Preoperative (3-dimensional) computed tomography lung reconstruction before anatomic segmentectomy or lobectomy for stage I non–small cell lung cancer

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Presentation transcript:

Preoperative (3-dimensional) computed tomography lung reconstruction before anatomic segmentectomy or lobectomy for stage I non–small cell lung cancer Ernest G. Chan, MD, James R. Landreneau, BS, Matthew J. Schuchert, MD, David D. Odell, MD, MSSc, Suicheng Gu, PhD, Jiantao Pu, PhD, James D. Luketich, MD, Rodney J. Landreneau, MD The Journal of Thoracic and Cardiovascular Surgery Volume 150, Issue 3, Pages 523-528 (September 2015) DOI: 10.1016/j.jtcvs.2015.06.051 Copyright © 2015 Terms and Conditions

Figure 1 A, Three-dimensional rendering of the bronchial airways with color-coded segmental branches. B, Lung parenchyma divided into anatomic segments based on the labeled airways. Note the detail in the segmental boundaries. The Journal of Thoracic and Cardiovascular Surgery 2015 150, 523-528DOI: (10.1016/j.jtcvs.2015.06.051) Copyright © 2015 Terms and Conditions

Figure 2 A, Lung parenchyma is divided into lobes and made transparent to visualize the relationship between the tumor (highlighted in red) and the lobar divisions and airways. Note the detail in the contouring of the tumor surface. B, 3D rendering demonstrates how this tumor crosses segmental boundaries. C and D, The program is able to provide specific 3D measurements of anticipated surgical margins. Shown are views of a 3D measured distance (white line) between a tumor (red) and the anticipated point of bronchial division (purple). The Journal of Thoracic and Cardiovascular Surgery 2015 150, 523-528DOI: (10.1016/j.jtcvs.2015.06.051) Copyright © 2015 Terms and Conditions

Automated 3D rendering of pulmonary segmental anatomy. The Journal of Thoracic and Cardiovascular Surgery 2015 150, 523-528DOI: (10.1016/j.jtcvs.2015.06.051) Copyright © 2015 Terms and Conditions