Medical Physics Research Today is a free monthly online journal that collates and summarizes the latest research about Medical Physics, including details on medicine, radiotherapy, biomechanics, medical imaging.

Preoperative hepatic 3D models: virtual liver resection using three-dimensional imaging technique.

Numminen K, Sipilä O, Mäkisalo H

Helsinki Medical Imaging Center, Helsinki University Central Hospital, Department of Radiology, Kasarmikatu 11, 00130 Helsinki, Finland. kirsti.numminen@hus.fi

Emerging new techniques for liver resections set new requirements for the preoperative imaging and planning. Open surgery is a three-dimensional procedure and planning of the resection line may be difficult when basing on conventional two-dimensional CTs or MRIs, although all the information is there. With multidetector-row CT (MDCT), thin slices can be obtained with excellent temporal resolution, and precise three-dimensional (3D) models can be created. We regard 3D imaging technique useful in most liver resections. It improves the surgeon's knowledge of liver anatomy and makes even more complicated liver resections safe. Better knowledge of three-dimensional appearances of liver structures may further improve the results of curative liver surgery. However, before becoming a routine clinical procedure, research and development are still needed. Also, careful testing and evaluation of the methods have to be performed. In the future, 3D models will probably play an important role in the preoperative planning of liver resections.

Published 19 October 2005 in Eur J Radiol, 56(2): 179-84.
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