PMC9753956_01
Coronal computed tomography angiography images of the donor's right kidney demonstrate complex extrarenal bifurcation (posterior to the inferior vena cava), crossing of 2 main arteries, and a short renal vein. Arrows point to the arteries. From left to right (A to D), the images become more posterior.
toj-22-0008-figure1.jpg
PMC9753956_01_toj-22-0008-figure1.jpg
f1
The multiple arteries and short vein on the right kidney (Figure 1) were deemed prohibitive, as was the possibility for 3 or 4 arteries on the left kidney (Figure 2).
Coronal computed tomography angiography images of the donor's left kidney demonstrate complex extrarenal bifurcation and crossing of 2 main arteries, highlighting the ambiguity regarding the number of arteries potentially present after donor nephrectomy. Arrows point to the arteries. From left to right (A to D), the images become more posterior.
toj-22-0008-figure2.jpg
PMC9753956_01_toj-22-0008-figure2.jpg
f2
The multiple arteries and short vein on the right kidney (Figure 1) were deemed prohibitive, as was the possibility for 3 or 4 arteries on the left kidney (Figure 2).
The surgeon and segmentation team evaluate a 3-dimensional model in virtual reality using the Samsung HMD Odyssey headset and hand controls that facilitate manipulation of the model and the immersive quality of the virtual reality.
toj-22-0008-figure3.jpg
PMC9753956_01_toj-22-0008-figure3.jpg
f3
Multiple transplant surgeons viewed the STL in VR using an internally developed application and a commercially available head-mounted display (Samsung HMD Odyssey) (Figure 3).
Arterial anatomy is highlighted in red in the (A) anterior view and (B) posterior view of the bilateral kidneys from the 3-dimensional reconstruction. (C) Handsets that accompany the headset can be used to zoom in on pertinent structures and make measurements in the immersive virtual reality environment. (For readers of the print publication, a color version of this figure is available at https://doi.org/10.31486/toj.22.0008.)
toj-22-0008-figure4.jpg
PMC9753956_01_toj-22-0008-figure4.jpg
f4
Static images were captured and shared with the multidisciplinary team at the selection conference (Figure 4).