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Weber, Lena ; Kwok, Pingling ; Picou, Erin M. ; Wendl, Christina ; Bohr, Christopher ; Marcrum, Steven C.

Vermessung der Cochlea mittels eines Tablet-basierten Softwarepakets: Einfluss der Bildgebungsmodalität und des Untersucherhintergrunds

Weber, Lena, Kwok, Pingling, Picou, Erin M., Wendl, Christina, Bohr, Christopher und Marcrum, Steven C. (2022) Vermessung der Cochlea mittels eines Tablet-basierten Softwarepakets: Einfluss der Bildgebungsmodalität und des Untersucherhintergrunds. HNO 70 (10), S. 769-777.

Veröffentlichungsdatum dieses Volltextes: 02 Feb 2023 07:17
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.53666


Zusammenfassung

Background Cochlear duct length (CDL) is subject to significant individual variation. In the context of cochlear implantation, adapting the electrode array length to the CDL is of potential interest, as it has been associated with improvements in both speech recognition and sound quality. Using a tablet-based software package, it is possible to measure CDL at the level of the organ of Corti ...

Background Cochlear duct length (CDL) is subject to significant individual variation. In the context of cochlear implantation, adapting the electrode array length to the CDL is of potential interest, as it has been associated with improvements in both speech recognition and sound quality. Using a tablet-based software package, it is possible to measure CDL at the level of the organ of Corti (CDLOC) to select appropriate electrode array lengths based on individual cochlear anatomy. Objective To identify effects of imaging modality and rater background on CDL estimates. Methods Magnetic resonance imaging (MRI) and flat-panel volume CT (fpVCT) scans of 10 patients (20 cochleae) were analyzed using the OTOPLAN software package (MED-EL, Innsbruck, Austria). Raters were an otorhinolaryngology (ORL) specialist, an ORL resident, and an audiologist. To analyze effects of rater background and imaging modality on CDL measurements, linear mixed models were constructed. Results Measurements showed mean CDLOC(fpVCT) = 36.69 +/- 1.78 mm and CDLOC(MRI) = 36.81 +/- 1.87 mm. Analyses indicated no significant effect of rater background (F(2, 105) = 0.84; p = 0.437) on CDL estimates. Imaging modality, on the other hand, significantly affected CDL (F (1, 105) = 20.70; p < 0.001), whereby estimates obtained using MRI were 0.89 mm larger than those obtained using fpVCT. Conclusion No effect of rater background on CDL estimates could be identified, suggesting that comparable measurements could be obtained by personnel other than specially trained neurootologists. While imaging modality (fpVCT vs. MRI) did impact CDL results, the difference was small and of questionable clinical significance.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftHNO
Verlag:Springer
Ort der Veröffentlichung:NEW YORK
Band:70
Nummer des Zeitschriftenheftes oder des Kapitels:10
Seitenbereich:S. 769-777
Datum15 August 2022
InstitutionenMedizin > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde
Medizin > Lehrstuhl für Röntgendiagnostik
Identifikationsnummer
WertTyp
10.1007/s00106-022-01208-3DOI
Stichwörter / KeywordsFLAT-PANEL CT; DUCT LENGTH; ELECTRODE; IMPLANTATION; PERFORMANCE; INSERTION; ADULTS; Cochlear implant; Cochlear duct length; OTOPLAN; Magnetic resonance imaging; Computed tomography
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenZum Teil
URN der UB Regensburgurn:nbn:de:bvb:355-epub-536664
Dokumenten-ID53666

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