Web-based image transmission: a novel approach to aid communication in split liver transplantation

Chandra S Bhati; Stephen J Wigmore; Sriniwas Reddy; David A Mayer; John A C Buckels; Manas Derek; Darius F Mirza

doi:10.1111/j.1399-0012.2009.01125.x

Web-based image transmission: a novel approach to aid communication in split liver transplantation

Chandra S Bhati, Stephen J Wigmore, Sriniwas Reddy, David A Mayer, John A C Buckels, Manas Derek, Darius F Mirza

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

BACKGROUND: Split liver transplantation (SLT) is technically demanding and requires good communication between transplant centers. The recipient surgeon receiving a shipped split liver needs detailed information on allocation of inflow and outflow vessels. We describe the first use of an image transmission system to facilitate SLT.

METHODS: Twenty cadaver livers undergoing ex situ splitting were studied. Fifteen were shared between the geographically separate Birmingham adult and pediatric centers and five were shared with other UK centers.

RESULTS: A total of six to eight images of each split graft were taken with a camera at standardized settings using the National Organ Retrieval Imaging System (NORIS), showing details of appearance, size, and anatomy of allocated inflow and outflow vessels. These were uploaded using a personal digital assistant to a secure website (http://www.noris.org.uk). The remote recipient surgeon then viewed these images by logging onto the password-protected website. Minimum time interval between division of the hilar vessels and completion of the split procedure was two h, allowing remote surgeon to view their allocated "shipped" graft in advance of commencing surgery.

CONCLUSION: This advanced yet simple image transmission system has the potential for routine application in transplant surgery, not only for splitting but also for reporting injuries and graft steatosis.

Original language	English
Pages (from-to)	98-103
Number of pages	6
Journal	Clinical transplantation
Volume	24
Issue number	1
DOIs	https://doi.org/10.1111/j.1399-0012.2009.01125.x
Publication status	Published - 3 Nov 2009

Keywords

Adolescent
Adult
Aged
Cadaver
Child
Child, Preschool
Cohort Studies
Computers, Handheld
Female
Humans
Infant
Internet
Liver Diseases
Liver Transplantation
Male
Middle Aged
Photography
Remote Consultation
Tissue and Organ Harvesting
Tissue and Organ Procurement
Young Adult

Access to Document

10.1111/j.1399-0012.2009.01125.x

Cite this

@article{990de645924546da94955d0471926369,

title = "Web-based image transmission: a novel approach to aid communication in split liver transplantation",

abstract = "BACKGROUND: Split liver transplantation (SLT) is technically demanding and requires good communication between transplant centers. The recipient surgeon receiving a shipped split liver needs detailed information on allocation of inflow and outflow vessels. We describe the first use of an image transmission system to facilitate SLT.METHODS: Twenty cadaver livers undergoing ex situ splitting were studied. Fifteen were shared between the geographically separate Birmingham adult and pediatric centers and five were shared with other UK centers.RESULTS: A total of six to eight images of each split graft were taken with a camera at standardized settings using the National Organ Retrieval Imaging System (NORIS), showing details of appearance, size, and anatomy of allocated inflow and outflow vessels. These were uploaded using a personal digital assistant to a secure website (http://www.noris.org.uk). The remote recipient surgeon then viewed these images by logging onto the password-protected website. Minimum time interval between division of the hilar vessels and completion of the split procedure was two h, allowing remote surgeon to view their allocated {"}shipped{"} graft in advance of commencing surgery.CONCLUSION: This advanced yet simple image transmission system has the potential for routine application in transplant surgery, not only for splitting but also for reporting injuries and graft steatosis.",

keywords = "Adolescent, Adult, Aged, Cadaver, Child, Child, Preschool, Cohort Studies, Computers, Handheld, Female, Humans, Infant, Internet, Liver Diseases, Liver Transplantation, Male, Middle Aged, Photography, Remote Consultation, Tissue and Organ Harvesting, Tissue and Organ Procurement, Young Adult",

