Expert Talk: Cinematic Anatomy in Clinical Practice

Imagine you can put your object of interest on stage, set the lighting like in a photo studio. Follow along structures. Highlight pathologies in an interactive demonstration, so really dive into their spatial relations. Understand and explain to your audience. All this is enabled by cinematic anatomy. Welcome to our today's expert talk. My name is Andrea Boelke and I'm the global product manager of this immersive education solution. What do we have on the agenda for this talk? We want to share and discuss with you use cases of cinematic anatomy. After the introduction of our three guest speakers, I will provide to you a short overview on the application. Then Doctor Phan Lindon will tell you about his experience with cinematic rendering and how he works with cinematic anatomy on a study. Doctor Kautz will share his use cases in general surgery. And from post Garlinger, we will hear about the benefits of cinematic rendering in CMF surgery and how they use cinematic anatomy for their teaching purposes. You see, we did also reserve time at the end for discussion, but I want to encourage you here to ask your questions in between via the chat. We want to cover some of these questions already right after each talk. As we record this talk, please stay muted. OK, but now let's look to our speakers. They have all one thing in common before we introduce cinematic anatomy to the market. They all worked already with former prototypes for cinematic rendering. Together with me, these are your hosts today. And doctor Vanlinden, would you please start to introduce yourself? Yes, thank you very much for the kind introduction. I'm one of the general consultants in Frankfurt for cardiac surgery. And as already mentioned, I work with events for a long time. Started with transcatheter valve implantation and the Siemens valve guide. And I think it was six or seven years ago when I first saw cinematic rendering. And I will show you in a few minutes my experience with that and I'm still very happy. To work with cinematic anatomy. Thank you. And please, um, Doctor Koltz, we hand over to you. Yeah. Thank you for the introduction too. Yeah, my name is Christian Foutz. I'm a consultant in airline at General Surgery department. And I'm. Yeah, working uh as well, but uh, cinematic rendering since a couple of years now? Actually. Yeah, since it was introduced and we gathered a lot of uh experiences and. Studying the effects on how people better comprehend. Difficult anatomy settings with cinematic rendering? Yeah, so you will hear more about that later. Thank you. And then Professor Starling, and your turn. Ohh, I'd like to introduce myself. My name is Ben startlingly, I'm a Orland maxillofacial surgeon. I'm responsible for the Department of Oral Surgery at the University of Zurich in Switzerland, and here we have a lot of images coming from Colombian cities. And we started a cooperation with the Department of Neuroradiology and we're very much fascinated by, uh, the photorealism of cinematic rendering images. So we made a lot of reconstruction since last years and also analyzed in which way these images facilitate our daily work and also education for students. And I would like to give you some insights into that. Thank you. Thank you, professor. Thank you all for enabling this expert talk. Then I will close around. So I'm with semen sales in years since 20 years now. Last year summer when cinematic Anatomy got released, I took it over as product manager. Before this, I was with our advanced therapy business, so taking care for the marketing of our our angiography systems with focus on cardiology and structural heart disease. And nowadays, my heart is beating for cinematic anatomy. Because it's such a fascinating application. Initially, cinematic anatomy got developed for anatomy education. So when you install the software, you will see it. It comes with a so-called content library. As you see it here. This content library is filled with 3D renderings of real patient data. Which can be demonstrated for anatomy education. Also we aim for. Adding step by step pathologies. In addition to these prepared datasets or presentations, the user can also import his own DICOM data, so CTR data in order to visualize them with cinematic rendering. Cinematic rendering is the technology behind cinematic anatomy rendering algorithm patented by Siemens health seniors. What is special about cinematic rendering is that it makes use of image based lighting. When light encounters matter like light, light is absorbed, so producing shadows reflected and scattered into various directions. And these possible light passes of any pixel of the DICOM data we simulate repeatedly with cinematic rendering. The result is a photorealistic representation of a 3D image with true depth and form perception like you see it here. You will hear more about this by our guest speakers later on, as you already announced. Important for you with cinematic anatomy, we provide a very intuitive user interface, reduced to the functionality which is needed for our education purposes. This is here on the left side tools to extract and highlight the structures of interest, and on the right side everything you need to store, demonstrate or export your work on a data set. Today we do not want to spend time on a demo of the application. For this I rather refer you to the demo videos on on our web page. You might have seen it already, but let me close my introduction here with a little summary what makes cinematic anatomy special? Apart from the cinematic rendering of real patient data and its tools to edit the data. It is how it can be used for demonstration purposes. It's completely scalable in terms of display setup. And we also support various 3D scenarios from consumers, reduce screens and projectors to professional cinema setups. With our special stereoscopic view, the audience can have a really immersive 3D experience with simple 3D glasses, like in a cinema or with a VR or AR headset. This cinematic lecture hall set up here you find for example at our reference site in Linz, Austria at the Johannes Kepler University. And from Doctor Krauss and Professor Starling are you will hear about their VR and AI use cases later on. So with this I will also end my introductory overview. Let me see if there's any questions in the chat so far. It seems not so. OK, then I would hand over to Doctor Fan Linton. OK. So once again thank you very much. I will try to share my screen as we. Learned how to do it. Umm. So you should see it now. Is it right? Yes, perfect. Thank. You OK? So once again, thank you very much. And as I already said, I started to use our work with cinematic rendering some years ago and. I would like to show you what what I think because usually cardiac surgeons so to say not really care so much about the imaging because if you look at the usual workflow in cardiac surgery, the surgeon here in the middle only has this intraoperative view on the field. Of course we see everything live in 3D, but let's say the typical cardiac surgeon especially years ago was not so much into imaging but with. All of the new technologies like interventional surgeries, minimally invasive surgeries, hybrid procedures, I think it's more and more important that also the surgeon and especially the cardiac surgeons gets involved into the preoperative and post operative imaging. And so that's how my, let's say journey with the zieman started. And of course, we have the coronary imaging, which is routine in cardiac surgery and cardiology. We have the typical angiography. We have some functional measurements that we can do. We have the coronary CT scans which are very precise nowadays. And of course we have MRI. But if you look at the typical CT scans and the reality, as you can see in this video