The
estimation of steatosis in a liver graft is mandatory prior
to liver transplantation, as the risk of graft failure increases with
the level of infiltrated fat. However, the assessment of liver steatosis
before transplantation is typically based on a qualitative or semiquantitative
characterization by visual inspection and palpation and histological
analysis. Thus, there is an unmet need for transplantation surgeons
to have access to a diagnostic tool enabling an in situ fast classification
of grafts prior to extraction. In this study, we have assessed an
attenuated total reflection–Fourier transform infrared (ATR–FTIR)
spectroscopic method compatible with the requirements of an operation
room for the evaluation of the lipid contents in human livers. A set
of 20 human liver biopsies obtained from organs intended for transplantation
were analyzed by expert pathologists, ATR–FTIR spectroscopy,
lipid biochemical analysis, and UPLC–ESI(+/−)TOFMS for
lipidomic profiling. Comparative analysis of multisource data showed
strong correlations between ATR–FTIR, clinical, and lipidomic
information. Results show that ATR–FTIR captures a global picture
of the lipid composition of the liver, along with information for
the quantification of the triradylglycerol content in liver biopsies.
Although the methodology performance needs to be further validated,
results support the applicability of ATR–FTIR for the in situ
determination of the grade of liver steatosis at the operation room
as a fast, quantitative method, as an alternative to the qualitative
and subjective pathological examination.