The Potential Role of Cinematic Rendering of the the Stomach in Lesion Detection and Classification: Early Observations in Clinical Practice
The Potential Role of Cinematic Rendering of the the Stomach in Lesion Detection and Classification: Early Observations in Clinical Practice Linda C Chu, MD Johns Hopkins Hospital Department of Radiology |
CT Imaging of the Stomach
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CT Imaging of the Stomach
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“Evaluation of stomach neoplasms by traditional 3-dimensional (3D) computed tomography methods such as volume rendering and maximum-intensity projection plays an important role in lesion detection and characterization, preoperative planning, staging, and follow-up. Recently, a new 3D visualization method has become available known as cinematic rendering (CR). This novel technique makes use of a complex global lighting model to impart photorealistic levels of detail to 3D images. Although this new technique has yet to be systematically studied for the evaluation of stomach neoplasms, its intrinsic ability to create realistic shadowing effects to enhance understanding of the 3D relative locations of anatomic structures and to enhance detail and texture may prove valuable for a variety of applications.” Evaluation of Stomach Neoplasms With 3-Dimensional Computed Tomography: Focus on the Potential Role of Cinematic Rendering Steven P. Rowe, Linda C. Chu, Elliot K. Fishman J Comput Assist Tomogr 2018;42: 661–666 |
“Recently, a novel method of 3D CT volumetric data visualization became available. This method, known as cinematic rendering (CR), makes use of standard acquisition CT volumetric data composed of isotropic voxels and is fundamentally similar to VR. However, whereas VR uses a ray casting lighting model to create 3D images from acquired volumes, CR instead makes use of a complex global lighting model that takes into account a number of potential interactions of photons with the material in the imaged volume; this leads to enhanced surface detail and a photorealistic quality to the images.” Evaluation of Stomach Neoplasms With 3-Dimensional Computed Tomography: Focus on the Potential Role of Cinematic Rendering Steven P. Rowe, Linda C. Chu, Elliot K. Fishman J Comput Assist Tomogr 2018;42: 661–666 |
"Computed tomography is the imaging method of choice for evaluating stomach neoplasms, and traditional 3D methodologies have previously been shown to have value in lesion detection, staging, and follow-up for treatment response. With the addition of enhanced surface detail intrinsic to CR, the role of 3D CT visualizations in stomach neoplasm imaging may be expanded. Prospective trials with pathologic correlation that evaluate the ability of CR to enhance detection of subtle mucosal irregularities, study whether CR provides better lesion characterization through highlighting intratumoral texture, and lead to improved preoperative planning would be of value." Evaluation of Stomach Neoplasms With 3-Dimensional Computed Tomography: Focus on the Potential Role of Cinematic Rendering Steven P. Rowe, Linda C. Chu, Elliot K. Fishman J Comput Assist Tomogr 2018;42: 661–666 |
Cinematic Rendering: What does it add to a classic CT exam?
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Clinical Applications and Case Illustrations
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Gastric Adenocarcinoma With Infiltration of the Gastric Antrum  |
Gastric Adenocarcinoma With Infiltration of the Gastric Antrum  |
Infiltrating Gastric Adenocarcinoma  |
Metastatic Breast Cancer to the Stomach with Linitis Plastica  |
Metastatic Breast Cancer to the Stomach with Linitis Plastica  |
Carcinoid Tumor Gastric Antrum is Hypervascular and Shown Well on Axial, VRT and MIP Images  |
Cinematic Rendering of a Hypervascular Carcinoid Tumor in the Gastric Antrum  |
1 cm Gastric GIST Tumor in Patient with Neurofibromatosis  |
1 cm Gastric GIST Tumor in Patient with Neurofibromatosis  |
Gastric GIST Tumor Simulates a Mass Arising off the Tail of the Pancreas  |
Gastric GIST Tumor Simulates a Mass Arising off the Tail of the Pancreas  |
Multiple Gastric Carcinoid Tumors in Patient with MEN 1 Syndrome  |
The CR nicely defines the enhancing Multiple Gastric Carcinoid Tumors  |
The CR nicely defines the enhancing Multiple Gastric Carcinoid Tumors  |
Renal Cell Carcinoma Metastatic to the Stomach Presenting with GI Bleed  Axial and Coronal CT Scans Define a lobulated Mass in the Body of the Stomach |
Cinematic Rendering Defines the Lobulated Ulcerating Masses and Defines Their Extent and Infiltration  |
Cinematic Rendering Defines the Lobulated Ulcerating Masses and Defines Their Extent and Infiltration  |
Chemical Gastritis from NSAIDs Simulates a Gastric Adenocarcinoma  |
Chemical Gastritis from NSAIDs Simulates a Gastric Adenocarcinoma  |
Thickened Mass-like Antral Folds in a Patient with Cirrhosis and Portal Hypertension Simulates a Gastric Tumor  |
Biopsy Proven Inflamed Edematous Antral Folds due to Hepatic Gastropathy  |
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Gastric Duplication Cyst Presents as on Intraluminal Cystic Mass Defined with Axial. Coronal and VRT Displays  |
Different Lighting and Shadowing help Define the Intraluminal Nature of the Gastric Duplication Cyst  |
Interactive Display for Visualization of the Gastric Duplication Cyst Can Be Valuable to the Referring Clinician for Pre-Operative Planning |
Potential Limitations of Cinematic Rendering in Practice
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Conclusion
Acknowledgements
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