here, sometimes there is a little bit difference between the, let's say typical 3D reconstructions that we are used to with our radiologist and especially the relation between some structures inside the thorax are very important for planning or. Doing the procedures. So we already heard about that, but uh, the cinematic reality rendering has some kind of photorealistic imaging. I think I can skip these slides. It's about shadow. You already heard about that and the first thing that I saw was this video some colleagues from Siemens came to. But now I'm where I used to work before and it was more or less by accident that I saw this video on the on the laptop of the colleague and was really. Fascinated about what Siemens can do with cinematic rendering with a, let's say regular CT scan. And so that's when we started our corporation. And of course it was not the first thing we did, but I want to show you that it's also possible for the heart. So this video is based on the 4D full cycle CT scan of the heart. Of course this is nothing we do in every patient because of radiation. And um, it's not necessary in every patient, but this gives you an impression of what is really possible with cinematic rendering, even in cardiac procedures and planning. The different type of interventions. So then I saw also these. Examples. Not our patients, but patients with erotic dissection preoperative on the left side with the dissection in the aorta and then the postoperative control with the stents. And also the the sternal wires and then. And it came to my mind that maybe we should focus on some coronary images. And these are pictures from but Nauheim. From our patients. And I was really impressed how how many details of the coronary anatomies and stenosis you can see with the cinematic. Rendering and of course it started with let's say some nice and fancy pictures that you can show on, on talks, on conferences and also to patients. But then we had one interesting case again some years ago and but now and it was a patient who had typical angina, so chest pain and he had a conventional angiography and there was everybody said there was no relevance stenosis. So he got back to the regular. Thoughts. Nothing has happened, but yet still angina. So on the next day, our cardiologist did a new angiography and they used the functional flow reserve. So they did a functional analysis of the coronaries and they saw a stenosis and we left. Main coronary artery and they performed a PCI so implanted stent into that vessel. In between, the patient had a CT scan and uh I uh. Sent the CT scan to Siemens because we didn't have cinematic rendering in in. But now I'm on our own and as you can see on the right side with my nice red arrow, these calcification of the vessel can be or could be demonstrated by cinematic rendering. So that was the idea to focus a little bit more on maybe detecting stenosis or calcifications of the vessels that are not visualized. Have the regular angiography and maybe not even visualized by the, let's say, conventional CT. Scans that the radiologist perform in our center. So I would come to back come to this later. Then we did another study of planning procedures with cinematic rendering because there is a very nice and interesting procedure for the patients. It's the so-called mid cap procedure where we only do the one bypass but without cardio pulmonary bypass. So no hardline machine, we don't open the sternum and it's a very minimal invasive procedure and we use. These so-called memory arteries or um theoretic internal arteries and the anastomosis is. To the LAPD on the heart. And the interesting thing about this procedure is that it's really close together. So the memories and the target vessel where we want to do our anastomosis is very close. And with cinematic rendering, it was possible to plan that procedure because we go on the left side in one of the intercostal spaces. And it's nice to know where the memory is, where the target vessel on the heart is and which intercostal space we go through. More to the left, more to the right, maybe 1. Intercostal, more up or more down. So with this, let's say virtual. Yeah, look into the thorax, into the vessels. We could really plan these procedures better and we already published this abstract on a conference some years ago. We can also use this in valve procedures. As well. But as we saw before, maybe for Valve procedures we need more of the full cycle cities. But to really visualise even mechanical heart procedures is possible with the cinematic rendering software. So then I I went to Frankfurt and of course if you change your your location, sometimes there's a little bit of stop in and things that you are doing. So there was a pause for me with cinematic rendering. And then a few years ago I heard about the cinematic or anatomy and now I'm able to. Or I'm lucky that I have the software for me or for our department and the corporation, and I see many advantages of cinematic anatomy because. The software interface is very user friendly. As you have already seen. It's really possible to do this on a. Of course you need a powerful notebook book, but you know don't need to be an expert in radiology to use cinematic anatomy. You have already many presets available where you can see your structures, but you can also. Create new ones as you can see on the right side, the patient we look into the thorax and the patient with a. Periodic dissection again and you can see the two Lumina of the aortic dissection very precise. And I used this application now for patient communication because they like to see the 3D images, they don't understand the 2D black and white images of the CT scan. Medical students, even our residents can can be trained in some pathologies and I think it gives some patient safety and planning. Procedures. These are three more examples of the patient with iotic dissection preoperatively on the left side and the postoperative results on the right side. Again of course you are not all familiar with all the anatomical details of Arctic dissection, but I think if we look in the video you can always see the two Lumina here and the errata and on the post operative images we can see the stand and we can really see that the stent. Is implanted very precise and the Lumina are good perfused and at the end I would like to give you an imp. Question of what we are doing with the from the scientific standpoint, we have a study ongoing. And this is what, uh, what I said before that I would like to come back to the calcification of the coronary arteries because when we train our residents, especially nowadays where many patients are treated with the PCI and we still need of course bypass procedures where the young residents can train their cases. And usually we see the coronary angiography and say, OK, this stenosis are very proximal on the on the coronary vessels. And maybe this is a, let's say, easy case for a resident, but then we open the sternum, open the pericardium. And when we palpate or touch the coronaries, we see or feel that there are more, more calcifications that we thought there would be from the angiography and the case would be or might be a little bit more tricky than we thought before. And so the idea of the study is that we will look at the coronary angio. Feed and see how much calcification or how. Tricky. We think the coronary anatomy and the calcification is and then we compare it to the cinematic anatomy or cinematic rendering images. And of course the study is still ongoing. But from the first impression and from the 1st results, we can definitely say that if you use cinematic anatomy or cinematic rendering. To detect the calcification, this is very or this correlates strongly with what we see or feel in the OR and many of these calcification calcified arteries are not seen in the coronary