author = "Bhati, {Chandra S} and Wigmore, {Stephen J} and Sriniwas Reddy and Mayer, {David A} and Buckels, {John A C} and Manas Derek and Mirza, {Darius F}",

year = "2009",

month = nov,

day = "3",

doi = "10.1111/j.1399-0012.2009.01125.x",

language = "English",

volume = "24",

pages = "98--103",

journal = "Clinical transplantation",

issn = "0902-0063",

publisher = "Wiley",

number = "1",

}

TY - JOUR

T1 - Web-based image transmission

T2 - a novel approach to aid communication in split liver transplantation

AU - Bhati, Chandra S

AU - Wigmore, Stephen J

AU - Reddy, Sriniwas

AU - Mayer, David A

AU - Buckels, John A C

AU - Derek, Manas

AU - Mirza, Darius F

PY - 2009/11/3

Y1 - 2009/11/3

N2 - BACKGROUND: Split liver transplantation (SLT) is technically demanding and requires good communication between transplant centers. The recipient surgeon receiving a shipped split liver needs detailed information on allocation of inflow and outflow vessels. We describe the first use of an image transmission system to facilitate SLT.METHODS: Twenty cadaver livers undergoing ex situ splitting were studied. Fifteen were shared between the geographically separate Birmingham adult and pediatric centers and five were shared with other UK centers.RESULTS: A total of six to eight images of each split graft were taken with a camera at standardized settings using the National Organ Retrieval Imaging System (NORIS), showing details of appearance, size, and anatomy of allocated inflow and outflow vessels. These were uploaded using a personal digital assistant to a secure website (http://www.noris.org.uk). The remote recipient surgeon then viewed these images by logging onto the password-protected website. Minimum time interval between division of the hilar vessels and completion of the split procedure was two h, allowing remote surgeon to view their allocated "shipped" graft in advance of commencing surgery.CONCLUSION: This advanced yet simple image transmission system has the potential for routine application in transplant surgery, not only for splitting but also for reporting injuries and graft steatosis.

AB - BACKGROUND: Split liver transplantation (SLT) is technically demanding and requires good communication between transplant centers. The recipient surgeon receiving a shipped split liver needs detailed information on allocation of inflow and outflow vessels. We describe the first use of an image transmission system to facilitate SLT.METHODS: Twenty cadaver livers undergoing ex situ splitting were studied. Fifteen were shared between the geographically separate Birmingham adult and pediatric centers and five were shared with other UK centers.RESULTS: A total of six to eight images of each split graft were taken with a camera at standardized settings using the National Organ Retrieval Imaging System (NORIS), showing details of appearance, size, and anatomy of allocated inflow and outflow vessels. These were uploaded using a personal digital assistant to a secure website (http://www.noris.org.uk). The remote recipient surgeon then viewed these images by logging onto the password-protected website. Minimum time interval between division of the hilar vessels and completion of the split procedure was two h, allowing remote surgeon to view their allocated "shipped" graft in advance of commencing surgery.CONCLUSION: This advanced yet simple image transmission system has the potential for routine application in transplant surgery, not only for splitting but also for reporting injuries and graft steatosis.

KW - Adolescent

KW - Adult

KW - Aged

KW - Cadaver

KW - Child

KW - Child, Preschool

KW - Cohort Studies

KW - Computers, Handheld

KW - Female

KW - Humans

KW - Infant

KW - Internet

KW - Liver Diseases

KW - Liver Transplantation

KW - Male

KW - Middle Aged

KW - Photography

KW - Remote Consultation

KW - Tissue and Organ Harvesting

KW - Tissue and Organ Procurement

KW - Young Adult

U2 - 10.1111/j.1399-0012.2009.01125.x

DO - 10.1111/j.1399-0012.2009.01125.x

M3 - Article

C2 - 19878514

SN - 0902-0063

VL - 24

SP - 98

EP - 103

JO - Clinical transplantation

JF - Clinical transplantation

IS - 1

ER -

Web-based image transmission: a novel approach to aid communication in split liver transplantation

Abstract

Keywords

Access to Document

Fingerprint

Cite this