{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T18:19:37Z","timestamp":1787681977837,"version":"build-2784847793"},"reference-count":21,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"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":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The objective of this study is to evaluate the association between two imaging\u2010derived measures\u2014anteroposterior diameter (APD) and lateral abdominal wall\u2013IVC distance (L\u2010IVC)\u2014and liver transplant (LT) waitlist outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective cohort study of 520 adult LT candidates listed at a single academic transplant center from January 1, 2015, to December 31, 2023.\u00a0APD and L\u2010IVC were measured using cross\u2010sectional abdominal\u00a0imaging\u00a0and\u00a0categorized into three groups using interquartile thresholds: APD (&lt;15.0\u00a0cm, 15.0\u201320.0\u00a0cm, &gt;20.0\u00a0cm) and L\u2010IVC (&lt;10.0\u00a0cm, 10.0\u201312.5\u00a0cm, \u226512.5\u00a0cm). The primary outcome was time to LT; the competing outcome was waitlist removal due to death or clinical deterioration. Sub\u2010distribution hazard ratios (SHRs) were estimated using competing risks regression. Harrell's C\u2010statistic and bootstrap comparisons were used to evaluate discrimination versus height, BMI, and body surface area (BSA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 520 candidates (mean [SD] age, 55.7 [10.9] years; 37.5% women), small APD (SHR = 0.51; CI: 0.33\u20130.72;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.02) and L\u2010IVC (SHR = 0.39; CI: 0.21\u20130.62:\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) were associated with lower transplant probability. Candidates with larger APD (&gt;20.0\u00a0cm) had the highest risk of waitlist removal (SHR = 1.47; CI:1.02\u20131.87;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.04). L\u2010IVC was most strongly associated with LT (C\u2010statistic = 0.65) and waitlist removal (C\u2010statistic = 0.67). In sex\u2010stratified models, men with small APD or L\u2010IVC had significantly lower transplant probability, while women with mid\u2010range APD (15.0\u201320.0\u00a0cm) or L\u2010IVC \u2265 12.5\u00a0cm had the highest transplant likelihood.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Anatomical measurements derived from imaging are more strongly associated with liver transplant\u00a0waitlist outcomes, outperforming height, BMI, and BSA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70634","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T08:28:21Z","timestamp":1785918501000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anatomical Size Disparities in Liver Transplantation: Imaging\u2010Derived Abdominal Dimensions and Their Association With Waitlist Outcomes"],"prefix":"10.1111","volume":"40","author":[{"given":"Rafal","family":"Mazur","sequence":"first","affiliation":[{"name":"Harvard Medical School  Boston Massachusetts USA"},{"name":"Harvard T. H. Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Stetson","sequence":"additional","affiliation":[{"name":"Department of Surgery Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alissa","family":"Cutrone","sequence":"additional","affiliation":[{"name":"Center For Transplantation Sciences Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Cron","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery, Department of Surgery Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel","family":"Adler","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery, Department of Surgery and Perioperative Care Dell Medical School At The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shimul","family":"Shah","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery, Department of Surgery Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi","family":"Yeh","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery, Department of Surgery Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.17159"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2024.3498"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.0191"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2010.03326.x"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/jlts.2002.31340"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2020.1129"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000005933"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.70064"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/HEP.0000000000001581"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.5582\/bst.2023.01076"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.14701\/ahbps.2020.24.4.503"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000001630"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2009.09.016"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/01621459.1999.10474144"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2017.02.033"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000004804"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/osp4.70047"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajt.2024.08.007"},{"key":"e_1_2_10_20_1","doi-asserted-by":"crossref","unstructured":"B. S.Park D. J.Kim andC. Y.Lee \u201cOutcomes of Donor\/Recipient Size\u2010Mismatched Lung Transplantation \u201d inTransplantation Proceedings(Elsevier 2025).","DOI":"10.1016\/j.transproceed.2025.04.008"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2017.02.002"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2013.09.005"}],"container-title":["Clinical Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.70634","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ctr.70634","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.70634","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T17:31:15Z","timestamp":1787679075000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ctr.70634"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":21,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/ctr.70634"],"URL":"https:\/\/doi.org\/10.1111\/ctr.70634","archive":["Portico"],"relation":{},"ISSN":["0902-0063","1399-0012"],"issn-type":[{"value":"0902-0063","type":"print"},{"value":"1399-0012","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-03-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70634"}}