Impact of combined preoperative three-dimensional computed tomography and intraoperative real-time three-dimensional ultrasonography on liver surgery

Mitsuo Shimada, Takayuki Hamatsu, Tatsuya Rikimaru, Yo Ichi Yamashita, Shinji Tanaka, Ken Shirabe, Horoshi Honda, Makoto Hashizume, Keizo Sugimachi

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Objective: The aim of this study was to clarify the impact of combined preoperative three dimensional computed tomography (3D-CT) imaging and intraoperative real-time 3D-ultrasonography (US) imaging on image navigation for hepatic resection. Patients and Methods: An integrated navigation system using combined preoperative 3D-CT images and intraoperative real-time 3D-US images were used with patients who underwent hepatic resection for liver tumors, including HCC, cholangiocarcinoma and metastatic liver cancer, and for donor hepatectomy for living related liver transplantation. 3D-CT imaging was made using the workstation "ZIO M900" (ZIO software, Inc., Tokyo, Japan). 3D-US was made in real-time during an operation using the ultrasonographic device SSD5500 (ALOKA, Tokyo, Japan) and the workstation "SAS 200"(ATOKA, Tokyo, Japan). Results: The 3D-CT imaging from CT during hepatic arteriography gave us details of the arteries feeding the tumor. By 3D-CT imaging from CT during arterial portography, the recognition of Glisson's branches in the liver, as well as the hepatic venous system, was much easier than conventional 2D-CT imaging. 3D-US images allowed us to understand the anatomy of the liver more easily than from 2D-US images, and the 3D-US images could reinforce in real-time preoperative information using 3D-CT images. Conclusions: Combined preoperative 3D-CT and intraoperative realtime 3D-US provides us with integrated information of liver anatomy, especially the spatial relationship between tumor and intrahepatic vessels, which can not be visualized because of their location inside of the liver. Intraoperative 3D-US imaging can reinforce preoperative excellent 3D-CT imaging. Therefore, our integrated navigation system consisting of combined 3D-CT and 3D-US is useful for liver surgery.

Original languageEnglish
Title of host publicationMedical Image Computing and Computer-Assisted Intervention - MICCAI 2000 - 3rd International Conference, Proceedings
EditorsScott L. Delp, Anthony M. DiGoia, Branislav Jaramaz
PublisherSpringer Verlag
Pages824-832
Number of pages9
ISBN (Print)3540411895, 9783540411895
DOIs
Publication statusPublished - 2000
Event3rd International Conference on Medical Image Computing and Computer-Assisted Intervention, MICCAI 2000 - Pittsburgh, United States
Duration: Oct 11 2000Oct 14 2000

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume1935
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Other

Other3rd International Conference on Medical Image Computing and Computer-Assisted Intervention, MICCAI 2000
CountryUnited States
CityPittsburgh
Period10/11/0010/14/00

All Science Journal Classification (ASJC) codes

  • Theoretical Computer Science
  • Computer Science(all)

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