angiography. So to summarize and to come to the end, I think all these bullet points are pretty clear. We have a very great and entirely book like visualization. It's an enhanced imaging which helps us especially in complex procedures for planning. We have some even evidence in the coronary artery bypass surgery and I also see a great potential in structural heart disease treatment. And as already mentioned, the patient and medical student education is very easy using this tool. So thank you very much. Thank you very much for these impressive insights and uh. Yeah, it's set. Um, we like to take also questions now right after this first talk, but we also. Can first suggest and. Wait for. For the discussion round at the end, I mean the idea here is really to inspire you with really different use cases from our guest speakers and and here I mean uh, you saw already the long history of what Doctor Van Linden is already doing since quite some years with cinematic rendering and now with. The education application in in his study. So thank you very much Doctor Linton, also for pointing out that, uh, you found it easy to to let's say. Getting used to work yourself with the application to create these images by yourself and I really uh yeah can confirm this you I think you got one virtual introduction from us right. So maybe two calls and then yeah the demo videos which we provide as tutorials and then you, yeah just surprised us with great rendering results and we were asking for data to to add to our content library. Yeah. So I I could really agree on that it's it's of course you need to have a little bit let's say experience on imaging itself. It's if you start from scratch maybe it takes a little bit longer. But I think if you want to work with the application usually you have some experience on with imaging and then the processing is really really easy and and the interface is they are quite self explaining you need to try and some things maybe. Something goes wrong, but you can always start from from the beginning and once you have your presets, it doesn't take a long time to create these these images. OK. Thank you for this I think then. We would hand over. I don't see so far questions in the chat. Um. If someone is not finding the chat, just please. Raise your voice exceptionally. I know for some of you teams is not the standard platform to to exchange doctor crowds. Just please go on and and share your screen. Thank. You. Is it on? Yes, not yes, yes, no. Thanks. Yeah, thanks again for the invitation. Yes, and I would like to talk about cinematic rendering based education and general surgery because my disclosure. And yeah, well, the task was to talk about education. And as you heard before, there are potential scopes where you can use and cinematic rendering or cinematic anatomy. And I defined three of them. So student education, of course. Resident training, you heard it before. And also patient education. And for each of these fields of applications. We got that some or a lot of experience during the. Past years and I would like to show some. Of these experiences, let's start with a student education. Well, when I. Talk about education and cinematic rendering. I always start up with the really pioneering work of funds, ferna and in Austria that is giving really interactive lectures at the, ER, Electronica center in Linz, where he has a really. Big screen, that is. That this. Where a 8K Beamer is giving a stereoscopic view and there he's really doing interactive lectures, so he's using. Xbox or PlayStation Controller to manipulate the images and to show pathologies to the auditorium. And. Inspired by this uh, we took uh. This idea to Erlangen. We hadn't had such a nice sophisticated Beamer, but we set up an interactive anatomy lecture. And we evaluated how this lecture and the use of cinematic are knowing impacted or had impact on the students. And actually they were. Really. Amazed by what they saw you, you see a part of the questionnaire that was answered by the students and almost all of them stated that cinematic rendering will add benefit for the understanding of anatomy for the speed of how students will understand anatomy. And even the students thought that this would be a nice thing to have for self study. The second step we were we aim to determine the value of cinematic rendering and medical education in a more objective way. So we set up a a small study was a randomized crossover study where 16 students assessed 20 cases that were predefined and. What we saw is that cinematic we're knowing really improved the comprehension of radiological anatomy compared to conventional CT images. And what we also saw was that these benefits were. The most or mostly pronounced in muscular skeletal anatomy and vascular anatomy. So not. All areas of anatomy will be. Will have the same benefit as others. And what we. Right now use. Cinematic anatomy for is actually interactive case discussion in small groups of students where we. Talk about patient cases. Go through the pathologies. Talk about additional. Diagnostics or way of treatments and even in these case discussions we can virtually perform physical exams. Cinematic rendering is generating really life, like uh, renderings of the patient's skin. And just to show you how detailed that can be, on the left side you see CT scan of a patient and you can even recognize what kind of brand of patients underwear was formed. And, well, one example in general surgery is. Chronic liver disease and the indirect sign of caput medusae, so dilated umbilical veins that can be seen externally and well we use such cases to go or go through the steps of the disease to talk about the the courses etcetera. We also. If something would we call virtual Anatomy lab where we use virtual reality glasses or augmented reality glasses to provide the students with a more immersive 3D experience? Well, unfortunately, uh, right now this is just possible in a single, uh, single user setting. Maybe in the future I hope it will be possible to have multiple users so that you really can have have an interactive virtual anatomy lab. With such technologies. And you saw nice videos before. Well, this is also something. Over there, which is really important and nice to have and where, where you can use cinematic anatomy for really easily to produce educational videos with really high resolution that shows whatever you like, whatever you want to show. Well, the thing, the second thing I want to talk about is residence training. Well, this is something. This is also important. Most of all in surgery of course and we had here also a little study going on that also. Where aiming or was aiming to determine the value of cinematic rendering in the understanding of surgical anatomy pretty much the same as the one I showed before. Here 18 surgeons assist 40 cases and in each case the surgeon had to answer certain questions as this one. A patient case with the pancreatic head tumor that is barely seen on conventional imaging. In my point of view better seen in cinematic rendering. And there we ask if this streamer is contact to a large vessel that is. Important for the intestine and it is important to know before you do it for the section. Uh, another case was this one, uh, giant liver tumor. And here was the question, which vessels were supplying this large liver tumor and what we saw again was that cinematic rendering allowed a more correct and faster comprehension of the anatomical situation and. Less experience. Surgeons or residents benefited more than the attendings. Well, from that we thought OK, how to use it in surgical, surgical training and. A good way I think now is um to use it in what we call virtual surgical training. So take certain steps of of and operation mostly also in general surgery we have standardized operations and these steps can. Can