013.194"}],"container-title":["Clinical Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fctr.13013","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.13013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T13:48:18Z","timestamp":1695476898000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ctr.13013"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,28]]},"references-count":48,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1111\/ctr.13013"],"URL":"https:\/\/doi.org\/10.1111\/ctr.13013","archive":["Portico"],"relation":{},"ISSN":["0902-0063","1399-0012"],"issn-type":[{"value":"0902-0063","type":"print"},{"value":"1399-0012","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,28]]},"article-number":"e13013"}}