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Authors: Paschold, Markus
Huettl, Florentine
Kneist, Werner
Boedecker, Christian
Poplawski, Alicia
Huber, Tobias
Lang, Hauke
Title: Local, semi-automatic, three-dimensional liver reconstruction or external provider? : An analysis of performance and time expense
Online publication date: 11-Jun-2021
Year of first publication: 2020
Language: english
Abstract: PURPOSE In hepatobiliary surgery, preoperative three-dimensional reconstruction based on CT or MRI can be provided externally or by local, semi-automatic software. We analyzed the time expense and quality of external versus local three-dimensional reconstructions. METHODS Three first-year residents reconstructed data from 20 patients with liver pathologies using a local, semi-automatic, server-based program. Initially, five randomly selected patient datasets were segmented, with the visualization of an established external company available for comparison at all times (learning phase). The other fifteen cases were compared with the external datasets after completing local reconstruction (control phase). Total time expense/case and for specific manual and semi-automated reconstruction steps were recorded. Segmentation quality was analyzed by testing the equivalence for liver and tumor volumes, portal vein sectors, and hepatic vein territories. RESULTS The median total reconstruction time was reduced from 2.5 h (learning phase) to 1.5 h (control phase) (− 42%; p < 0.001). Comparing the total and detailed liver volumes (sectors and territories) as well as the tumor volumes in the control phase equivalence was proven. In addition, a highly significant correlation between the external and local analysis was obtained over all analyzed segments with a very high ICC (median [IQR]: 0.98 [0.97; 0.99]; p < 0.01). CONCLUSION Local, semi-automatic reconstruction performed by inexperienced residents was feasible with an expert level time expense and the quality of the three-dimensional images was comparable with those from an external provider.
DDC: 610 Medizin
610 Medical sciences
Institution: Johannes Gutenberg-Universität Mainz
Department: FB 04 Medizin
Place: Mainz
Version: Published version
Publication type: Zeitschriftenaufsatz
License: CC BY
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Journal: Langenbeck's archives of surgery
Pages or article number: 173
Publisher: Springer
Publisher place: Berlin u.a.
Issue date: 2020
ISSN: 1435-2451
Publisher URL:
Publisher DOI: 10.1007/s00423-020-01862-7
Appears in collections:JGU-Publikationen

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