be taken to virtually go through different anatomy settings or. Go through variations of anatomy like here in. Writing colectomy for cancer you have to know really complex vasculature of the small and large intestine and you have a dissection plane where you have to go through. And this is actually what you can simulate with cinematic rendering, for instance this. Vessel here needs to be, uh cut on this side and this one can go beneath this vein or above the vein, and this is something that's. That the residents need to know when they start such the section. It's another example of of the vasculature we face when we do such kinds of operations. And there are many variants of veins here in this area and these variants you can. Take this. As standardized virtual steps and you can teach your residents. Well, maybe in the future we'll be possible to use. Cinematic rendering in mixed reality technologies like C in this setting and. To leverage simulations or simulator trainings. By. Having, really. Realistic views of the patients anatomy. And well, this brings me to the last point. Patient education. Just short. And our faculty colleagues were already testing to what extent food realistic depiction of pathologies may improve the disease understanding of patients and the studies in this study. They could show that the patient really benefited from seeing such pictures. This was in rheumatic disease, one example of bamboo spine and axial spondyloarthritis. When patients see that, they actually understand why they are so limited in their movements and yeah, well, this is something we heard before. Already where cinematic growing can be. Used for. Well, this brings me to the end and I thank you for your attention and I'm glad to answer some questions. Thank you very much. So even three different use cases which you're already like practicing in Arlington, I I hope this was inspiring for the audience and um, open. The stage for questions again. I don't see one yet in the chat I would have. Ohh yes yeah. OK, are there any other feature tools that you would like implemented aside from the multi user function? OK, this is related through the virtual reality, augmented reality setup. Um. Let maybe first of all, yeah comes to this question. Well, yes, maybe as I. Said already, um. Taking cinematic rendering into a surgical simulators, something like that, being able to to manipulate. What you see? In terms of yeah, training and simulation, this is something what I'm dreaming of maybe. Yeah, going into the direct as you showed also the the example at the end, yeah, I would, I mean maybe even before this next step I would have one more question to this AR setup which you already let's say experience with your with your residence and training, so. What additional value do you see when um compared to looking at the cinematic renderings on the on a PC compared to looking at it in in augmented or virtual reality? Apart. From yes, sure, there's certain kind of wow factor. Uh. What additional benefits would you see in in such a setup? Well. When we when we teach, we need to or it's good to have really fascinating things, to show fascinating things and when students. In the beginning of their medical education, go to the cadaver lab. I think is this is something special and something that really burns into their mind and nowadays there are trends to well. Maybe digital? I think. It is. Necessary to have such an really surprising moment for for students. It sounds somehow silly I think, but when when I first saw cinematic rendering or when I played with the patient using augmented reality class, I was so stunned. I will never forget it. And this is something I think we need to provide for students to really have. Those moments and and and education and the education. Yeah. Yeah, definitely. I'm sure it could, uh, increase the motivation for the learning, which we should measure if it's also. Uh yeah, uh supporting them in in in learning through this and. Yeah, maybe this is a good handover to to Professor startling her. Uh oh wait, one more question. I would like to know if the future cinematic will have a labeling of structures because doing it manually sometimes does not seem so attractive for teaching. Through some. Kind. So, yeah. And artificial intelligence telling. You what? Yeah, understood. Yeah, I mean, uh, I think with labeling you, you don't not mean to to annotate, but probably also to segment with artificial intelligence or if it's more related this question to the annotations. I mean there, let's say within Siemens cell seniors we we have uh solutions, uh which enable this already for. With artificial intelligence for for UM for volume rendering and and kind, certain kind. Also cinematic rendering. Not in cinematic anatomy at the moment. Um since uh yeah, it's it's always a question. Also on on. What data you feed in on? How reliable is the this and is um. But uh, So what we at the moment provide within our content library with the prefilled, um, let's say um, datasets we already annotate a lot to other. Make it easier for our customers to get get started or uh that they do not need to work so much by themselves on on datasets and for then their own important ones. It's still up, up to you then as the users to to label them. OK, but I see Professor Starliner is already ready to start. Then let's continue with. Insights from from Zurich. And yeah, not only nice use. Yeah, I put this nice here on the lake. Unfortunately we don't see it everyday. But uh, as you can see here, um, this is University Hospital, here is the dental school, here is the University of Zurich and here is ETH Zurich. So we have a lot of academics in very close and a very close area, which is very good, especially when we go for interdisciplinary projects, so. I'm from the Department of Cranium, Maxillofacial and oral surgery. So with uh, Christian krautz and now no fun Linton, you heard a lot about soft tissue and I'll focus rather on heart tissue. And well, I start with my presentation and the first part with general education in our department and the second part will focus on cinematic rendering. So generally we try to include more and more digital technologies in education, in clinics and certainly in research. And here you can see, for example, a computer animated movie. It shows a dental implant. You can see inflammation due to a biofilm. You can see how the inflammation is absorbing the bone. And this is fused now with the Histology. So we try to use modern imaging in order to illustrate things that we usually only know from a high level of abstraction, like in this histological slide, in a more consumable way for students, uh, for residents, and certainly for patients and also for colleagues. Here's Nazik example, uh, computer animated film, where you see how a tooth is growing in the embryo. You see here the tooth, the crown, and you see the bone and the blood vessels around it. So we try to use a lot of animation in order to illustrate these processes. Uh, also in cellular level, you can see here some histologies. However, if he shows the same cells using for example shadowing, you get plasticity. Yeah, and this which looks like uh springly praline is actually a lymphocyte. Here is an osteoclast and this is the same techniques basically. Or it's the same Toronto which are for example applied in cinematic rendering where you use shadow effects in order to create. 