Role of Multi Detector CT Liver Volumetry in Surgical Assessment of Hepatic Lesions.

Document Type : Original Article

Authors

1 Radiology, faculty of medicine, minia university, minia, minia

2 General Surgery, minia University

3 Radiology Department, Faculty of Medicine, Minia University, Minia, Egypt

4 MSc student, resident of diagnostic radiology at Port Fuad ELhayah hospital

Abstract

Background: Liver diseases account for approximately 2 million deaths per year worldwide, so various imaging modalities as computed tomography (CT) imaging is useful for detection, characterization of liver tumors and for estimation liver volume and liver remnant volume preoperative in patients undergoing liver surgery.

Aim: This study aims to evaluate the accuracy of CT volumetry in assessment of the total liver volume, the residual liver volume as well as the volume of diseased liver segment.

Patient and methods: This prospective study was conducted on 20 patients with hepatic focal lesion referred from liver surgery department at Minia university hospital during the period from January 2023 to November 2023.

Results: The mean age of studied patients was 60 ±11.68 & 70% of patients were males, 30% were females. There were 55% of patients have RT HCC, 30% have LT HCC, 10% hepatic cyst, 5% caudate lobe HCC. The mean total volume of the liver in the studied patients was 2388.78± 813.53, the mean volume of the tumor was 508.1±653.12, the mean liver remnant % was 81.02±21.25 and 55% of patients were operable.

Conclusion: The findings of the present study indicate that automated CT liver volumetry is an accurate and quick method for determination the total liver volume, tumor volume and future liver remnant in patients with hepatic focal lesion who undergo hepatic resection.

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