Abstract
Objective
To determine whether the diagnostic value of cone-beam computed tomography (CBCT) is equivalent or superior to that of multi-detector computed tomography (MDCT) for the radiological assessment of conductive hearing loss with intact tympanic membrane in adults. Evaluation of inter- and intraobserver variability and measurement of the radiation dosimetry associated with each technique were secondary objectives.
Study design
Prospective, single-center study.
Methods
Ten adults were included from April to June 2013. All patients underwent MDCT and CBCT with reconstruction of temporal bones. Two radiologists with ENT experience reviewed the results twice. Diagnostic agreement between MDCT and CBCT and inter- and intraobserver agreement was evaluated with the kappa statistic. Comparisons of dosimetry were evaluated by calculating the ratio of the CT dose index (CTDI) between MDCT and CBCT.
Results
Diagnostic agreement between MDCT and CBCT was satisfactory (kappa = 0.69). Inter- and intraobserver agreement was also acceptable, and the average ratio of the CTDI of MDCT and CBCT was 4.01.
Conclusion
CBCT is a reliable method that uses a low dose of radiation to investigate conductive hearing loss with intact tympanic membrane in adults. Its relevance and potential superiority to MDCT in diagnosing middle ear pathologies such as otosclerosis remain to be demonstrated, but the preliminary data are promising.
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References
Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IA (1998) A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol 8(9):1558–1564
Patel S, Dawood A, Ford TP, Whaites E (2007) The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J 40(10):818–830
Miracle AC, Mukherji SK (2009) Conebeam CT of the head and neck, part 2: clinical applications. AJNR Am J Neuroradiol 30(7):1285–1292
Faccioli N, Barillari M, Guariglia S et al (2009) Radiation dose saving through the use of cone-beam CT in hearing-impaired patients. Radiol Med 114(8):1308–1318
Gupta R, Bartling SH, Basu SK et al (2004) Experimental flat-panel high-spatial-resolution volume CT of the temporal bone. AJNR Am J Neuroradiol 25(8):1417–1424
Dalchow CV, Weber AL, Yanagihara N, Bien S, Werner JA (2006) Digital volume tomography: radiologic examinations of the temporal bone. AJR Am J Roentgenol 186(2):416–423
Dalchow CV, Weber AL, Bien S, Yanagihara N, Werner JA (2006) Value of digital volume tomography in patients with conductive hearing loss. Eur Arch Otorhinolaryngol 263(2):92–99
Peltonen LI, Aarnisalo AA, Kortesniemi MK, Suomalainen A, Jero J, Robinson S (2007) Limited cone-beam computed tomography imaging of the middle ear: a comparison with multislice helical computed tomography. Acta Radiol 48(2):207–212
Cerini R, Faccioli N, Barillari M et al (2008) Bionic ear imaging. Radiol Med 113(2):265–277
Peltonen LI, Aarnisalo AA, Käser Y et al (2009) Cone-beam computed tomography: a new method for imaging of the temporal bone. Acta Radiol 50(5):543–548
Granström G, Gröndahl HG (2011) Imaging of osseointegrated implants in the temporal bone by accuitomo 3-dimensional cone beam computed tomography. Otol Neurotol 32(2):199–203
Güldner C, Heinrichs J, Weiß R et al (2013) Visualisation of the Bonebridge by means of CT and CBCT. Eur J Med Res 18:30
Redfors YD, Gröndahl HG, Hellgren J, Lindfors N, Nilsson I, Möller C (2012) Otosclerosis: anatomy and pathology in the temporal bone assessed by multi-slice and cone-beam CT. Otol Neurotol 33(6):922–927
Liktor B, Révész P, Csomor P, Gerlinger I, Sziklai I, Karosi T (2014) Diagnostic value of cone-beam CT in histologically confirmed otosclerosis. Eur Arch Otorhinolaryngol 271(8):2131–2138
Veillon F, Stierle JL, Dussaix J, Ramos-Taboada L, Riehm S (2006) Imagerie de l’otospongiose: confrontation clinique et imagerie. J Radiol 87:1756–1764
Offergeld C, Kromeier J, Aschendorff A et al (2007) Rotational tomography of the normal and reconstructed middle ear in temporal bones: an experimental study. Eur Arch Otorhinolaryngol 264(4):345–351
Bremke M, Lüers JC, Stenner M et al (2013) Radiologic examinations in human temporal bone specimens using digital volume tomography and high-resolution computed tomography after implantation of middle ear prosthesis and cochlear implant electrode array. Otol Neurotol 34(7):1321–1328
Majdani O, Thews K, Bartling S et al (2009) Temporal bone imaging: comparison of flat panel volume CT and multisection CT. AJNR Am J Neuroradiol 30(7):1419–1424
Dahmani-Causse M, Marx M, Deguine O, Fraysse B, Lepage B, Escudé B (2011) Morphologic examination of the temporal bone by cone beam computed tomography: comparison with multislice helical computed tomography. Eur Ann Otorhinolaryngol Head Neck Dis 128(5):230–235
Gulya J, Schuknecht HE (2007) Anatomy of the temporal bone with surgical implications. 3rd ed Informa Healthcare. CRC Press, Baco Raton, p 351
Eibenberger K, Carey J, Ehtiati T, Trevino C, Dolberg J, Haslwanter T (2014) A novel method of 3D image analysis of high-resolution cone beam CT and multi slice CT for the detection of semicircular canal dehiscence. Otol Neurotol 35(2):329–337
Dierckx D, Saldarriaga Vargas C, Rogge F, Lichtherte S, Struelens L (2015) Dosimetric analysis of the use of CBCT in diagnostic radiology: sinus and middle ear. Radiat Prot Dosimetry 163(1):125–132
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later or comparable ethical standards.
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Debeaupte, M., Hermann, R., Pialat, JB. et al. Cone beam versus multi-detector computed tomography for detecting hearing loss. Eur Arch Otorhinolaryngol 276, 315–321 (2019). https://doi.org/10.1007/s00405-018-5214-y
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DOI: https://doi.org/10.1007/s00405-018-5214-y