3 dimensionality and it's the same here. Uh, color coloring of um, um surface electron of an electron microscopical image. And you see here with the coloring you get 3 dimensionality to you, especially to the shadow effects which have an influence on our stereoscopic view. And when you use this here you can see epithelial epithelium in a 3 dimensional way, a blood vessel and again if you look at the shadows. Yeah, this is actually what creates this depth perception to our eyes. Or here you can see bone attached to cementum um, which we use in bone surgery. And again the three dimensionality created through the shadowing effects. These are now real images which are artificially colored by hand and certainly such procedures can be automated now in clinics. We have projects. We started projects with augmented reality and with virtual reality. Here for example, you can see the same also classed in a mixed reality app where you use your mobile phone, you put it on the table and you can see the bone and interact with bone. And with a little game, it's a little computer game stimulating bone anatomy. We use video cameras in order to get the observer the residents, the students close uh to the thing. We use image fusion. So here you have an internal scan, not a photo but A3 dimensional scan. You have a CT underneath and you can even illustrate the the tissues underneath the bone surface. So in contrast to classical surgical medical disciplines, in oral surgery we work a lot with cone beam CTS. This is not a fan beam but a cone beam, so. They don't have uh, Hounsfield units, which makes it more a little bit more difficult to use it, for example, for presets when we talk about, uh, cinematic anatomy. But we can do it, and I think we can do it quite well, you'll see in a moment. So we have three types of procedures. We have radiology, we have scanning, and we have printing. And bringing this together we can also add augmented reality. Well, where do we come from? This is an image you may know from your dentist where you see the teeth and uh, we see very different qualities of these images. This is how some patients are referred to us, yeah. For example, here you see overlying calcifications may be interesting for our colleague from a cardiovascular surgery. On the next image we see the same plane however as a multiplanar reconstruction of a cone beam CT, but still in a 2 dimensional way. And now we can go for 3D reconstructions, like here you see a volume reconstruction of this tissue. We can look at the whole data set. Uh, we can erase tissues, we can segment. You see the spine is being erased. Um, we can reduce this only this maxilla or to the mandible. And we can do this in an automated way, or we can do it by hand. Next, uh, we can illustrate underlying tissues. So here using a special viewer, um, the two stooges which actually covered by the bone surface can be visualized and you can illustrate the soft tissue all in the same data set. Uh, another topic, image fusion. Uh, next topic, virtual endoscopy, where for example you can actually scroll through the image. Here we scroll through the nose, you can see the spine and with the better graphic card you would see this actually without any motional artifacts. And certainly all of these datasets can be transferred to virtual reality or augmented reality. Well, this was a brief introduction. Now please let me talk about cinematic rendering. Um, this was the very first image I saw being made by cinematic rendering by a fellow colleague, Uh Sebastian Mickleover from the Department of Neuroradiology. And I must admit I was very much fascinated because. Like. And cloud set. This is like the first moment you get an interaction and you have this, uh, photorealism that comes from the image. Though you can really feel how deep this impression here of the frontal bone is. With in the bone you can approximate the depth, you can approximate how many pieces there are. You can even have a an idea of how the deformation of the orbit took place. Yeah, and also certainly was this maxillar. Fraction. Well. What did we do? Um, I talked uh to Sebastian Winterhoff and uh, they they had the prototype already some years ago and we started to use Cone beam CT datasets and CT datasets for reconstructions. So here for example, you see a patient, he has a gross disturbance, he has an open bite, so the jaw grew in a false direction. It's very vertical. And when the patient choose, he has only contact here. The molar area of the teeth. However, uh, you may agree when you see this image. Uh without being from the field, it may be hard to approximate how uh the teeth actually occlude how they go into each other and when we reconstruct the same image. Now using cinematic you can see this. So you can really approximate how the relation between the maxilla and the mandible is. You can approximate uh the error here of the orbit. Uh, do we see everything in a better way? Subjectively? I'd say, well, we have a very good depth perception on the surface. Also, the volume reconstructions are very, very good. Maybe even a little sharper. Um, apparently our eye. Has several parameters how to judge Photorealism and I will come to this later. Now you see another case. This is a tooth fracture, one of the most common injuries we see. Uh, especially young children, you know, uh going uh for sports, uh, they fall on the twos and from the front you may think that the tooth fractures in a straight line. However, from the side you see that you have this typical S form and that the end of the fracture ends underneath the bone, which is important for dentists to know uh in order to reconstruct the whole thing. So this is an excellent image for teaching. Because you also, you don't only see the sagittal slice, but you also see the depths. For example, here is a powerful cavity so we can teach anatomy and clinical procedures at the same time. He and other case, this is a classical bilateral jaw fracture. So the patient had a trauma here on the para medial side and the pressure translates over to the joint and he has here another fraction ascending in the ascending Ramis. So you know the classical rule on surgery that any any any fracture shall have an image, an imaging from two different directions. So from this here you cannot really predict. How strong the dislocation is. However, when we take the same data set in the cinematic, it's very easy, and even from this oblique view very easy to distinguish the difference or the gap or the dislocation of this fracture. Again, talking about the surface, maybe it's sharper here. So I think these different techniques um. Increase each other's value very well. It's not that the one techniques is replacing the other, but we get added well you by using both of them. And here another case, uh, this is a salivary stone, a very large salivary stone. And again using uh the shadowing you can approximate very well how how large the difference between all the distance between the stone and the mandible actually is, which is important. If you go for surgery in order to perform the resection. Here's some more cases. I'll show you four more cases and then a study we performed to quantify this here. This is an external resorption of a tooth. It's underneath the gum so the patient doesn't see the only feels pain. And again here, very nice image how you can see how this resorption entered the bone in contrast to the classical axial. Fear. So I think an advantage is also in complicated and complex structures. Here we are in the upper jaw in the maxilla, and you see here a young patient and um, this tooth has a gross disturbance. It did not erupt, it did not grow further towards mouse because it was restricted by the neighbouring route. This can be seen very well in this sagittal view, however, if you want the full relation to the maxillary sinus, if you want to. Understand how the bone is covering the root tip, how the relation is to the nasal cavity. This is just an excellent, excellent technique to illustrate this. And certainly we can also segment, uh, single structures like this tooth. And if you look now it's a segmented tooth here it is almost an anatomic quality. So currently we're thinking of performing videos using cinematic anatomy in order to