Video from RSNA 2017: Cinematic rendering -- Just pretty pictures, or paradigm shift?

Nov 28, 2017

One of the most intriguing new technologies in radiology is cinematic rendering, a 3D reconstruction technique that produces amazingly lifelike images from CT and MRI scans. Are cinematic-rendered images just pretty pictures, or do they represent a paradigm shift in how radiologists will do their jobs in the future? Dr. Elliot Fishman of Johns Hopkins University addresses these questions.Interview

Elliot Fishman, MD Interview

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MRI scans show two areas of clinically significant prostate cancer in a 65-year-old man with a prostate-specific antigen level of 8.23 ng/mL. Images are (A, E) axial T2-weighted images, (B, F) axial diffusion-weighted images obtained with a b value of 1500 sec/mm2, (C, G) axial apparent diffusion coefficient images, and (D, H) lesion masks generated by the deep learning algorithm (DLA) on T2-weighted images. The DLA detected a lesion in the right posteromedial peripheral zone of the apex (D), which was assigned as Prostate Imaging Reporting and Data System (PI-RADS) 4. A radiologist also detected the lesion and assigned it PI-RADS 4 (arrow in A-C). A lesion in the right anterior transition zone (H) was detected by the DLA, which was assigned PI-RADS 4. The radiologist did not detect the lesion (arrow in E-G). Both lesions were confirmed as prostate cancer with Gleason grade group 2. Caption and image courtesy of RSNA.

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MRI scans show two areas of clinically significant prostate cancer in a 65-year-old man with a prostate-specific antigen level of 8.23 ng/mL. Images are (A, E) axial T2-weighted images, (B, F) axial diffusion-weighted images obtained with a b value of 1500 sec/mm2, (C, G) axial apparent diffusion coefficient images, and (D, H) lesion masks generated by the deep learning algorithm (DLA) on T2-weighted images. The DLA detected a lesion in the right posteromedial peripheral zone of the apex (D), which was assigned as Prostate Imaging Reporting and Data System (PI-RADS) 4. A radiologist also detected the lesion and assigned it PI-RADS 4 (arrow in A-C). A lesion in the right anterior transition zone (H) was detected by the DLA, which was assigned PI-RADS 4. The radiologist did not detect the lesion (arrow in E-G). Both lesions were confirmed as prostate cancer with Gleason grade group 2. Caption and image courtesy of RSNA.

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