Analysis of Vasculature for Liver Surgical Planning英文文献.pdfVIP

1344 IEEE TRANSACTIONS ON MEDICAL IMAGING, VOL. 21, NO. 11, NOVEMBER 2002 Analysis of Vasculature for Liver Surgical Planning Dirk Selle, Bernhard Preim*, Andrea Schenk, and Heinz-Otto Peitgen Invited Review Abstract—For liver surgical planning, the structure and mor- The development of the methods presented here is motivated phology of the hepatic vessels and their relationship to tumors are and guided by the following two clinical applications. of major interest. To achieve a fast and robust assistance with op- timal quantitative and visual information, we present methods for 1) Living-related liver transplants (LRLT): These operations a geometrical and structural analysis of vessel systems. Starting are required by the lack of organs needed for transplan- from the raw image data a sequence of image processing steps has tation. LRLT is a procedure where a healthy voluntary to be carried out until a three-dimensional representation of the donor gives a part of his or her liver to another person. relevant anatomic and pathologic structures is generated. Based These transplantations are feasible due to the regenera- on computed tomography (CT) scans, the following steps are per- formed. 1) The volume data is preprocessed and the vessels are tive power of the liver. A careful analysis of the branching segmented. 2) The skeleton of the vessels is determined and trans- pattern and morphology of all hepatic vessel systems is a formed into a graph enabling a geometrical and structural shape precondition for LRLT. Additionally, volumetric approx- analysis. Using this informatio