Table 1 Baseline demographic and clinical characteristics of patients assessed before HSCT because of high-risk for development SOS.

From: Liver stiffness measurements predict Sinusoidal Obstructive Syndrome after hematopoietic stem cell transplantation

N

DS

Age/Gender

Reason for baseline FS

N of factors

Donor

Planned protocol

Actual protocol

LSM kPa

Specific decisions per FS

Type of change

SOS after HSCT/severity

1

AML

22/F

-2nd HSCT/ Multiple lines of Tx/Active disease/TBI

4

Haplo father

TBF

FLUTBI

10.1

No DAC

Composition change

No

2

sAML

40/F

-2nd HSCT

-Multiple lines of Tx

-DAC

3

Haplo brother

TBF-RIC

TBF-RIC

7

No specific decision

No

Yes/Moderate

3

AML

23/M

Elevated liver enzymes

1

Sibling 10/10

FLUBU4

BUCY

4.9

Despite liver enzymes elevation - MAC BUCY

Intensification

No

4

sAML

42/F

-Alcohol abuse

-Fatty liver

2

MUD 10/10

FLUBU4

FLU Treo 14

7.4

Treo instead of BU

Composition change

Yes/Mild

5

AML

60/F

-Age

-2nd HSCT

-Multiple lines of Tx

- Previous post CTX severe liver toxicity

4

Sibling 10/10

FLUBU2

FLU Treo 12

3.3

RTC instead RIC

Intensification

No

6

MF

37/M

-MF

-Severe splenomegaly

-Susp PHTN

3

MUD 10/10

TBF

TBF MUC

10.2

No specific decision

No

No

7

MF

51/M

-MF

- Severe PHT d/t Portal vein thrombosis

- Previous post CTX severe liver toxicity

3

Sibling 10/10

TBF

FLU Treo 12

22.5

Liver biopsy –N, No DAC, No BU, No MTX

Composition change

Very Severe/death

8

sAML

65/F

- Age

- Fatty liver with NASH + liver cirrhosis

- Past CTX for Ca of Breast

4

Haplo son

TBF

Baltimore RIC protocol mini dose FCYTBI 200 RAD

18

RIC/No DAC/Prophylactic Defibrotide

Composition change+ Deintensification

No

9

MF

46/M

-MF

-Severe splenomegaly

-Susp PHTN

3

Haplo son

TBF MAC

TBF RIC

11.6

RIC

Deintensification

No

10

MF

65/M

-MF

-Severe splenomegaly

-Susp PHTN

-Age

-Fatty liver disease

5

Sibling 10/10

TBF

TBF RIC

13.8

RIC

Deintensification

No

11

sAML

43/F

-Active disease

-Primary hemochromatosis

-Periodic Elevated liver enzymes

3

Sibling 10/10

FLUBU4 or FLU Treo12

FLU Treo12

5.1

RTC

No specific decision

No

  1. CTX chemotherapy, MF myelofibrosis, VV Vidaza + Venetoclax, DLBCL Diffuse large B-cell lymphoma, TBI total Body irradiation, FLU fludarabin, RIC reduced intensity conditioning, MUD matched unrelated donor, TBF Thiothepa + Busulfan + Fludarabin, BUCY Busulfan + Cytoxan, MUC myelo-ablative conditioning, FC Fludarabin + Cytoxan.