Authors
Amy Avakian, Muhammad Umair
Published in
Journal of visualized experiments : JoVE. Issue 232. Jun 30, 2026. Epub Jun 30, 2026.
Abstract
Cinematic rendering (CR) is a physically based three-dimensional visualization technique that uses Monte Carlo path tracing with global illumination to generate photorealistic images from volumetric medical imaging data. Although CR has been extensively applied to cardiovascular computed tomography, its application to cardiac magnetic resonance imaging (CMR), particularly to gadolinium-enhanced datasets, has been only rarely described. This report demonstrates the feasibility of applying CR to three-dimensional early and late gadolinium enhancement (EGE/LGE) CMR acquired in a single adult patient at 1.5T. Using a Monte Carlo path-tracing platform with vendor-integrated artificial intelligence (AI) denoising (syngo.via Cinematic Anatomy, Siemens Healthineers), matched CR reconstructions were generated in four-chamber, two-chamber, and short-axis orientations, as well as additional oblique perspectives. The protocol details acquisition parameters, segmentation methodology, rendering workflow, and parameter documentation to support reproducibility. CR is presented as a complementary visualization adjunct suitable for multidisciplinary communication, procedural planning, and trainee education, and is not intended as a primary diagnostic tool for myocardial enhancement. The photorealistic surface texture characteristic of path tracing should not be interpreted as diffuse enhancement. Future studies in scar-positive cohorts are required to evaluate comparative reader performance against conventional grayscale reconstructions and to validate any potential clinical role.
PMID:
42475405
Bibliographic data and abstract were imported from PubMed on 21 Jul 2026.
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