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在耳植入物中进行手术前成像.

Andrew Y Lee1, Diana Y Lee2, James E Saunders

  • 1Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
|March 13, 2024
PubMed
概括
此摘要是机器生成的。

计算机断层扫描 (CT) 和磁共振成像 (MRI) 很少在耳植入候选人中发现重大异常,发现很少改变手术计划. 这些成像技术对耳闭塞的敏感性较低,但在阳性时可以为手术决定提供信息.

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科学领域:

  • 放射学 放射学是一门学科.
  • 耳鼻喉科 耳鼻喉科 耳鼻喉科
  • 神经外科 神经外科

背景情况:

  • 耳植入是一种常见的手术治疗严重到严重的听力损失.
  • 术前成像对于识别可能影响手术方法和结果的耳异常至关重要.

研究的目的:

  • 评估计算机断层扫描 (CT) 和磁共振成像 (MRI) 在识别耳植入候选人的手术前异常的诊断效用.
  • 评估成像研究结果对手术管理和术后结果的影响.

主要方法:

  • 对207名接受CT和/或MRI的耳植入患者的回顾性审查.
  • 分析年龄与成像发现,成像异常和术后结果,成像发现和电极设计之间的相关性.
  • 对剑桥耳植入物协议 (CCIP) 的评估,用于识别异常.
  • 计算CT和MRI在检测耳闭塞和不完整隔断时的灵敏度和特异性.

主要成果:

  • 术前显著的放射性异常不常见,影响15.5%的CT扫描和5.9%的MRI扫描.
  • 对于CT或MRI,儿童和成人之间没有发现相关成像异常的显著差异.
  • CCIP状态与耳异常相关,但只确定了46.2%的CT异常.
  • CT和MRI表现出低灵敏度 (分别为40%和33.33%),但高特异性 (分别为95.73%和96.97%),用于检测需要手术干预的耳封闭.
  • 在成像异常,电极设计和术后AzBio分数之间没有发现显著的关联.

结论:

  • 手术前的CT和MRI显示少数耳植入候选人的显著异常,发现很少导致手术管理的变化.
  • 该CCIP不是可靠的预测耳异常的指标.
  • 虽然CT和MRI对检测耳闭塞的敏感性有限,但积极的发现可以影响外科决定.