ArticleWorld journal of radiology2026
Comparing the reliability of three software programmes for manual and (semi-)automatic volumetry in healthy livers.
Article in World journal of radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundMultiple software programs are available for manual or (semi-)automated liver segmentation. Although manual segmentation has traditionally been the standard, it is time-intensive and susceptible to inter-observer variability. Conversely, (semi-)automated approaches have been shown to reduce segmentation time, but the availability and use of different software tools can introduce variability in liver volumetry outcomes.
aimTo evaluate the reliability of three segmentation software programs (Synapse 3D (Fujifilm), OsiriX
methodsPatients (≥ 18 years) with abdominal computed tomography images without liver pathology were included. Total liver volume (TLV) and segment II/III volume - a surrogate for the future liver remnant (FLR) - were measured. Two blinded independent researchers performed volumetric assessments. The intraclass correlation coefficient (ICC) was calculated for interobserver variability for the first 30 scans between both researchers. This was also performed for intra-observer variability between the software programs in 200 randomly selected patients (52.5% male; mean age: 63.5 years).
resultsMean TLV's reported by Synapse 3D, Syngo.via and OsiriX
conclusionAlthough absolute volumes varied slightly, the standardized FLR remained comparable across the software programs, indicating that all three are suitable for reliable computed tomography liver volumetry.
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