Background: Accurate noninvasive measurement of the volume of the live
r has many potential clinical applications and is an important element
in the preoperative evaluation of the liver transplant recipient. Hel
ical (or spiral) computed tomography (CT) has theoretical advantages o
ver conventional CT in this application because the entire liver can b
e imaged in a single breath-hold, limiting inaccuracies related to pat
ient motion and respiratory variation. Methods: We compared liver volu
mes measured by conventional CT and helical CT in 22 patients undergoi
ng preoperative evaluation for liver transplantation. Results: The mea
n volume for helical CT is 1328 ml (SD 405) and conventional CT is 132
3 ml (SD 417). Conclusions: We found no significant difference between
the helical CT and conventional CT volumes for each patient.