Role of new three-dimensional image analysis techniques in planning of live donor liver transplantation, liver resection, and intervention

Abstract

The combination of modern scanner technology with advanced image postprocessing allows for high-fidelity three-dimensional imaging of pertinent patient anatomy. Currently available solutions provide not only precise qualitative but also advanced quantitative imaging, resulting in precise estimates of whole or partial organ or tumor volumes. Simulations of open surgical or percutaneous interventions are an important application of advanced image analysis. Image postprocessing may be performed locally or remotely using readily available Internet connectivity. Results can be offered to the treating physician in a very realistic format and can be made available in an interactive fashion, such as in the operating room. Clinically appropriate use of this powerful technology can alter the surgical approach to individual patients’ problems, help with preoperative feasibility and risk assessment, and ultimately may result in shorter and safer procedures.