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Published in: International Journal of Computer Assisted Radiology and Surgery 3/2013

01-05-2013 | Original Article

Risk maps for liver surgery

Authors: Christian Hansen, Stephan Zidowitz, Felix Ritter, Christoph Lange, Karl Oldhafer, Horst K. Hahn

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 3/2013

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Abstract

Purpose Optimal display of surgical planning data in the operating room is challenging. In liver surgery, an expressive and effective intraoperative visualization of 3D planning models is still a pressing need. The objective of this work is to visualize surgical planning information using a map display.
Methods An approach for risk analysis and visualization of planning models is presented which provides relevant information at a glance without the need for user interaction. Therefore, we present methods for the identification and classification of critical anatomical structures in the proximity of a preoperatively planned resection surface. Shadow-like distance indicators are introduced to encode the distance from the resection surface to these critical structures on a risk map. The work is demonstrated with examples in liver resection surgery and evaluated within two user studies.
Results The results of the performed user studies show that the proposed visualization techniques facilitate the process of risk assessment in liver resection surgery and might be a valuable extension to surgical navigations system.
Conclusion The approach provides a new and objective basis for the assessment of risks during liver surgery and has the potential to improve the outcome of surgical interventions.

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Literature
1.
go back to reference Cash DM, Miga MI, Glasgow SC, Dawant BM, Clements LW, Cao Z, Galloway RL, Chapman WC (2007) Concepts and preliminary data toward the realization of image-guided liver surgery. J Gastrointest Surg 11(7):844–859 Cash DM, Miga MI, Glasgow SC, Dawant BM, Clements LW, Cao Z, Galloway RL, Chapman WC (2007) Concepts and preliminary data toward the realization of image-guided liver surgery. J Gastrointest Surg 11(7):844–859
2.
go back to reference Beller S, Eulenstein S, Lange T, Hünerbein M, Schlag PM (2009) Upgrade of an optical navigation system with a permanent electromagnetic position control: a first step towards “navigated control” for liver surgery. J Hepatobiliary Pancreat Surg 16(2):165–170 Beller S, Eulenstein S, Lange T, Hünerbein M, Schlag PM (2009) Upgrade of an optical navigation system with a permanent electromagnetic position control: a first step towards “navigated control” for liver surgery. J Hepatobiliary Pancreat Surg 16(2):165–170
3.
go back to reference Peterhans M, vom Berg A, Dagon B, Inderbitzin D, Baur C, Candinas D, Weber S (2011) A navigation system for open liver surgery: design, workflow and first clinical applications. Int J Med Robot 7(1):7–16PubMedCrossRef Peterhans M, vom Berg A, Dagon B, Inderbitzin D, Baur C, Candinas D, Weber S (2011) A navigation system for open liver surgery: design, workflow and first clinical applications. Int J Med Robot 7(1):7–16PubMedCrossRef
4.
go back to reference Wein W, Brunke S, Khamene A, Callstrom MR, Navab N (2008) Automatic CT-ultrasound registration for diagnostic imaging and image-guided intervention. Med Image Anal 12(5):577–885PubMedCrossRef Wein W, Brunke S, Khamene A, Callstrom MR, Navab N (2008) Automatic CT-ultrasound registration for diagnostic imaging and image-guided intervention. Med Image Anal 12(5):577–885PubMedCrossRef
5.
