Ir. Kamel et al., Accuracy of volumetric measurements after virtual right hepatectomy in potential donors undergoing living adult liver transplantation, AM J ROENTG, 176(2), 2001, pp. 483-487
Citations number
17
Categorie Soggetti
Radiology ,Nuclear Medicine & Imaging","Medical Research Diagnosis & Treatment
OBJECTIVE, The purpose of this study was to evaluate accuracy for determini
ng the total and lobar liver volumes using a multidetector CT scanner in po
tential donors undergoing living adult right lobe liver transplantation.
SUBJECTS AND METHODS. Fifty-two adult donors underwent CT using a multidete
ctor scanner after IV injection of 180 mt of contrast material. For volumet
ric determination, portal venous phase images were acquired at 60 sec. Hand
-tracing was used to isolate the entire liver. and a curved hepatectomy pla
ne was then identified in a manner simulating the surgical incision. Two ob
servers performed hand-tracing of the entire liver to calculate total liver
volume, and of the right lobe to calculate expected graft volume.
RESULTS. The mean Volume of the entire liver, right lobe, and left lobe was
1807 mt, 990 mt, and 817 mt, respectively, for observer 1, and 1788 mt. 10
07 mt, and 781 mt, respectively, for observer 2. There was significant agre
ement between the two observers in determining total and lobar liver volume
s (r = 0.996, 0.977, and 0.965 for total, right lobe, and left lobe volumes
, respectively: p < 0.0001). There was no statistically significant differe
nce between the two observers in measuring total or lobar liver volumes (p
< 0.0001). There was significant agreement between right lobe volume measur
ed by each observer and graft weight obtained in 14 donors at surgery (r =
0.898 and 0.879, for observers 1 and 2, respectively; p < 0.001).
CONCLUSION. Total and lobar volume determinations after virtual right hemih
epatectomy provides accurate and reproducible information that is critical
in selecting potential living liver donors.