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Fig. 4 | EJNMMI Research

Fig. 4

From: Automatic healthy liver segmentation for holmium-166 radioembolization dosimetry

Fig. 4

Examples of automatic segmentation outcome. AD. A 56-year-old male subject treated with 3850 MBq of 166Ho microspheres in the right liver. EH. A 65-year-old male subject treated with 4982 MBq of 166Ho microspheres in the right liver. Panels A and E, and B and F, show the axial view of 166Ho and 99mTc SPECT/CT, respectively, while panels C and G show the coronal view of the LDCT acquired with the SPECT. Manual (solid green) and automatic (dashed magenta) segmentation is depicted. Upper panels (AC, Sørensen–Dice coefficient = SDC = 0.62), show a clear discrepancy between segmentations, which is due to non-rigid deformation of liver because of breathing. Segmentations are quite comparable in the bottom panels (EG, SDC = 0.84). Panels D and H show the resulting cumulative dose–volume histogram (DVH). Despite the segmentation differences, the corresponding dose difference is below 2 Gy

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