PT - JOURNAL ARTICLE AU - Sonnier, Dennis AU - Sawyer, W. Peter AU - Seal, John AU - Curtis, Colin AU - McGee, Jack AU - Slayden, Alec AU - Sarkar, Korak TI - Three-Dimensional Visualization With Virtual Reality Facilitates Complex Live Donor Renal Transplant AID - 10.31486/toj.22.0008 DP - 2022 Dec 21 TA - Ochsner Journal PG - 344--348 VI - 22 IP - 4 4099 - http://www.ochsnerjournal.org/content/22/4/344.short 4100 - http://www.ochsnerjournal.org/content/22/4/344.full SO - Ochsner J2022 Dec 21; 22 AB - 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.