Imaging Pearls ❯ Liver ❯ 3D Imaging
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- 3D Imaging of Liver Masses
- “We herein describe the progress of research on 3D visualization, its workflow, current situation, challenges, opportunities, and its capacity to improve clinical decision-making, emphasizing its utility for patients with liver diseases. Current advances in modern imaging technologies have promised a further increase in diagnostic efficacy of liver diseases. For example, complex internal anatomy of the liver and detailed morphological features of liver lesions can be reflected from CT-based 3D models.”
Consensus recommendations of three‐dimensional visualization for diagnosis and management of liver diseases
Chihua Fang et al.
Hepatology International https://doi.org/10.1007/s12072-020-10052-y - “A meta-analysis reported that the application of 3D visualization technology in the diagnosis and management of primary hepatocellular carcinoma has significant or extremely significant differences over the control group in terms of intraoperative blood loss, postopera- tive complications, recovery of postoperative liver function, operation time, hospitalization time, and tumor recurrence on short-term follow-up.”
Consensus recommendations of three‐dimensional visualization for diagnosis and management of liver diseases
Chihua Fang et al.
Hepatology International https://doi.org/10.1007/s12072-020-10052-y - "However, the acquisition of high-quality CT images and the use of these images for 3D visualization processing lack a unified standard, quality control system, and homogeneity, which might hinder the evaluation of application efficacy in different clinical centers, causing enormous inconvenience to clinical practice and scientific research. Therefore, rigorous operating guidelines and quality control systems need to be established for 3D visualization of liver to develop it to become a mature technology. Herein, we provide recommendations for the research on diagnosis and management of 3D visualization in liver diseases to meet this urgent need in this research field.”
Consensus recommendations of three‐dimensional visualization for diagnosis and management of liver diseases
Chihua Fang et al.
Hepatology International https://doi.org/10.1007/s12072-020-10052-y 
Consensus recommendations of three‐dimensional visualization for diagnosis and management of liver diseases
Chihua Fang et al.
Hepatology International https://doi.org/10.1007/s12072-020-10052-y
- "MDCT with advanced image processing is a powerful tool that may be utilized to identify the imaging features of FNH. These include the presence of large feeding arteries and draining veins, pseudocapsule, central scar, and septations. These features can help in the differentiation of this benign lesion from other hypervascular lesions without the need for additional imaging, biopsy, or surgery."
Focal Nodular Hyperplasia: Lesion Evaluation Using 16-MDCT and 3D CT Angiography Kamel IR,Liapi E, Fishman EK AJR 2006 June;186 60:1587-1596
- "MDCT with advanced image processing is a powerful tool that may be utilized to identify the imaging features of FNH. These include the presence of large feeding arteries and draining veins, pseudocapsule, central scar, and septations."
Focal Nodular Hyperplasia: Lesion Evaluation Using 16-MDCT and 3D CT Angiography Kamel IR,Liapi E, Fishman EK AJR 2006 June;186 60:1587-1596
- "Three-dimensional MDCT angiography is accurate for classification of hepatic arterial anatomy before hepatic resection. Although 2D datasets show small arteries to better advantage than 3D MDCT angiograms, the 3D MDCT angiograms provide a useful overview of hepatic anatomy."
Dual-Phase 3D MDCT Angiography for Evaluation of the Liver Before Hepatic Resection (4/8 MDCT) Stemmler BJ et al. AJR 2004; 183:1551-1557
- "Routine 3D data evaluation and interpretation offer faster and more thorough assessment of the liver parenchyma than is possible with axial images alone.A new paradigm in hepatic imaging is true volumetric acquisition and display."
Comprehensive Analysis of Hypervascular Liver Lesions Using 16-MDCT and Advanced Image Processing Kamel IR, Lawler LP, Fishman EK AJR 2004; 183:443-452 (August 2004)
- "Volume rendering, a postprocessing computer algorithm that creates three-dimensional (3D) displays from computed tomography (CT) datasets, can create 3D cholangiographic images (volume-rendered cholangiopancreatography, or VRCP) from intravenous contrast-enhanced abdominal CT datasets without the use of a biliary contrast agent. This article illustrates the utility of VRCP in the setting of biliary obstruction due to pancreatic cancer. The 3D renderings of the intra- and extrahepatic biliary tree provide valuable information for planning biliary drainage, including the location and length of the obstruction as well as the relationship of intrahepatic ducts to liver metastases."
Multidetector-row computed tomography with three-dimensional volume rendering of pancreatic cancer: a complete preoperative staging tool using computed tomography angiography and volume-rendered cholangiopancreatography.
Johnson PT, Heath DG, Hofmann LV, Horton KM, Fishman EK. J Comput Assist Tomogr. 2003;27(3):347-53.
- "Multiplanar volume rendering and maximum intensity projection of multislice computed tomography data allow for robust evaluation of the hepatic parenchyma, with early detection of neovascularity and tumor stain, and enable better assessment of the tumor burden compared with routine axial images. Lesion characterization can also potentially improve."
Incremental Value of Advanced Image Processing of Multislice Computed Tomography Data in the Evaluation of Hypervascular Liver Lesions Kamel IR et al. J Comput Assist Tomogr 27(4):652-656