Three-dimensional reconstruction of the temporal bone: Comparison of in situ, CT, and CBCT measurements

Three-dimensional reconstruction of the temporal bone: Comparison of in situ, CT, and CBCT measurements
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DOI:
10.1016/j.anorl.2018.08.013
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发表时间:
2018-12-01
影响因子:
2.5
通讯作者:
Marianowski, R.
Marianowski, R.
中科院分区:
医学4区
文献类型:
--
作者:
Guyader, E.;Savean, J.;Marianowski, R.

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目的:目的:评价人颞骨三维(3D)锥形束计算机断层扫描(CBCT)和计算机断层扫描(CT)重建的准确性,并与原位测量结果进行比较。使用Wilcoxon检验比较在原位测量的每个颞骨上的8个距离,然后在3D CT和CBCT重建上测量。使用了六个标志:外耳道(EAC)、乳突尖、枕骨尖、乳突瘤、乳突尖上方1 cm处(TO)结果:3种测量方法的测量结果均无显著性差异(P > 0. 05结论:CBCT是一种新的影像学检查方法,能提供与CT同样可靠的颞骨三维重建图像。由于与CT相比具有更好的空间分辨率,CBCT与显著更低的辐射剂量相关。该技术构成了形态学的进步,因为CBCT与CT相当,允许以较低的辐射剂量研究病变耳。(C)2018年Elsevier Masson SAS。All rights reserved.
Objective: To evaluate the accuracy of three-dimensional (3D) Cone Beam Computed Tomography (CBCT) and Computed Tomography (CT) reconstructions of human temporal bones compared with in situ measurements.Material and methods: Experimental anatomical study of 10 human temporal bones. Wilcoxon's test was used to compare 8 distances on each temporal bone measured in situ and then on 3D CT and CBCT reconstructions. Six landmarks were used: external auditory canal (EAC), tip of the mastoid process, tip of the occiput, zygoma, a point situated 1 cm above the tip of the mastoid process (TO) (open technique: lower limit of the mastoidectomy), head of stapes.Results: No significant difference was observed between the 3 measuring techniques for any of the distances studied (P > 0.05).Discussion: This study demonstrates the equivalence of CBCT and CT for temporal bone measurements.Conclusion: CBCT is a new imaging modality providing 3D reconstructions of the temporal bone that are as reliable as those obtained by CT. As a result of better spatial resolution compared to CT, CBCT is associated with a significantly lower radiation dose. This technique constitutes a morphological progress, as CBCT is comparable to CT, allowing investigation of pathological ears with a lower radiation dose. (C) 2018 Elsevier Masson SAS. All rights reserved.