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An innovative method to visualise mastoiditis using a hand-held X-ray system
Samantha L Purchase1, Vladimir I Bazaliiskii2, Angela R Lieverse3
1Department of Archaeology, University of Sheffield, United Kingdom.
Objective:
We explore the utility of using a hand-held X-ray system to diagnose mastoiditis in archaeological populations.
Materials:
A sample (n = 56) of hunter-fisher-gatherers from the Early Neolithic (8,000-7,000/6,800 cal. BP) Cis-Baikal cemetery of Shamanka II (Russia) were examined.
Methods:
Images were taken medio-laterally, approximately 90° to a sensor temporarily affixed to the lateral surface of the mastoid process. Digital radiographs were analysed for signs of mastoiditis occurring pre- and/or post-puberty.
Results:
Two thirds of individuals (39/56) exhibited evidence of mastoiditis. Chronic mastoiditis and chronic sinusitis co-occurred in 61.5% (24/39) of observable individuals.
Conclusions:
This method was found to be an effective, convenient, and versatile non-destructive alternative to sectioning and traditional radiographic imaging.
Significance:
This is the first project to adapt a hand-held X-ray system for imaging and diagnosis of mastoiditis and this approach encourages future analyses of this infection.
Limitations:
The cost of the imaging system is limiting and there are few comparative images taken in the same plane.
Suggestions For Further Research:
Further research should create a larger catalogue of comparative radiographs and assess the diagnostic potential of imaging the mastoid process to rather than imaging the entire pneumatized portion of the temporal bone.
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