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Imaging of Cochlear Implants

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Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Cochlear implantation has become a widely available tool for successful treatment of deafness or severe sensorineural hearing loss in patients who do not receive adequate benefit from hearing aids. Imaging plays an important role in the selection of suitable candidates and in the planning of the surgery. Therefore, preoperative assessment should provide optimal information on the anatomy of the ear with its normal variances and pathology of the temporal bone and auditory pathway. Postoperative imaging (mostly plain X-ray) is the standard of care in most centers to confirm correct intracochlear positioning of the array. Multislice CT-scanning or flat panel CT is done routinely in some centers, but is usually reserved for cochlear implant recipients with suspected complications after the surgery or malfunctioning of the implant. It is also applied in cochlear implant research to get better insights into the working of cochlear implants.

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References

  • Bredberg G, Lindström B, Löppönen H, Skarzynski H, Hyodo M, Sato H (1997) Electrodes for ossified cochleas. Am J Otol 18(6 Suppl):S42–S43

    PubMed  CAS  Google Scholar 

  • Cohen LT, Xu J, Tycocinski M, Saunders E, Raja D, Cowan R (2000) Evaluation of an X-ray analysis method: comparison of electrode position estimates with information from phase contrast X-ray and histology. In: 5th European symposium on paediatric cochlear implantation, Antwerp, Belgium

    Google Scholar 

  • Dhooghe IJM, De Vel E, Urgell H et al (2002) Cochlear implantation in a patient with superficial siderosis of the central nervous system. Otol Neurotol 23:468–472

    Article  Google Scholar 

  • Fatterpekar GM, Mukherji SK, Alley J, Lin Y, Castillo M (2000) Hypoplasia of the bony canal for the cochlear nerve in patients with congenital sensorineural hearing loss: initial observations. Radiology 215(1):243–246

    Article  PubMed  CAS  Google Scholar 

  • FDA (1984) Summary of safety and effectiveness data, 26 Nov 1984, PMA nr P830069

    Google Scholar 

  • Friedman RA, Bykhovskaya Y, Tu G, Talbot JM, Wilson DF, Parnes LS, Fischel-Ghodsian N (1997) Molecular analysis of the POU3F4 gene in patients with clinical and radiographic evidence of X-linked mixed deafness with perilymphatic gusher. Ann Otol Rhinol Laryngol 106(4):320–325

    Article  PubMed  CAS  Google Scholar 

  • Frijns JH, Kalkman RK, Briaire JJ (2009) Stimulation of the facial nerve by intracochlear electrodes in otosclerosis: a computer modeling study. Otol Neurotol 30(8):1168–1174

    Article  PubMed  Google Scholar 

  • Hegarty JL, Patel S, Fischbein N, Jackler RK, Lalwani AK (2002) The value of enhanced magnetic resonance imaging in the evaluation of endocochlear disease. Laryngoscope 112(1):8–17

    Article  PubMed  Google Scholar 

  • Jain R, Mukherji SK (2003) Cochlear implant failure: imaging evaluation of the electrode course. Clin Radiol 58(4):288–293

    Article  PubMed  CAS  Google Scholar 

  • Klein M, Koedel U, Pfister HW, Kastenbauer S (2003) Morphological correlates of acute and permanent hearing loss during experimental pneumococcal meningitis. Brain Pathol 13:123–132

    Article  PubMed  Google Scholar 

  • Kos MI, Boex C, Sigrist A, Guyot JP, Pelizzone M (2005) Measurements of electrode position inside the cochlea for different cochlear implant systems. Acta Otolaryngol 125:474–480

    PubMed  Google Scholar 

  • Lenarz T, Lesinski-Shiedat A, Weber BP et al (2001) The nucleus double array cochlear implant: a new concept for the obliterated cochlea. Otol Neurotol 22:24–32

    Article  PubMed  CAS  Google Scholar 

  • Lin K, Marrinan MS, Waltzman SB et al (2006) Multichannel cochlear implantation in the scala vestibuli. Otol Neurotol 27:634–638

    Article  PubMed  Google Scholar 

  • Marsh MA, Xu J, Blamey PJ et al (1993) Radiologic evaluation of multichannel intracochlear implant insertion depth. Am J Otol 14(4):386–391

    PubMed  CAS  Google Scholar 

  • Merchant SN, Gopen Q (1996) A human temporal bone study of acute bacterial meningogenic labyrinthitis. Am J Otol 17:375–385

    PubMed  CAS  Google Scholar 

  • Merkus P, Free RH, Mylanus EA, Stokroos R, Metselaar M, van Spronsen E, Grolman W, Frijns JH (2010) Dutch Cochlear Implant Group (CI-ON) consensus protocol on postmeningitis hearing evaluation and treatment. Otol Neurotol 31(8):1281–1286

    Article  PubMed  Google Scholar 

  • Nadol JB Jr (1997) Patterns of neural degeneration in the human cochlea and auditory nerve: implications for cochlear implantation. Otolaryngol Head Neck Surg 117(3 Pt 1):220–228

    Article  PubMed  Google Scholar 

  • Nevoux J, Loundon N, Leboulanger N, Roger G, Ducou Le Pointe H, Garabédian EN (2010) Cochlear implant in the carotid canal. Case report and literature review. Int J Pediatr Otorhinolaryngol 74(6):701–703

