Liver Segment Automatic Segmentation and Virtual Anatomic Hepatectomy Based on Liver Three-Dimensional Images_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIN Kecan , LIU Jingfeng , ZENG Jinhua , CHI Minhui , ZENG Yongyi.

Liver Disease Center, The First Affiliated Hospital, Fujian Medical University, Fuzhou 350005, Fujian Province, China;

Corresponding author：

Keywords：

Three-dimensional reconstruction; Virtual liver; Virtual surgery; Hepatectomy; Liver segment

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ObjectiveTo analyze intrahepatic vascular structures, divide liver segment automatically, and carry out virtual anatomic hepatectomy for virtual liver surgery planning based on liver threedimensional images. MethodsThe branches of portal vein were labeled in the level of segment based on spiral CT scanning images by using the liver surgery planning system software Liv 1.0. Thus, the simulation of an anatomical resection could be carried out. ResultsAccording to the portal segment branches, each individual liver segment could be divided automatically. The three-dimensional liver model was reconstructed based on liver segments, and the margin of liver segments was displayed clearly. On that basis, the simulation of anatomical resection and the volumetric estimation could be performed. ConclusionsThe three-dimensional liver model with intrahepatic vessel is reconstructed clearly, automatic segmentation of liver segment, the simulation of anatomical resection, and volumetric estimation can be applied in succession. The planning can be accomplished with Liv 1.0 on personal computer by the user, which provides a software platform for clinical application of virtual liver techniques.

Citation： LIN Kecan,LIU Jingfeng,ZENG Jinhua,CHI Minhui,ZENG Yongyi.. Liver Segment Automatic Segmentation and Virtual Anatomic Hepatectomy Based on Liver Three-Dimensional Images. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(7): 694-967. doi: Copy

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1. PaesBarbosa FC, Ferreira FG, Szutan LA. Hepatectomy preoperative planning [J]. Rev Col Bras Cir, 2010, 37(5): 370375.
2. Clavien PA, Oberkofler CE, Raptis DA, et al. What is critical for liver surgery and partial liver transplantation: size or quality? [J]. Hepatology, 2010, 52(2): 715729.
3. AbdelMisih SR, Bloomston M. Liver anatomy [J]. Surg Clin North Am, 2010, 90(4): 643653.
4. Reitinger B, Bornik A, Beichel R, et al. Liver surgery planning using virtual reality [J]. IEEE Comput Graph Appl, 2006, 26(6): 3647.
5. 王学浩, 陆森. 肝切除技术的现状 [J]. 中国普外基础与临床杂志, 2010, 17(6): 525527.
6. 林科灿, 刘景丰, 曾金华, 等. 虚拟肝脏手术规划应用于肝切除术的研究 [J]. 中华外科杂志, 2010, 48(3): 185188.
7. Couinaud C, Le Foie. Etudes anatomiques et chirugicales [M]. Paris: Masson & Cie, 1957: 284289.
8. Sharma R, Gibbs JF. Recent advances in the management of primary hepatic tumors refinement of surgical techniques and effect on outcome [J]. J Surg Oncol, 2010, 101(8): 745754.
9. Shukla PJ, Barreto SG. Surgery for malignant liver tumors [J]. J Cancer Res Ther, 2009, 5(3): 154160.
10. Celinski SA, Gamblin TC. Hepatic resection nomenclature and techniques [J]. Surg Clin North Am, 2010, 90(4): 737748.
11. 王鲁, 孙惠川, 钦伦秀, 等. 肝癌解剖性肝切除的初步经验 [J]. 中国普外基础与临床杂志, 2007, 14(1): 3941.
12. Filipponi F, Romagnoli P, Mosca F, et al. The dorsal sector of human liver: embryological, anatomical and clinical relevance [J]. Hepatogastroenterology, 2000, 47(36): 17261731.
13. Mutter D, Soler L, Marescaux J. Recent advances in liver imaging [J]. Expert Rev Gastroenterol Hepatol, 2010, 4(5): 613621.
14. Togo S, Shimada H, Kanemura E, et al. Usefulness of threedimensional computed tomography for anatomic liver resections: subsubsegmentectomy [J]. Surgery, 1998, 123(1): 7378.
15. Selle D, Preim B, Schenk A, et al. Analysis of vasculature for liver surgery planning [J]. IEEE Trans Med Imaging, 2002, 21(11): 13441357.
16. Jurgaitis J, Paskonis M, Pivoriūnas J, et al. The comparison of 2dimensional with 3dimensional hepatic visualization in the clinical hepatic anatomy education [J]. Medicina (Kaunas), 2008, 44(6): 428438.
17. Ueno S, Sakoda M, Kurahara H, et al. Preoperative segmentation of the liver, based on 3D CT images, facilitates laparoscopic anatomic hepatic resection for small nodular hepatocellular carcinoma in patients with cirrhosis [J]. Hepatogastroenterology, 2010, 57(101): 807812.
18. Radtke A, Sotiropoulos GC, Molmenti EP, et al. Computerassisted surgery planning for complex liver resections: when is it helpful? A singlecenter experience over an 8year period [J]. Ann Surg, 2010, 252(5): 876883.
19. van der Vorst JR, van Dam RM, van Stiphout RS, et al. Virtual liver resection and volumetric analysis of the future liver remnant using open source image processing software [J]. World J Surg, 2010, 34(10): 24262433.
20. Fujimoto J, Yamanaka J. Liver resection and transplantation using a novel 3D hepatectomy simulation system [J]. Adv Med Sci, 2006, 51: 714.
21. 刘允怡, 余俊豪. 肝段为本的肝切除手术 [J]. 中华普通外科杂志, 2003, 18(2): 123125.
22. Jeon H, Lee SG. Living donor liver transplantation [J]. Curr Opin Organ Transplant, 2010, 15(3): 283287.
23. Lee SG. Livingdonor liver transplantation in adults [J]. Br Med Bull, 2010, 94: 3348.
24. Chan SC, Lo CM, Fan ST. Simplifying living donor liver transplantation [J]. Hepatobiliary Pancreat Dis Int, 2010, 9(1): 914.
25. Uchida K, Taniguchi M, Shimamura T, et al. Threedimensional computed tomography scan analysis of hepatic vasculatures in the donor liver for living donor liver transplantation [J]. Liver Transpl, 2010, 16(9): 10621068.
26. Radtke A, Sgourakis G, Sotiropoulos GC, et al. Vascular and biliary anatomy of the right hilar window: its impact on recipient morbidity and mortality for right graft live donor liver transplantation [J]. World J Surg, 2009, 33(9): 19411951.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Liver Segment Automatic Segmentation and Virtual Anatomic Hepatectomy Based on Liver Three-Dimensional Images

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