Ahmed Taha M, Rowe Steven P, Fishman Elliot K, Soyer Philippe, Chu Linda C
Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA; Department of Radiology, University of North Carolina School of Medicine, Chapel Hill, NC 27599, USA.
Diagn Interv Imaging. 2024 Jan;105(1):5-14. doi: 10.1016/j.diii.2023.09.004. Epub 2023 Oct 3.
The adrenal gland is home to an array of complex physiological and neoplastic disease processes. While dedicated adrenal computed tomography (CT) is the gold standard imaging modality for adrenal lesions, there exists significant overlap among imaging features of adrenal pathology. This can often make radiological diagnosis and subsequent determination of the optimal surgical approach challenging. Cinematic rendering (CR) is a novel CT post-processing technique that utilizes advanced light modeling to generate highly photorealistic anatomic visualization. This generates unique prospects in the evaluation of adrenal masses. As one of the first large tertiary care centers to incorporate CR into routine diagnostic workup, our preliminary experience with using CR has been positive, and we have found CR to be a valuable adjunct during surgical planning. Herein, we highlight the unique utility of CR techniques in the workup of adrenal lesions and provide commentary on the opportunities and obstacles associated with the application of this novel display method in this setting.
肾上腺是一系列复杂生理和肿瘤疾病过程的发生部位。虽然专用肾上腺计算机断层扫描（CT）是肾上腺病变的金标准成像方式，但肾上腺病理的成像特征之间存在显著重叠。这常常使放射学诊断以及随后确定最佳手术方法具有挑战性。电影渲染（CR）是一种新型CT后处理技术，它利用先进的光照建模来生成高度逼真的解剖可视化图像。这为肾上腺肿块的评估带来了独特的前景。作为首批将CR纳入常规诊断检查的大型三级医疗中心之一，我们使用CR的初步经验是积极的，并且我们发现CR在手术规划过程中是一种有价值的辅助手段。在此，我们强调CR技术在肾上腺病变检查中的独特效用，并对在这种情况下应用这种新型显示方法所带来的机遇和障碍进行评论。
