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. 2020 Nov 23;1(1):62–70. doi: 10.1093/ehjdh/ztaa011

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© The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

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Three-dimensional immersive virtual reality workflow. After evaluation of the computed tomography (CT) scan in two-dimensional (2D), the digital imaging and communications in medicine (DICOM) files of the CT scan are exported from the patient archiving and communication system (PACS) and used for 3D segmentation in dedicated software. Hereafter, the DICOM files are rendered together with optional segmentation files into a virtual reality workstation. The virtual reality (VR) images can be evaluated in immersive 3D VR, on a computer screen, and on a monitor in the operating room.