Computer-assisted liver tumor surgery using a novel semiautomatic and a hybrid semiautomatic segmentation algorithm.

We developed a medical image segmentation and preoperative planning application which implements a semiautomatic and a hybrid semiautomatic liver segmentation algorithm. The aim of this study was to evaluate the feasibility of computer-assisted liver tumor surgery using these algorithms which are ba...

Descripción completa

Detalles Bibliográficos
Publicado en:Medical & Biological Engineering & Computing Vol. 54; no. 5; pp. 711 - 722
Autores principales: Zygomalas, Apollon, Karavias, Dionissios, Koutsouris, Dimitrios, Maroulis, Ioannis, Karavias, Dimitrios, Giokas, Konstantinos, Megalooikonomou, Vasileios, Karavias, Dimitrios D
Formato: research randomized controlled trial Journal Article
Publicado: Springer Nature May2016
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114606453&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 114606453
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        01400118
        PO0
      jtl: Medical & Biological Engineering & Computing
      issn: 01400118
      maglogo: N
    pubinfo:
      dt: May2016
      vid: 54
      iid: 5
      pid: 237
      pub: Springer Nature
      place: New York, New York
    artinfo:
      ui:
        114606453
        114606453
        NLM26307199
        114606453
        10.1007/s11517-015-1369-5
        NLM26307199
        114606453
      ppf: 711
      ppct: 11
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Computer-assisted liver tumor surgery using a novel semiautomatic and a hybrid semiautomatic segmentation algorithm.
      aug:
        au:
          Zygomalas, Apollon
          Karavias, Dionissios
          Koutsouris, Dimitrios
          Maroulis, Ioannis
          Karavias, Dimitrios
          Giokas, Konstantinos
          Megalooikonomou, Vasileios
          Karavias, Dimitrios D
        affil: Hepatobiliary and Pancreatic Unit, Department of Surgery, University Hospital of Patras, 26500 Patras Greece
      sug:
        subj:
          Surgery, Computer-Assisted
          Algorithms
          Liver Neoplasms Surgery
          Imaging, Three-Dimensional
          Female
          Middle Age
          Liver Neoplasms
          Male
          Liver Surgery
          Reproducibility of Results
          Body Weights and Measures
          Liver Pathology
          Adult
          Aged
          Human
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Randomized Controlled Trials
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Aged: 65+ years
          Female
          Male
      ab: We developed a medical image segmentation and preoperative planning application which implements a semiautomatic and a hybrid semiautomatic liver segmentation algorithm. The aim of this study was to evaluate the feasibility of computer-assisted liver tumor surgery using these algorithms which are based on thresholding by pixel intensity value from initial seed points. A random sample of 12 patients undergoing elective high-risk hepatectomies at our institution was prospectively selected to undergo computer-assisted surgery using our algorithms (June 2013-July 2014). Quantitative and qualitative evaluation was performed. The average computer analysis time (segmentation, resection planning, volumetry, visualization) was 45 min/dataset. The runtime for the semiautomatic algorithm was <0.2 s/slice. Liver volumetric segmentation using the hybrid method was achieved in 12.9 s/dataset (SD ± 6.14). Mean similarity index was 96.2 % (SD ± 1.6). The future liver remnant volume calculated by the application showed a correlation of 0.99 to that calculated using manual boundary tracing. The 3D liver models and the virtual liver resections had an acceptable coincidence with the real intraoperative findings. The patient-specific 3D models produced using our semiautomatic and hybrid semiautomatic segmentation algorithms proved to be accurate for the preoperative planning in liver tumor surgery and effectively enhanced the intraoperative medical image guidance.
      pubtype: Academic Journal
      doctype:
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N