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International Journal of Computer Assisted Radiology and Surgery

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10-02-2017 | Original Article

Validation of a method for retroperitoneal tumor segmentation

Authors: Cristina Suárez-Mejías, José A. Pérez-Carrasco, Carmen Serrano, José L. López-Guerra, Tomás Gómez-Cía, Carlos L. Parra-Calderón, Begoña Acha

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 12/2017

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Abstract

Purpose

In 2005, an application for surgical planning called AYRA\({\textregistered }\) was designed and validated by different surgeons and engineers at the Virgen del Rocío University Hospital, Seville (Spain). However, the segmentation methods included in AYRA and in other surgical planning applications are not able to segment accurately tumors that appear in soft tissue. The aims of this paper are to offer an exhaustive validation of an accurate semiautomatic segmentation tool to delimitate retroperitoneal tumors from CT images and to aid physicians in planning both radiotherapy doses and surgery.

Methods

A panel of 6 experts manually segmented 11 cases of tumors, and the segmentation results were compared exhaustively with: the results provided by a surgical planning tool (AYRA), the segmentations obtained using a radiotherapy treatment planning system (Pinnacle\(^{\textregistered }\)), the segmentation results obtained by a group of experts in the delimitation of retroperitoneal tumors and the segmentation results using the algorithm under validation.

Results

11 cases of retroperitoneal tumors were tested. The proposed algorithm provided accurate results regarding the segmentation of the tumor. Moreover, the algorithm requires minimal computational time—an average of 90.5% less than that required when manually contouring the same tumor.

Conclusion

A method developed for the semiautomatic selection of retroperitoneal tumor has been validated in depth. AYRA, as well as other surgical and radiotherapy planning tools, could be greatly improved by including this algorithm.

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Title: Validation of a method for retroperitoneal tumor segmentation
Authors: Cristina Suárez-Mejías
José A. Pérez-Carrasco
Carmen Serrano
José L. López-Guerra
Tomás Gómez-Cía
Carlos L. Parra-Calderón
Begoña Acha
Publication date: 10-02-2017
Publisher: Springer International Publishing
Published in: International Journal of Computer Assisted Radiology and Surgery / Issue 12/2017
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI: https://doi.org/10.1007/s11548-017-1530-8

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