go back to reference Lange T, Papenberg N, Heldmann S, Modersitzki J, Fischer B, Lamecker H, Schlag PM (2009) 3D ultrasound-CT registration of the liver using combined landmark-intensity information. Int J Comput Assist Radiol Surg 4(1):79–88PubMedCrossRef Lange T, Papenberg N, Heldmann S, Modersitzki J, Fischer B, Lamecker H, Schlag PM (2009) 3D ultrasound-CT registration of the liver using combined landmark-intensity information. Int J Comput Assist Radiol Surg 4(1):79–88PubMedCrossRef
6.
go back to reference Clements LW, Chapman WC, Dawant BM, Galloway RL, Miga MI (2008) Robust surface registration using salient anatomical features for image-guided liver surgery: algorithm and validation. Med Phys 35(6):2528–2540PubMedCrossRef Clements LW, Chapman WC, Dawant BM, Galloway RL, Miga MI (2008) Robust surface registration using salient anatomical features for image-guided liver surgery: algorithm and validation. Med Phys 35(6):2528–2540PubMedCrossRef
7.
go back to reference Maier-Hein L, Schmidt M, Franz AM, dos Santos TR, Seitel A, Jähne B, Fitzpatrick JM, Meinzer HP (2010) Accounting for anisotropic noise in fine registration of time-of-flight range data with high-resolution surface data. Med Image Comput Comput Assist Interv 13(Pt 1):251–258PubMed Maier-Hein L, Schmidt M, Franz AM, dos Santos TR, Seitel A, Jähne B, Fitzpatrick JM, Meinzer HP (2010) Accounting for anisotropic noise in fine registration of time-of-flight range data with high-resolution surface data. Med Image Comput Comput Assist Interv 13(Pt 1):251–258PubMed
8.
go back to reference Hurdal MK, Stephenson K (2009) Discrete conformal methods for cortical brain flattening. Neuroimage 45:86–98CrossRef Hurdal MK, Stephenson K (2009) Discrete conformal methods for cortical brain flattening. Neuroimage 45:86–98CrossRef
9.
go back to reference Yao J, Chowdhury AS, Aman J, Summers RM (2010) Reversible projection technique for colon unfolding. IEEE Trans Biomed Eng 57:2861–2869PubMedCrossRef Yao J, Chowdhury AS, Aman J, Summers RM (2010) Reversible projection technique for colon unfolding. IEEE Trans Biomed Eng 57:2861–2869PubMedCrossRef
10.
go back to reference Zeng W, Marino J, Kaufman A, Gu XD (2011) Volumetric colon wall unfolding using harmonic differentials. Comput Graph 35:726–732PubMedCrossRef Zeng W, Marino J, Kaufman A, Gu XD (2011) Volumetric colon wall unfolding using harmonic differentials. Comput Graph 35:726–732PubMedCrossRef
11.
go back to reference Navkar NV, Tsekos NV, Stafford JR, Weinberg JS, Deng Z (2010) Visualization and planning of neurosurgical interventions with straight access. In: Proceedings of the 1st international conference on information processing in computer-assisted interventions. Springer, Berlin, pp 1–11 Navkar NV, Tsekos NV, Stafford JR, Weinberg JS, Deng Z (2010) Visualization and planning of neurosurgical interventions with straight access. In: Proceedings of the 1st international conference on information processing in computer-assisted interventions. Springer, Berlin, pp 1–11
12.
go back to reference Termeer M, Olivan Bescos J (2007) CoViCAD: comprehensive visualization of coronary artery disease. IEEE Trans Vis Comput Graph 13:1632–1639PubMedCrossRef Termeer M, Olivan Bescos J (2007) CoViCAD: comprehensive visualization of coronary artery disease. IEEE Trans Vis Comput Graph 13:1632–1639PubMedCrossRef
13.
go back to reference Rieder C, Weihusen A, Schumann C, Zidowitz S, Peitgen H-O (2010) Visual support for interactive post-interventional assessment of radiofrequency ablation therapy. Comput Graph Forum (Spec Issue Eurographics Symp Visual) 29(3):1093–1102CrossRef Rieder C, Weihusen A, Schumann C, Zidowitz S, Peitgen H-O (2010) Visual support for interactive post-interventional assessment of radiofrequency ablation therapy. Comput Graph Forum (Spec Issue Eurographics Symp Visual) 29(3):1093–1102CrossRef
14.
