title: Liver displacement during ventilation in Thiel embalmed human cadavers - a possible model for research and training in minimally invasive therapies.
abstract: Respiration-related movement of organs is a complication in a range of diagnostic and interventional procedures. The development and validation of techniques to compensate for such movement requires appropriate models. Human cadavers embalmed with the Thiel method remain flexible and could provide a suitable model. In this study liver displacement during ventilation was assessed in eight Thiel embalmed cadavers, all of which showed thoracic and abdominal motion. Four cadavers displayed realistic lung behaviour, one showed some signs of pneumothorax after prolonged ventilation, one had limited filling of the lungs, and two displayed significant leakage of air into the thorax. A coronal slice containing the largest section through the liver was imaged with a real-time Fast Gradient Echo (FGR) MRI sequence: Craniocaudal displacement of the liver was then determined from a time-series of slices. The maximum liver displacement observed in the cadavers ranged from 7 to 35 mm. The ventilation applied was comparable to tidal breathing at rest and the results found for liver displacement are similar to values in the literature for respiratory motion of the liver under similar conditions. This indicates that Thiel embalmed cadavers have potential as a model for research and training in minimally invasive procedures.
authors.affiliation: Centre for Anatomy and Human Identification (CAHID), College of Life Sciences, University of Dundee , Dundee , UK.
authors.forename: Roos
authors.initials: R
authors.lastname: Eisma
authors.forename: Mariana
authors.initials: M
authors.lastname: Gueorguieva
authors.forename: Erwin
authors.initials: E
authors.lastname: Immel
authors.forename: Rachel
authors.initials: R
authors.lastname: Toomey
authors.forename: Graeme
authors.initials: G
authors.lastname: McLeod
authors.forename: Roger
authors.initials: R
authors.lastname: Soames
authors.forename: Andreas
authors.initials: A
authors.lastname: Melzer
mesh_terms: D000369:Aged, 80 and over; D002102:Cadaver; D004615:Embalming; D005260:Female; D006801:Humans; D008099:Liver / Q000378:metabolism*; D008168:Lung / Q000502:physiology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000193:education / Q000379:methods; D012119:Respiration