Abstract

The segmentation of liver blood vessels is of major importance as it is essential for formulating diagnoses, planning and delivering treatments, as well as evaluating the results of clinical procedures. Different imaging techniques are available for application in clinical practice, so the segmentation methods should take into account the characteristics of the imaging technique. Based on the literature, this review paper presents the most advanced and effective methods of liver vessel segmentation, as well as their performance according to the metrics used. This paper includes results available for four imaging methods, namely: computed tomography (CT), computed tomography angiography (CTA), magnetic resonance (MR), and ultrasonography (USG). The publicly available datasets used in research are also presented. This paper may help researchers gain better insight into the available materials and methods, making it easier to develop new, more effective solutions, as well as to improve existing approaches. This article analyzes in detail various segmentation methods, which can be divided into three groups: active contours, tracking-based, and machine learning techniques. For each group of methods, their theoretical and practical characteristics are discussed, and the pros and cons are highlighted. The most advanced and promising approaches are also suggested. However, we conclude that liver vasculature segmentation is still an open problem, because of the various deficiencies and constraints researchers need to address and try to eliminate from the solutions used.

Highlights

  • Two parts can be distinguished in the liver vein system: hepatic veins and the portal vein

  • Different pre-processing methods are employed because the imaging techniques (i.e., computed tomography (CT), computed tomography angiography (CTA), magnetic resonance (MR), USG, according to Table 1) and equipment used produce images of different resolution, contrast, and noise in them

  • On the contrary, no answers are provided, only a dataset. This approach is useful if no public datasets are available that would include, e.g., examples of correct segmentations, or if such data are not used

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Summary

Introduction

Two parts can be distinguished in the liver vein system: hepatic veins and the portal vein. Computer-assisted liver surgery (e.g., ablation and embolization) allows the clinical treatment of unresected liver tumors. Prior to this treatment, it is very important for physicians to have information about the liver contour and about its venous system. New technologies are constantly being introduced into clinical practice to improve the ability to visualize blood vessels, including those of liver. They include: computed tomography (CT), computed tomography angiography (CTA), magnetic resonance (MR), and ultrasonography (USG)

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