Intraduction Cinematic rendering is a novel post-processing technique for 3D visualization of CT image data. Similar to Volume Rendering, CR best visualizes high density and high contrast structures such as bones and blood vessels with contrast media. Compared to VR, CR results in a more photo-realistic representation of anatomy.

Aim The main question is can CR replace DSA? Does CR provide enough quality reconstruction to be able to replace DSA?

Methods I want to show you how we use it in brain aneurysm detection and most importantly, how we use it when planning endovascular or neurosurgical procedures.

Results I will try to explain the advantages for INRs, neurosurgens, patients and for the management.

Conclusion For us, yes CR can replace DSA but only if the reconstructions are of high quality, and if our surgeons get all the information needed. We reduced the number of DSAs by approximately 20 percent. We use CR for a short time now, but we belive that it will certainly bring great changes for INR protocols.

Disclosure of Interest Nothing to disclose