go back to reference Neugebauer M, Gasteiger R, Beuing O, Diehl V, Skalej M, Preim B (2009) Map displays for the analysis of scalar data on cerebral aneurysm surfaces. Comput Graph Forum (EuroVis) 28(3):895–902CrossRef Neugebauer M, Gasteiger R, Beuing O, Diehl V, Skalej M, Preim B (2009) Map displays for the analysis of scalar data on cerebral aneurysm surfaces. Comput Graph Forum (EuroVis) 28(3):895–902CrossRef
15.
go back to reference Lamata P, Jalote-Parmar A, Lamata F, Declerck J (2008) The resection map, a proposal for intraoperative hepatectomy guidance. Int J Comput Assist Radiol Surg 3(3–4):299CrossRef Lamata P, Jalote-Parmar A, Lamata F, Declerck J (2008) The resection map, a proposal for intraoperative hepatectomy guidance. Int J Comput Assist Radiol Surg 3(3–4):299CrossRef
16.
go back to reference Lamata P, Lamata F, Sojar V, Makowski P, Massoptier L, Casciaro S, Ali W et al (2010) Use of the resection map system as guidance during hepatectomy. Surg Endosc 24(9):2327–2337PubMedCrossRef Lamata P, Lamata F, Sojar V, Makowski P, Massoptier L, Casciaro S, Ali W et al (2010) Use of the resection map system as guidance during hepatectomy. Surg Endosc 24(9):2327–2337PubMedCrossRef
17.
go back to reference Hansen C, Zidowitz S, Schenk A, Oldhafer K, Lang H, Peitgen H-O (2010) Risk maps for navigation in liver surgery. In: Proceedings of SPIE medical, imaging. 7625, pp \(\text{762528}\_\text{1}\)-8 Hansen C, Zidowitz S, Schenk A, Oldhafer K, Lang H, Peitgen H-O (2010) Risk maps for navigation in liver surgery. In: Proceedings of SPIE medical, imaging. 7625, pp \(\text{762528}\_\text{1}\)-8
18.
go back to reference Ritter F, Boskamp T, Homeyer A, Laue H, Schwier M, Link F, Peitgen HO (2011) Medical image analysis. IEEE Pulse 2:60–70PubMedCrossRef Ritter F, Boskamp T, Homeyer A, Laue H, Schwier M, Link F, Peitgen HO (2011) Medical image analysis. IEEE Pulse 2:60–70PubMedCrossRef
19.
go back to reference Beller S, Eulenstein S, Lange T, Niederstrasser M, Hünerbein M, Schlag PM (2009a) A new measure to assess the diffculty of liver resection. Eur J Surg Oncol 35(1):59–64PubMedCrossRef Beller S, Eulenstein S, Lange T, Niederstrasser M, Hünerbein M, Schlag PM (2009a) A new measure to assess the diffculty of liver resection. Eur J Surg Oncol 35(1):59–64PubMedCrossRef
20.
go back to reference van den Broek MAJ, Olde Damink SWM, Dejong CHC, Lang H, Malago M, Jalan R, Saner FH (2008) Liver failure after partial hepatic resection: definition, pathophysiology, risk factors and treatment. Liver Inter Off J Inter Assoc Study Liver 28(6):767–780CrossRef van den Broek MAJ, Olde Damink SWM, Dejong CHC, Lang H, Malago M, Jalan R, Saner FH (2008) Liver failure after partial hepatic resection: definition, pathophysiology, risk factors and treatment. Liver Inter Off J Inter Assoc Study Liver 28(6):767–780CrossRef
21.
go back to reference Hansen C, Zidowitz S, Hindennach M, Schenk A, Hahn H, Peitgen H-O (2009) Interactive determination of robust safety margins for oncologic liver surgery. Int J Comput Assist Radiol Surg 4(5):469–474PubMedCrossRef Hansen C, Zidowitz S, Hindennach M, Schenk A, Hahn H, Peitgen H-O (2009) Interactive determination of robust safety margins for oncologic liver surgery. Int J Comput Assist Radiol Surg 4(5):469–474PubMedCrossRef
22.
go back to reference Black D (2010) Auditory display for liver surgery. MA thesis. Department of Computer Science, University of Applied Sciences Bremen, Germany Black D (2010) Auditory display for liver surgery. MA thesis. Department of Computer Science, University of Applied Sciences Bremen, Germany
Metadata
Title
Risk maps for liver surgery
Authors
Christian Hansen
Stephan Zidowitz
Felix Ritter
Christoph Lange
Karl Oldhafer
Horst K. Hahn
Publication date
01-05-2013
Publisher
Springer-Verlag
Published in
International Journal of Computer Assisted Radiology and Surgery / Issue 3/2013
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-012-0790-6

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