Publications by authors named "Acidi Belkacem"

Background: Liver venous deprivation (LVD) is known to induce better future liver remnant (FLR) hypertrophy than portal vein embolization (PVE). The role of LVD, compared with PVE, in inducing FLR hypertrophy and allowing safe hepatectomy for patients with extensive colorectal liver metastases (CLM) and high-risk factors for inadequate hypertrophy remains unclear.

Methods: Patients undergoing LVD (n = 22) were matched to patients undergoing PVE (n = 279) in a 1:3 ratio based on propensity scores, prior to planned hepatectomy for CLM at a single center (1998-2023).

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Article Synopsis
  • The study addresses the challenges faced in liver surgeries due to the complex anatomy of liver blood vessels and the limitations of traditional 2D ultrasound imaging, which is often affected by noise and artifacts.
  • Researchers developed an AI-based "2D-weighted U-Net model" to improve intraoperative ultrasonography by enhancing the real-time detection and segmentation of key liver blood vessels.
  • The deep learning model demonstrated high accuracy in identifying various vessels, achieving Dice scores between 0.84 and 0.96, with plans to extend its use for more comprehensive liver vascular mapping in future surgeries.
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