Cinematic Rendering Following a Bone Marrow Harvesting Procedure
Introduction
A 46-year-old man presented to the emergency department with nausea, vomiting, and syncope after a bone marrow harvesting procedure. Initial laboratory results demonstrated a reduction in hemoglobin level from 15.7 g/dL to 12.2 g/dL, and contrast material–enhanced CT was ordered for further evaluation. Cinematic rendering (Figure) allows for full evaluation of the extent of bone marrow harvesting. It provides a clear three-dimensional representation of the anatomic distribution of sites of aspiration from the iliac bones (1,2). A small hematoma was present in the left lower abdomen. There was no need for treatment, and the patient was discharged the next morning in stable condition.
(a) Posterior coronal cinematic rendered image from an intravenous contrast-enhanced CT scan demonstrates numerous puncture holes within both iliac crests (arrows). (b) Oblique coronal cinematic rendered image provides further anatomic detail of the relationship between the puncture holes (white arrow) and branches of the internal iliac artery (black arrow).
(a) Posterior coronal cinematic rendered image from an intravenous contrast-enhanced CT scan demonstrates numerous puncture holes within both iliac crests (arrows). (b) Oblique coronal cinematic rendered image provides further anatomic detail of the relationship between the puncture holes (white arrow) and branches of the internal iliac artery (black arrow).
References
- 1. . MDCT angiography with 3D rendering: a novel cinematic rendering algorithm for enhanced anatomic detail. AJR Am J Roentgenol 2017;209(2):309–312. Crossref, Medline, Google Scholar
- 2. . CT evaluation of musculoskeletal trauma: initial experience with cinematic rendering. Emerg Radiol 2018;25(1):93–101. Crossref, Medline, Google Scholar
Article History
Received: Jan 26 2019Revision requested: Feb 11 2019
Revision received: Feb 19 2019
Accepted: Feb 20 2019
Published online: Apr 02 2019
Published in print: May 2019