teach 2 signatory to dental students. Another case here is a giant cell associated tumor of the mandible, and again you get a very good impression of the relation between the tumour and the two suits and the structural deformation of the mandible. Professor Starling or we have to look a little bit to the time. Maybe we can skip some of. The examples, sorry, let me go to the statistics. Finally, we quantified the differences and. It's so large advantages for three-dimensional perception and depth perception, not so much for surface sharpness. So especially for depth perception in 3D. Uh, these images are very valuable. And finally I'll show you here a short video. We scanned an anatomical skull which is has had been prepared in cinematic and now we use. Actually a lung preset window in order to illustrate or to show the intra dental structures pulpal cavity. You'll see this in some seconds. Just a second. And now using the same data set we go towards this lung preset and we can actually show the pulpal cavities, which is very important for example for a dentist who wants to do root canal treatment and the image will be rotated. So here you can see the interdental structures in an anatomical way. So my summary, excellent depth perception, excellent 3 dimensionality. The photorealism, the pictures are perceived to be in close to real and I think a great basis for visualization and also in in the future for simulation. Thank you very much. Thank you very much. Also from my time, sorry I it's always that we get into time pressure at the end and we are so fascinating examples. Um, but also thank you for the little demo at the end. It showed, yeah, how easily it is to apply or to to generate a complete different impression just by changing the the the preset. So I I will, I hope some of you can stay still for a little outlook uh to um to um the the the future. But I also want to make those of you aware who need to leave now that we have a little questionnaire in the in the chat and not only thanks a lot for posting already. Then, uh, we would really appreciate your feedback. Uh, before stepping out of this and um, yeah, what I OK, sorry it's loading. What I just. Wanted to summarize, I think um. Yeah we so very interesting use cases and I hope they did inspire you or you could even identify with with one of these um I I would have loved to to hear from you. But further potential you see for applying cinematic anatomy for your purposes. But maybe you can also yeah add this in in the questionnaire I would really very much love to to to know about this. And. To to share with you a little outlook as as uh promised. Um. I I just wanted to make you aware we are currently in a in a pilot phase to explore the cloud based access for cinematic anatomy. So today a subscription for the one premise software for installation is our business model. But we also aim for subscriptions to cloud packages to work with cinematic anatomy and the advantage here is then the hardware independence. So you could then. You or your peers or your students could could work actually um or access the application from anywhere. So just for for the training in in VR, AR there we would need the PC installation. Then this needs a lot of rendering power which we cannot stream. But uh, so this is what I, at least at the end, wanted to to point out. Um and um, yeah, so I think, uh. The questions we we save for the next expert talk or for um, let's say um ongoing exchange after this and uh, because I think this is the possibility also here that we we stay in touch and also you reach out to our guest speakers. We hope you got inspired and now want to try out cinematic anatomy by yourself so you can apply for a free trial license via our web page or by sending an e-mail to me so you will have my contact details also in the. In the chat and um with this, yeah, I want also again beside the chat to link you to our little questionnaire. We really would appreciate your feedback. And. Yeah, apart from this, um. I just can thank you very much for your time and questions today. Or. A special thank you to our guest speakers. So the discussion is said does not need to end here. For sure I'm available for questions afterwards. Uh, my Regional Health seniors colleagues and um, you'll find my contact in the questionnaire. So I wish you a great weekend. I stay a little bit longer in case there's something more to discuss in the chat. And for the rest. I just jump back to our questionnaire barcode and then our QR code. You don't have to pay. And then I thank you very much.

10 11 12 384 192 576 528 288 96 432 240 48 144 33 88 28:08 +32 28:09 28:10 28:12 28:14 28:15 28:17 13 14 15 4.69 4,34 4,73 4,59 4,13 4,0 4,47 4.47 4.13 180 160 140 120 100 60 40 20 80 1.15 60.00 80.00 60.0 31 11/4/2022 30 2034 17 18 19 21 SIEMENS . Healthineers Cinematic Anatomy - Expert Talk 4th November 2022, 4.00 - 5.00 pm (CET) Courtesy of University Hospital of Frankfurt, Germany omy Agenda Topic Presenter Welcome and introduction of the speakers Andrea Beulcke Siemens Healthineers, Cinematic Anatomy - an immersive education solution Cinematic Rendering and Cinematic Anatomy in cardiovascular imaging PD Dr. med. Arnaud Van Linden University Hospital Frankfurt CR-based education in general surgery PD Dr. med. Christian Krautz University Hospital Erlangen Cinematic Rendering reconstructions of cranio-maxillofacial structures Prof. Dr. Dr. Bernd Stadlinger University of Zurich, Concluding Q&A The products/features and/or service offerings (here mentioned) are not commercially available in all countries and/or for all modalities. If the services are not marketed in countries due to regulatory or other reasons, the service offering cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details. Not for clinical use. For training purposes only. Unrestricted Siemens Healthineers, 2022 Guest speaker in our Cinematic Anatomy Expert Talk today PD Dr. med. Prof. Dr. Dr. Bernd Arnaud Van Linden Christian Krautz Stadlinger Consultant and Chief physician and Deputy Clinical Global Product associate lecturer, lecturer Clinic for Director, Clinic of Manager Cinematic Department of General and Visceral Cranio-Maxillofacial Anatomy cardiovascular surgery, Surgery, and Oral Surgery, University Hospital University of Erlangen, Frankfurt, Germany. Germany Switzerland Erlangen, Germany VL Van Linden [Guest) tomy Cinematic Anatomy - an immersive education solution Courtesy of University Hospital of Erlangen, Germany Cinematic Anatomy Presentations Content Library Groups Presentations (60) 2Search Presentation Name,Description, Keyframe ... Extremities Feet Others Factory Presentations Muscles Whole Body Small Chest VA40A BrainNeckCTA Foot Long Legs Legs 3 Keyframes Case Name : CT.smallchest Case Name : BrainNeckCTA Case Name : 6 Case Name : 13 Abdomen Leg Muscles Abdomen Vessels Head-Neck Intracerebral v Abdomen Organs Hip/Pelvis Pelvis Hip/Pelvis Bones Leg Joints Thorax Organs Head Neck Overview - A Head 1 - Veins Pneumatic Spaces 2 Pneumatic Spaces MR Brain Thorax Muscles Shoulder Bones v Head/Neck Pathologies Head/Neck Vessels Other Pathologies Foot Bones Head/Neck Bones Musculosk ... Covid Lungs Selection Hand Bones Fractures Import Malignant Tumors Cases Search Arm V Leg Cinematic Rendering making use of image based lighting The Technology · Special volume rendering algorithm: Cinematic Rendering . Calculating the complex interaction of photons and patient data . Result: photo-realistic image with true depth and form perception The products/features and/or service offerings (here mentioned) are not commercially available in all countries and/or for all modalities. If the services are not marketed in countries due to regulatory or other Courtesy: Department of Radiology, Welwitschia Hospital, Walvis Bay, Namibia reasons, the service offering cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details. Not for clinical use. For training purposes only. Courtesy of Vancouver General Hospital, Canada Cinematic Anatomy improves anatomy education with various features Photo-realistic 3D Variety of tools to visualization with true manipulate the data depth and form visualization and to perception through highlight remarkable parts Cinematic Rendering Real patient cases by Stereoscopic 3D using DICOM data files view for audience with from CT and MRI scans 3D glasses Copyright: Hospital do Coracao, Sao Paulo, Brasilien Completely scalable display set ups Virtual Reality from a small laptop over TV screen experience for single user with to QuadBuffer 3D projectors with VR/AR headset large cinema screens The products/features and/or service offerings (here mentioned) are not commercially available in all countries and/or for all modalities. If the services are not marketed in countries due to regulatory or other reasons, the service offering cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details. Not for clinical use. For training purposes only. Exploring patient data in the 3D space - a truly immersive experience Multi-user 3D - Stereo view Single user 3D - VR/AR option designed to demonstrate anatomical structures enables a single user to explore the 3D visualization to a larger audience using 3D glasses. in a virtual space .* Stereo view visualization with 3D projector and 3D glasses VR visualization * VR/AR head set needs to get connected to the application. For released combinations please see Cinematic Anatomy data sheet. Use case: KLINIKUM FRANKFURT GOETHE-UNIVERSITÄT Frankfurt UNIVERSITÄTS pmy Cinematic Rendering and Anatomy in cardiovascular imaging Department of Thoracic and Cardiovascular Surgery University Hospital Frankfurt am Main cc Imaging in cardiac surgery · Classical imaging in Cardiac Surgery Cardiologist Surgeon Indication · Direct view Outcome Screening Quality Risk assessment Follow-up Preop. Intraop. Postop. Van Linden (Guest) · Current/future imaging is hybrid Interventionalist Direct view Hybrid and procedures Coronary imaging Clinical routine: angiography Newer technique coronary MRI / stress test for FFR > FFR for functional CT found its way into functional assessment assessment guidelines for · CT scan leading to additional 3D anatomical information > ideal planning of CABG procedures Degree of stenoses, functional significance 3D anatomy in relation to cardiac structures (LAA e.g.) Detailed anatomy of coronaries (soft plaque, anastomosis site ... ) Next Step CT imaging · Innovative visualization technology · CT and MR datasets physically accurate image · Use cases in clinical communication, patient education and teaching Precise real-time images SIEMENS Nominated for: GOETHE-UNIVERSITAT Photorealism Importance of light and depth in image interpretation Cinematic Rendering (CR) Courtesy of Israeltitisches Krankenhaus Hamburg, Hamburg, GER Example: Aortic dissection Precise 3D visualization of complete aorta including entry and re-entry Courtesy of Zentrale Radiologie Institut (ZRI) Kepler Universitätsklinikum Linz CR in CABG Stenosis UNIVERSITATS Patient example · Patient presents with angina · Angiography: Exclusion of relevant stenoses · Retrospective confirmation of soft plaque by Cinematic CR in MIDCAB Topographical relation between different anatomical landmarks > Planning redo procedures e.g. Mammaries CR in Valve procedures Van Linden, Bad Nauheim, 2017 Siemens SOMATOM Force · Advantages of CA · User friendly software interface · Available for powerful Notebooks Many presets available Patient communication Medical students · Training for residents · Patient safety CA - Aortic dissection CA - Coronary plaques Ongoing study about coronary plaque detection better anastomosis planning Especially in training cases for better Summary · Cinematic rendering allows for high resolution 'anatomy book' like visualization · Enhanced imaging, especially in complex procedures · First evidence for coronary (CABG, MIDCAB) procedures · Great potential for structural heart disease treatment · Patient and medical student education Thank you! Arnaud.vanlinden@kgu.de WM Andelovic, Luka LK Lena Kadar Daspersgruber A ... Ghanem Chevre, Pascal @ teams.microsoft.com Association of certif .... S https://link.springer .... BS Bernd Stadlinger & Beulcke, Andrea Van Linden (Guest) (Gast) Lauk (Gast) TE CR LW JB TW PC GS DI CP NF AL https://www.ncbi.nl ... November, 4th PowerPoint Datel Bearbeiten Ansicht Format Anordnen Extras Bildschirmpräsentation Fenster Hilfe Fr. 4. Nov. 16:26 Automatisches Speichern AUS 2 Cinematic Anatomy Expert Talk 11_2022 Start Zeichnen Entwurf Animationen Überprüfen Sie wünschen Kommentare Layout v Neue In SmartArt Rild Formen Textfeld Anordnen Schnellformatvorlagen Folie konvertieren CR-based education in General Surgery Department of Surgery Direktor: Prof. Dr. R. Grützmann, MBA UNIVERSITY ERLANGEN-NÜRNBERG Klicken Sie, um Notizen hinzuzufügen Folie 1 von 25 Deutsch (Deutschland) Notizen FAU UNIVERSITAT CK MEDIZINISCHE FAKULTAT FRIEDRICH-ALEXANDER Disclosure · Research Grant and Consultancy Fees from Siemens Healthcare Potential scopes Student Education Resident Training Patient Education Interactive lectures Ars Electronica Center - Linz Prof. Franz Fellner, Department of Radiology at Linz's Kepler University Clinic Contents lists available at ScienceDirect ANATOMY Annals of Anatomy ELSEVIER journal homepage: www.elsevier.com/locate/aanat Objective: RESEARCH ARTICLE *Leveraging medical imaging for medical education - A cinematic To test Cinematic Rendering in the rendering-featured lecture setting of an interactive anatomy Franz A. Fellner, Pascal H.M. Burgerd, Michael Scholze lecture. Average Score Answer Strongly disagree Question 1,2 1,4 1,6 1,8 2,0 2,2 2,4 2,6 2,8 3,0 3,2 3,4 3,6 3,8 4,0 4,2 4,4 4,6 4,8 Disagree Neither agree nor disagree Q3 Understanding of Anatomy Agree Strongly agree Q4 Velocity Q5 Spatial Relationship Q6 Improvement of Education Q7 Knowledge transfer Q8 Self-study Q9 Fears and Concerns Binder et al ., Ann Anat 2018 ,2 4,4 4,6 4,8 4 4,6 4,8 1,2 1,4 1,6 1,8 2,0 2,2 2,4 2,6 2,8 3,0 3,2 3, 3,6 3,8 4,0 4,2 4,4 4,6 4,8 3,6 3,8 4,0 4,2 4,4 4 3,6 3,8 4,0 4,2 4,4 4,6 4,8 Comprehension of radiological anatomy Cinematic Rendering in Anatomy: A Crossover Study Comparing a Novel 3D Reconstruction Technique to Conventional Computed Tomography (n = 16) Johannes S. Binder, (D1 Michael Scholz,2 Stephan Ellmann,3 Michael Uder,3 Robert Grützmann,' Georg F. Weber,1 Christian Krautz D1 Randomization Students assigned to CR-CT sequence and CT-CR sequence and completed CR assessment (n = 8) Period 1 Assessment To determine the value of Cinematic Rendering in Washout period (14 days) medical education of radiological anatomy. Students crossed over and completed CT Period 2 Included in analysis Binder et al ., ASE 2020 (n =8) Results: Cinematic Rendering improves (speeds up) comprehension of radiological anatomy. Computed Tomography Parenchymal Anatomy Musculoskeletal Anatomy Vascular Anatomy CR-CT CT-CR Time to Answer (seconds) 1 2 Assessment Period Interactive case discussion Teaching Points: Virtual Physical Exam/CRC · 3DCR can generate lifelike rendering of a patient's skin, revealing clinically salient physical exam findings. 3DCR-CRC images provide a "time capsule" of transient phys- Virtual physical exam ical exam findings, which can later be reviewed for teaching or clinical decision-making. . 