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Lumi Web  >  Create a 3D Patient

Create 3D Patients

After uploading a scan, Lumi generates a 3D patient, which includes the uploaded scan. By clicking on the 3D patient, the web-based 3D viewer opens which allows you to inspect the scan and/or start creating and/or adding 3D models to the 3D patient. 3D models can be created using the segmentation functions (see below) or by manually uploading a 3D model (go to: STL Upload). 

Note: Segmentations should always be verified by the intended users (go to: Product Specification) by outline analysis on the source medical image, since false positive and negative segmentation regions can occur. For instructions to verify your segmentations, go to :Verify Hologram.

Note: The visualization of the image data and the output representations are based on the data quality and resolution of the original image data series. In case of poor image contrast, resolution, scan artifacts (such as patient movement) or other image related defects or inaccuracies, this can lead to inaccurate results.

T1c Segmentation Function (T1cSF)

The T1cSF transforms T1 MRI scans (MRI-T1) of the head into 3D models of the skin, brain, and ventricles.

Note: Lumi's T1cSF can thereby be used for tumor segmentation only in case of a single intracranial contrast enhancing tumor, diagnosed by a neurosurgeon or a neuroradiologist, with a minimal volume of 2.0 cc (0.1 in3) and a minimal diameter in any direction of 15 mm (0.6 inch), and a maximum volume of 100cc (6.1 in3) and a maximal diameter in any direction of 75 mm (3.0 inch).

The following requirements apply for the T1cSF:

  • Image type: T1 MRI with contrast of the cranium from the vertex to at least the foramen magnum level and maximally to the C2 level.

  • Slices per series: Minimum 100 slices per series with a maximum slice thickness and slice interval of 2 mm.

 

CT non-contrast Segmentation Function (CTncSF) 

The CTncSF transforms non-contrast enhanced CT Scans of the head into 3D Models of the skin, skull, brain, and the ventricles.

The following requirements apply for the CTncSF:

  • Image type: CT scan without contrast of the cranium from the vertex to at least the foramen magnum level and maximally to the C2 level.

  • Slices per series: Minimum 100 slices per series with a maximum slice thickness and slice interval of 2 mm.

Instructions to start the T1cSF or CTncSF

  1. Open a 3D patient

  2. Press the + button at the bottom of the menu on the right side

  3. Select 'Automatic Segmentation'

  4. Select the anatomical structures you wish to segment

  5. Press 'START'

  6. Wait for the segmentation to finish (approximately 15 minutes)

Start the T1cSF or CTnsSF

This video demonstrates how to:

  • Open the 3D viewer

  • Inspect the scan

  • Start automatic segmentation

  • Monitor the progress of the segmentation 

Manual Segmentation

In the 3D Viewer, Scans can be visualized as 2D slices, based on the various gray values of the anatomical and pathological structures. Using a slider, the user can adjust the thresholds, thereby selecting which parts of the Scan are displayed. A specific section of the Scan can also be isolated using sliders to focus on a particular area. All modifications are directly visualized as a preview in the 3D Viewer. Once the user has made the correct selections and adjusted the settings, the software can transform the 3D preview into an actual 3D Model.

The following requirements apply for the Manual Segmentation Function:

  • Image type: CT or MR images of the cranium

  • Slices per series: Minimum 104 slices per series with a maximum slice thickness and slice interval of 2.5 mm

 

Instructions to start Manual Segmentation

  1. Open a 3D patient

  2. Press the + button at the bottom of the menu on the right side

  3. Select 'Manual Segmentation' and a 3D preview of the complete scan volume will be shown

  4. Adjust the bounding box to select the region you wish to segment

  5. Change the thresholds using sliders, which dynamically shows the 3D preview based on the various grey values

  6. Adjust the settings, such as removal of small particles (noise), set maximum number of triangles, smooth, and remove inside

  7. Press 'Create' when you are satisfied with the manual segmentation

  8. Wait for the segmentation to finish (<1 minute)

Edit Names of 3D Models

The name of a 3D model in the menu can be edited by right clicking the 3D model in the menu and typing another name. Make sure to Save the 3D patient to save the changed name.

Create manual segmentation

This video demonstrates how to:

  • Change the threshold slider

  • Adjust the bounding box

  • Use the Scissors tool

  • Create a manual segmentation

EU User Guide Lumi Prepare and Segment v1.1

Augmedit B.V.

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