RESUMO
BACKGROUND: Liver transplantation has evolved into a safe life-saving operation and remains the golden standard in the treatment of end stage liver disease. The main limiting factor in the application of liver transplantation is graft shortage. Many strategies have been developed in order to alleviate graft shortage, such as living donor partial liver transplantation and split liver transplantation for adult and pediatric patients. In these strategies, liver volume assessment is of paramount importance, as size mismatch can have severe consequences in the success of liver transplantation. AIM: To evaluate the safety, feasibility, and accuracy of light detection and ranging (LIDAR) 3D photography in the prediction of whole liver graft volume and mass. METHODS: Seven liver grafts procured for orthotopic liver transplantation from brain deceased donors were prospectively measured with an LIDAR handheld camera and their mass was calculated and compared to their actual weight. RESULTS: The mean error of all measurements was 17.03 g (range 3.56-59.33 g). Statistical analysis of the data yielded a Pearson correlation coefficient index of 0.9968, indicating a strong correlation between the values and a Student's t-test P value of 0.26. Mean accuracy of the measurements was calculated at 97.88%. CONCLUSION: Our preliminary data indicate that LIDAR scanning of liver grafts is a safe, cost-effective, and feasible method of ex vivo determination of whole liver volume and mass. More data are needed to determine the precision and accuracy of this method.
RESUMO
Three-dimensional (3D) printing has recently emerged as a new technique in various liver-related surgical fields. There are currently only a few systematic reviews that summarize the evidence of its impact. In order to construct a systematic literature review of the applications and effects of 3D printing in liver surgery, we searched the PubMed, Embase and ScienceDirect databases for relevant titles, according to the PRISMA statement guidelines. We retrieved 162 titles, of which 32 met the inclusion criteria and are reported. The leading application of 3D printing in liver surgery is for preoperative planning. 3D printing techniques seem to be beneficial for preoperative planning and educational tools, despite their cost and time requirements, but this conclusion must be confirmed by additional randomized controlled trials.
RESUMO
The use of action cameras for photogrammetry purposes is not widespread due to the fact that until recently the images provided by the sensors, using either still or video capture mode, were not big enough to perform and provide the appropriate analysis with the necessary photogrammetric accuracy. However, several manufacturers have recently produced and released new lightweight devices which are: (a) easy to handle, (b) capable of performing under extreme conditions and more importantly (c) able to provide both still images and video sequences of high resolution. In order to be able to use the sensor of action cameras we must apply a careful and reliable self-calibration prior to the use of any photogrammetric procedure, a relatively difficult scenario because of the short focal length of the camera and its wide angle lens that is used to obtain the maximum possible resolution of images. Special software, using functions of the OpenCV library, has been created to perform both the calibration and the production of undistorted scenes for each one of the still and video image capturing mode of a novel action camera, the GoPro Hero 3 camera that can provide still images up to 12 Mp and video up 8 Mp resolution.
