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Computed Tomography Cinematic Rendering in the Evaluation of Colonic Pathology

Technique and Clinical Applications

Rowe, Steven P., MD, PhD; Chu, Linda C., MD; Fishman, Elliot K., MD

Journal of Computer Assisted Tomography: May/June 2019 - Volume 43 - Issue 3 - p 475–484
doi: 10.1097/RCT.0000000000000864
Abdominal Imaging

Three-dimensional (3D) visualizations of computed tomography (CT) data have found use in the display of complex anatomy and pathology. A new method of 3D CT image creation known as cinematic rendering (CR) makes use of a global lighting model to produce photorealistic images. Cinematic rendering images contain high levels of detail with shadowing and depth that are not available from traditional 3D CT techniques. As yet, the role of CR in evaluating colonic pathology has not been investigated. However, given the breadth of pathologic processes that affect the colon, including inflammatory bowel disease, diverticulitis, neoplastic conditions, herniation, and gastrointestinal bleeding, we undertook a survey of recent cases at our institution to demonstrate colon pathology as visualized with CR. The following review discusses the role of 3D CT visualizations for colonic pathology with an emphasis on CR example images.

From the Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD.

Received for publication November 27, 2018; accepted February 13, 2019.

Correspondence to: Steven P. Rowe, MD, PhD, The Russell H. Morgan Department of Radiology and Radiological Science, The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, 601 N Caroline St, Baltimore, MD, 21287 (e-mail:

E.K.F. receives grant funding from Siemens and GE Healthcare. He is a co-founder and stockholder of HipGraphics, Inc. The other authors declare no conflict of interest.

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