    Google Scholar 

  • O'Driscoll M, El-Deredy W, Atas A, Sennaroglu G, Sennaroglu L, Ramsden RT (2011) Brain stem responses evoked by stimulation with an auditory brain stem implant in children with cochlear nerve aplasia or hypoplasia. Ear Hear 32(3):300–312

    Google Scholar 

  • Parry DA, Booth T, Roland PS (2005) Advantages of MRI over CT in preoperative evaluation of cochlear implant candidates. Otol Neurotol 26(5):976–982

    Article  PubMed  Google Scholar 

  • Rappaport JM, Bhatt SM, Kimura RS, Lauretano AM, Levine RA (1999) Electron microscopic temporal bone histopathology in experimental pneumococcal meningitis. Ann Otol Rhinol Laryngol 108:537–547

    Article  PubMed  CAS  Google Scholar 

  • Rebscher SJ, Hetherington A, Bonham B, Wardrop P, Whinney D, Leake PA (2008) Considerations for design of future cochlear implant electrode arrays: electrode array stiffness, size, and depth of insertion. J Rehabil Res Dev 45:731–747

    Article  PubMed  PubMed Central  Google Scholar 

  • Rotteveel LJC, Proops DW, Ramsden RT et al (2004) Cochlear implantation in 53 patients with otosclerosis: demographics, computed tomographic scanning, surgery and complications. Otol Neurotol 25:943–952

    Article  PubMed  Google Scholar 

  • Ruivo J, Mermuys K, Bacher K, Kuhweide R, Offeciers E, Casselman JW (2009) Cone beam computed tomography, a low-dose imaging technique in the postoperative assessment of cochlear implantation. Otol Neurotol 30:299–303

    Article  PubMed  Google Scholar 

  • Skinner MW, Holden TA, Whiting BR et al (2007) In vivo estimates of the position of advanced bionics electrode arrays in the human cochlea. Ann Otol Rhinol Laryngol Suppl 197:2–24

    Article  PubMed  Google Scholar 

  • Stakhovskaya O, Sridhar D, Bonham BH, Leake PA (2007) Frequency map for the human cochlear spiral ganglion: implications for cochlear implants. J Assoc Res Otolaryngol 8:220–233

    Article  PubMed  PubMed Central  Google Scholar 

  • NIH Consensus Statement (1995) Cochlear implants in adults and children, 2nd edn, vol 13, pp 1–3

    Google Scholar 

  • Verbist BM, Joemai RM, Teeuwisse WM, Veldkamp WJ, Geleijns J, Frijns JH (2008) Evaluation of 4 multisection CT systems in postoperative imaging of a cochlear implant: a human cadaver and phantom study. AJNR Am J Neuroradiol 29(7):1382–1388

    Article  PubMed  CAS  Google Scholar 

  • Verbist BM, Joemai RMS, Briaire JJ, Teeuwisse WM, Veldkamp JHM, Frijns JHM (2010a) Cochlear coordinates in regard to cochlear implantation: a clinically individually 3-dimensional CT-based method. Otol Neurotol 31(5):738–744

    Article  PubMed  Google Scholar 

  • Verbist BM, Skinner MW, Cohen LT, Leake PA, James C, Boëx C, Holden TA, Finley CC, Roland PS, Roland T, Haller M, Patrick JF, Jolly CN, Faltys MA, Briaire JJ, Frijns JHM (2010b) Consensus panel on a cochlear coordinate system applicable in histological, physiological, radiological studies of the human cochlea. Otol Neurotol 31(5):722–730

    Article  PubMed  PubMed Central  Google Scholar 

  • Verbist BM, Joemai RMS, Briaire JJ, Teeuwisse WM, Veldkamp JHM, Frijns JHM (2010c) Cochlear coordinates in regard to cochlear implantation: a clinically individually 3-dimensional CT-based method. Otol Neurotol 31(5):738–744

    Article  PubMed  Google Scholar 

  • Wild C, Allum J, Probst R, Abels D, Fischer C, Bodmer D (2010) Magnet displacement: a rare complication following cochlear implantation. Eur Arch Otorhinolaryngol 267(1):57–59

    Article  PubMed  Google Scholar 

  • Wilson BS, Dorman MF (2008) Cochlear implants: current designs and future possibilities. J Rehabil Res Dev 45(5):695–730

    Article  PubMed  Google Scholar 

  • Wood VH, Bird PA, Giles EC et al (2008) Unsuccessful cochlear implantation in two patients with superficial siderosis of the central nervous system. Otol Neurotol 29:622–625

    Article  PubMed  Google Scholar 

  • Xu J, Xu SA, Cohen LT, Clark GM (2000) Cochlear view: postoperative radiography for cochlear implantation. Am J Otol 21:49–56

    Article  PubMed  CAS  Google Scholar 

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Correspondence to B. M. Verbist .

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© 2012 Springer-Verlag Berlin Heidelberg

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Verbist, B.M., Frijns, J.H.M. (2012). Imaging of Cochlear Implants. In: Lemmerling, M., De Foer, B. (eds) Temporal Bone Imaging. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2012_776

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  • DOI: https://doi.org/10.1007/174_2012_776

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-17895-5

  • Online ISBN: 978-3-642-17896-2

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