Emergency Radiology

, Volume 25, Issue 6, pp 723–728 | Cite as

3D CT cinematic rendering of mycotic aneurysms

  • Steven P. RoweEmail author
  • Linda C. Chu
  • Stefan L. Zimmerman
  • Elliot K. Fishman
Case Report


Mycotic aneurysms are uncommon but emergent conditions in which infection of a vessel leads to a contained rupture. Progression to frank rupture, thrombosis, distal embolization, and death can occur. The widespread availability of computed tomography (CT) and its ability to obtain high-resolution, contrast-enhanced, volumetric images rapidly has made it the modality of choice for evaluating mycotic aneurysms. Three-dimensional CT visualizations can provide important information to surgeons and interventionalists prior to attempting repair of these lesions. In this case series, we demonstrate the appearance of mycotic aneurysms with the novel 3D CT visualization methodology known as cinematic rendering (CR). CR makes use of a more complex lighting model than has previously been utilized with other 3D CT techniques, allowing for enhanced surface detail and realistic shadowing effects. These features of CR may have utility in evaluating mycotic aneurysms and in pre-procedural/pre-operative planning, although a prospective study definitively evaluating this has not yet been performed.


Mycotic aneurysms 3D CT Cinematic rendering 


Compliance with ethical standards

Conflict of interest

EKF receives research support from Siemens and GE Healthcare and is a co-founder and stockholder in HipGraphics, Inc. The other authors have no relevant conflicts of interest to report.

Supplementary material

10140_2018_1643_MOESM1_ESM.wmv (24.8 mb)
Supplementary Video 1 (WMV 25388 kb)


  1. 1.
    Lee WK, Mossop PJ, Little AF, Fitt GJ, Vrazas JI, Hoang JK, Hennessy OF (2008) Infected (mycotic) aneurysms: spectrum of imaging appearances and management. Radiographics 28(7):1853–1868. CrossRefPubMedGoogle Scholar
  2. 2.
    Dwivedi AN, Srinivasan A, Jain S (2015) Multiple mycotic aneurysms of the abdominal aorta illustrated on MDCT scanner. J Clin Imaging Sci 5:49. CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Macedo TA, Stanson AW, Oderich GS, Johnson CM, Panneton JM, Tie ML (2004) Infected aortic aneurysms: imaging findings. Radiology 231(1):250–257CrossRefGoogle Scholar
  4. 4.
    Jayaraman S, Richardson D, Conrad M, Eichler C, Schecter W (2012) Mycotic pseudoaneurysms due to injection drug use: a ten-year experience. Ann Vasc Surg 26(6):819–824. CrossRefPubMedGoogle Scholar
  5. 5.
    Eid M, De Cecco CN, Nance JW Jr, Caruso D, Albrecht MH, Spandorfer AJ, De Santis D, Varga-Szemes A, Schoepf UJ (2017) Cinematic rendering in CT: a novel, lifelike 3D visualization technique. AJR Am J Roentgenol 209(2):370–379. CrossRefPubMedGoogle Scholar
  6. 6.
    Johnson PT, Schneider R, Lugo-Fagundo C, Johnson MB, Fishman EK (2017) 6DCT angiography with 3D rendering: a novel cinematic rendering algorithm for enhanced anatomic detail. AJR Am J Roentgenol 209(2):309–312. CrossRefPubMedGoogle Scholar
  7. 7.
    Dappa E, Higashigaito K, Fornaro J, Leschka S, Wildermuth S, Alkadhi H (2016) Cinematic rendering – an alternative to volume rendering for 3D computed tomography imaging. Insights Imaging 7(6):849–856CrossRefGoogle Scholar
  8. 8.
    Rowe SP, Johnson PT, Fishman EK (2018) Initial experience with cinematic rendering for chest cardiovascular imaging. Br J Radiol 91(1082):20170558.
  9. 9.
    Rowe SP, Johnson PT, Fishman EK (2018) Cinematic rendering of cardiac CT volumetric data: principles and initial observations. J Cardiovasc Comput Tomogr 12(1):56–59. CrossRefGoogle Scholar
  10. 10.
    Rowe SP, Johnson PT, Fishman EK (2018) MDCT of ductus diverticulum: 3D cinematic rendering to enhance understanding of anatomic configuration and avoid misinterpretation as traumatic aortic injury. Emerg Radiol 25(2):209–213. CrossRefPubMedGoogle Scholar
  11. 11.
    Rowe SP, Zimmerman SL, Johnson PT, Fishman EK (2018) Evaluation of Kawasaki’s disease-associated coronary artery aneurysms with 3D CT cinematic rendering. Emerg Radiol 25(4):449–453. CrossRefGoogle Scholar

Copyright information

© American Society of Emergency Radiology 2018

Authors and Affiliations

  • Steven P. Rowe
    • 1
    • 2
    Email author
  • Linda C. Chu
    • 1
  • Stefan L. Zimmerman
    • 1
  • Elliot K. Fishman
    • 1
  1. 1.The Russell H. Morgan Department of Radiology and Radiological ScienceJohns Hopkins University School of MedicineBaltimoreUSA
  2. 2.Division of Nuclear Medicine and Molecular Imaging, The Russell H. Morgan Department of Radiology and Radiological ScienceJohns Hopkins University School of MedicineBaltimoreUSA

Personalised recommendations