TY - JOUR T1 - Three-Dimensional Visualization With Virtual Reality Facilitates Complex Live Donor Renal Transplant JF - Ochsner Journal JO - Ochsner J DO - 10.31486/toj.22.0008 AU - Dennis Sonnier AU - W. Peter Sawyer AU - John Seal AU - Colin Curtis AU - Jack McGee AU - Alec Slayden AU - Korak Sarkar Y1 - 2022/09/21 UR - http://www.ochsnerjournal.org/content/early/2022/07/22/toj.22.0008.abstract N2 - Background: Living donor renal transplant involves highly technical operations in both a healthy donor and a recipient with end-stage kidney disease. Contrast-enhanced computed tomography angiography (CTA) is used to assess critical donor anatomy, but its interpretation becomes increasingly difficult as renal anatomy becomes more complex.Case Report: A related donor was denied because of prohibitive anatomy seen on the pretransplant evaluation CTA. As the donor was highly motivated to donate, CTA DICOM images were segmented to create a 3-dimensional (3D) model that could be evaluated in an immersive and stereoscopic virtual reality (VR) environment. The donor's anatomy was found to be acceptable, and he was approved.Conclusion: In live donor nephrectomy candidates, 3D reconstruction and VR visualization can be used to facilitate appreciation of complex anatomy. ER -