An Automated Liver Vasculature Segmentation from CT Scans for Hepatic Surgical Planning

Liver vasculature segmentation is a crucial step for liver surgical planning. Segmentation of liver vasculature is an important part of the 3D visualisation of the liver anatomy. The spatial relationship between vessels and other liver structures, like tumors and liver anatomic segments, helps in reducing the surgical treatment risks. However, liver vessels segmentation is a challenging task, that is due to low contrast with neighboring parenchyma, the complex anatomy, the very thin branches and very small vessels. This paper introduces a fully automated framework consist of four steps to segment the vessels inside the liver organ. Firstly, in the preprocessing step, a combination of two filtering techniques are used to extract and enhance vessels inside the liver region, first the vesselness filter is used to extract the vessels structure, and then the anisotropic coherence enhancing diffusion (CED) filter is used to enhance the intensity within the tubular vessels structure. This step is followed by a smart multiple thresholding to extract the initial vasculature segmentation. The liver vasculature structures, including hepatic veins connected to the inferior vena cava and the portal veins, are extracted. Finally, the inferior vena cava is segmented and excluded from the vessels segmentation, as it is not considered as part of the liver vasculature structure. The liver vessel segmentation method is validated on the publically available 3DIRCAD datasets. Dice coefficient (DSC) is used to evaluate the method, the average DSC score achieved a score 68.5%. The proposed approach succeeded to segment liver vasculature from the liver envelope accurately, which makes it as potential tool for clinical preoperative planning

Open source airway navigation: initial experiences with CustusX and Anser EMT

Electromagnetic tracking (EMT) is a common navigation technology used in image guided applications. EMT is particularly useful in procedures where line-of-sight of the operating field is not feasible. We present a major update of the open source electromagnetic tracking platform Anser EMT [1] and present its results when performing bronchoscopy in a pre-clinical setting using the CustusX navigation suite [2]. The updated system design is open source and free to use and modify under the Berkeley Standard Distribution (BSD) license

Automatic liver vessel segmentation using 3D region growing and hybrid active contour model

This paper proposes a new automatic method for liver vessel segmentation by exploiting intensity and shape constraints of 3D vessels. The core of the proposed method is to apply two different strategies: 3D region growing facilitated by bi-Gaussian filter for thin vessel segmentation, and hybrid active contour model combined with K-means clustering for thick vessel segmentation. They are then integrated to generate final segmentation results. The proposed method is validated on abdominal computed tomography angiography (CTA) images, and obtains an average accuracy, sensitivity, specificity, Dice, Jaccard, and RMSD of 98.2%, 68.3%, 99.2%, 73.0%, 66.1%, and 2.56 mm, respectively. Experimental results show that our method is capable of segmenting complex liver vessels with more continuous and complete thin vessel details, and outperforms several existing 3D vessel segmentation algorithms