3DCR-CRC may identify superficial findings that would other- wise be occult on routine physical exam; the renderings can alert clinicians to the precise area of abnormality for further evalua- tion. Chirurgische Klinik UNIVERSITÄTSKLINIKUM ERLANGEN Caton et al ., J Neoimaging 2020 Virtual anatomy lab Educational videos C Krautz, Uniklinik Erlangen Comprehension of Surgical Anatomy JAMA Surgery | Original Investigation Comparison of Cinematic Rendering and Computed 18 Surgeons Tomography for Speed and Comprehension of Surgical anatomy. Georg F. Weber, MD, MHBA: Robert Grützmann, MD, MBA; Christian Krautz, MD 9 Assigned to CR - CT Sequence and Completed of CR Assessment Period 1 To determine the value of Cinematic Rendering for the comprehension of the surgical Washout 9 Crossed Over and Completed of CT Assessment Methods: A preclinical study with a randomized, two sequence cross-over design. 9 Included in Analysis Elshafei et al ., Jama Surg 2019 Assessment Pe Case 1: Does the pancreatic head tumor have contact to the superior mesenteric artery? CT Case 14: Is the tumor supplied by vessels from the left hepatic artery? · CR allows a more correct and faster comprehension of the surgical anatomy · Time reduction by CR was 48% for residents and 32.5% for attendings (p=0.01)! Virtual surgical training Right hemicoletomy - dissection of complex vasculature Image 3: Cinematic rendering of a (A) patient with an (1) ICA crossing the (2) SMV posteriorly in comparison to a (B) patient with an ICA passing anteriorly. Image 2: Cinematic rendering of an abdominal computed tomography scan, showcasing the complex venous anatomy. (A) Arterial phase with (1) RCV, (2) RGOV, (3) MCV, and (4) RCA. (B) Venous phase. Integration in mixed-reality technologies / simulations Cinematic rendering in rheumatic diseases- Photorealistic depiction of pathologies improves disease understanding for patients Verena Schönau1.2, Larissa Valor-Mendez1.2, Johannes Knitza1.2, Filippo Fagni1.2, Klaus Engel3, Michael Uder4, Axel Hueber2.5, Christian Schmidkonz6,7, "Department of Internal Medicine 3 - Rheumatology and Immunology, Friedrich-Alexander Zentrum Immuntherapie, Friedrich-Alexander Universität Erlangen-Nürnberg *Institute of Radiology, Friedrich-Alexander Universität Erlangen-Nürnberg and Universitätsklinikum of Industrial Engineering and Health. Technical University of Applied Sciences Amberg-Weiden, Weiden, Germany Cinematic rendering of the spine and ribs in axial spondyloarthritis (axSpA) (A) Conventional radiographs of the spine of a patient with axSpA showing syndesmophyte formation (bamboo spine). Cinematic rendering (CR) based on conventional CT images impressively illustrates the extent of the connected syndesmophytes wrapping around the thoracic spine and the ribs [8) and the lower thoracic spine where syndesmophyte formation is depicted in phhotorealistic way walling the spine Iclose-up (C)l. (D) Conventional radiographs of the pelvis of a Pachowsky et al ., Front Med 2022 FIGURE Collaboration: Siemens Healthcare, Erlangen, Germany Institute of Radiology, University Hospital Erlangen Dr. Klaus Engel Prof. Dr. med. M. Uder Dr. Stefan Assmann Institute of Anatomie, FAU Erlangen Andrea Hofbauer Prof. Dr. med. M. Scholz www.chirurgie.uk-erlangen.de my Zurich, 4. November 2022 Cinematic Rendering reconstructions of cranio-maxillofacial structures Clinic of Cranio-Maxillofacial and Oral Surgery ZZM Universität Zentrum für Zahnmedizin Unive Züric Bernd Stadlinger Digital Technologies Education Clinics Research Multimedial Education Berglundh T, Jepsen S, Stadlinger B, Terheyden H, Periimplantitis and its prevention, Quintessence Publ ., 2018 Makrophages Osteoclasts Neutrophils Hematopoietic Progenitor T Lymphocyte 3/20/2014 det HV HFW 10 um 5:46:34 PMETD 7.00 kV9.2 mm 5 000 x 30.0 um eye of science Fig 5 Masking of the fibroblast with the help of Adobe Photoshop. Keratinisierte Gingiva (Magnification x900) Visual Biology in Oral Medicine, Gruber, Stadlinger, Terheyden, Quintessence Kapillare mit Erythrozyten, Magnification x4000 Bioprinting Scaffolf, Magnification x80 University of ETH zürich Game Technology Center Center of Dental Medicine AR Osteoclasts Educational Game CELL ATLAS - VISUAL BIOLOGY IN ORAL MEDICINE Augmented Reality Minigames Encyclopedia CELL-TO-CELL COMMUNICATION Student Surgery Course Cone Beam CT Intraoral Scanning 3D-Printing Augmented Reality in Oral Surgery Augmented reality environment for temporomandibular joint motion analysis. Wagner A, Ploder O, Zuniga J, Undt G, Ewers R. Accuracy of augmented reality-assisted vs. template-guided apicoectomy - An ex vivo comparative study. Bosshard FA, Valdec S, Dehghani N, Wiedemeier D, Fürnstahl P, Stadlinger B. 2D versus Orthopanoramic Radiography MPR-Cone Beam, CT Tru-Pan" Tick Abst: 2.00 mm Segmentation, Image fusion, Virtual endoscopy Evaluation Image fusion 3D-Funktionen 4 mm HFAPLR VR 60 pte Cinematic rendering 1c 1f Stadlinger B, Valdec S, Wacht L, Essig H, Winklhofer S. 3D-cinematic rendering for dental and maxillofacial imaging. Dentomaxillofac Radiol. 2020 Jan;49(1):20190249. 1a 1b 1d 2a 2b 2c 3a 3c 3d 3f 3b 3e 4a 4b 4c 4d 4e 4f Stadlinger B, Essig H, Schumann P, van Waes H, Valdec S, Winklhofer S.A [Cinematic Rendering in Cone Beam Computed Tomography: Advanced 3D Reconstructions of Dental and Maxillofacial Pathologies]. Swiss Dent J. 2021 Feb 8;131(2):133-139. JOURNAL DENTAL DENT Annals of Steffen T, Winklhofer S, Starz F, Wiedemeier D, Ahmadli U, Stadlinger B. Three-dimensional perception of cinematic rendering versus conventional volume rendering using CT and CBCT data of the facial skeleton. Number of correct/incorrectly answered questions for the rendering methods CR vs. VR Influence of the visual image characteristics Form Perception Contrast Positional Relationship Surface Sharpness Depth Perception count CR versus VR CT - Window MR -Window Strong Studi 3D False Right Ann Anat. 2022 Apr;241:151905. Cinematic Anotomy Lighting Studio MR - Window Soft Bones General Head Heart Lungs Vascular Window (W) Center : Center: - Depth perception - Three-dimensionality - Photorealism (perceived as close to real) - Education, Visualisation and Simulation Thank you bernd.stadlinger@zzm.uzh.ch inematic Anatomy xpert Talk vember, 4th Loading ... Use cases for discussion Use Case of Cinematic Anatomy - clinical training Import and Providing data over Class preparation Individual training preparation of data SmartSimulator platform · Import of scanned patient Sharing with · Self exploration of data · VR set up: In depth DICOM data and creation of peers/students via sets on any PC exploration of rendered presentation · Education on pathologies data set in virtual reality · Selection of preferred SmartSimulator for better understanding · AR set up: Projection of preset to highlight subscription* of spatial relations rendered data set above structures of interest model for procedure · Usage of annotations to tag training important structures The products/features and/or service offerings (here mentioned) are not commercially available in all countries and/or for all modalities. If the services are not marketed in countries due to regulatory or other reasons, the service offering cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details. Not for clinical use. For training purposes only Q&A ... are there any further questions? siemens-healthineers.com/cinematic-anatomy Overview Features Use cases Customer voices Events > Download your application Try it out and download your Cinematic Anatomy application now. After installing the software enter your product license key when opening the application. 4. Download Cinematic Anatomy application (zip) Check out hardware requirements (pdf) 0.15 MB More Information The products/features and/or service offerings (here mentioned) are not commercially available in all countries and/or for all modalities. If the services are not marketed in countries due to regulatory or other reasons, the service offering cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details. Not for clinical use. For training purposes only. We appreciate your feedback In the chat you find the link to the questionnaire or use this QR code: Thank you for joining us today!