Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Mayer, P; Grözinger, M; Mokry, T; Schemmer, P; Waldburger, N; Kauczor, HU; Klauss, M; Sommer, CM.
Semi-automated computed tomography Volumetry can predict hemihepatectomy specimens' volumes in patients with hepatic malignancy.
BMC Med Imaging. 2019; 19(1):20
Doi: 10.1186/s12880-019-0309-5
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- Co-Autor*innen der Med Uni Graz
- Schemmer Peter
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- Abstract:
- BACKGROUND: One of the major causes of perioperative mortality of patients undergoing major hepatic resections is post-hepatectomy liver failure (PHLF). For preoperative appraisal of the risk of PHLF it is important to accurately predict resectate volume and future liver remnant volume (FLRV). The objective of our study is to prospectively evaluate the accuracy of hemihepatectomy resectate volumes that are determined by computed tomography volumetry (CTV) when compared with intraoperatively measured volumes and weights as gold standard in patients undergoing hemihepatectomy. METHODS: Twenty four patients (13 women, 11 men) scheduled for hemihepatectomy due to histologically proven primary or secondary hepatic malignancies were included in our study. CTV was performed using a semi-automated module (S, hereinafter) (syngo.CT Liver Analysis VA30, Siemens Healthcare, Germany). Conversion factors between CT volumes on the one side and intraoperative volumes and weights on the other side were calculated using the method of least squares. Absolute and relative disagreements between CT volumes and intraoperative volumes were determined. RESULTS: A conversion factor of c = 0.906 most precisely predicted intraoperative volumes of exsanguinated hemihepatectomy specimens from CT volumes in all patients with mean absolute and relative disagreements between CT volumes and intraoperative volumes of 57 ml and 6.3%. The use of operation-specific conversion factors yielded even better results. CONCLUSIONS: CTV performed with S accurately predicts intraoperative volumes of hemihepatectomy specimens when applying conversion factors which compensate for exsanguination. This allows to precisely estimate the FLRV and thus minimize the risk of PHLF in patients undergoing major hepatic resections.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult - administration & dosage
- Aged - administration & dosage
- Aged, 80 and over - administration & dosage
- Cone-Beam Computed Tomography - methods
- Female - administration & dosage
- Hepatectomy - adverse effects
- Humans - administration & dosage
- Liver - pathology, surgery
- Liver Failure - etiology
- Liver Neoplasms - diagnostic imaging, pathology, surgery
- Male - administration & dosage
- Middle Aged - administration & dosage
- Radiographic Image Interpretation, Computer-Assisted - administration & dosage
- Treatment Outcome - administration & dosage
- Tumor Burden - administration & dosage
- Find related publications in this database (Keywords)
- Computed tomography volumetry
- Hemihepatectomy
- Hepatic malignancy