MultiPlanar Reformation in CT of the Temporal Bone

  • John I. Lane
Part of the Medical Radiology book series (MEDRAD)


Recent advances in multi-detector ct (mdct) technology allow for the acquisition of volumetric data with isotropic voxel size permitting reconstructions in any plane of section. These post-processing techniques have proven to be of benefit in the evaluation of temporal bone pathology. This chapter demonstrates some of the optimal imaging planes that can be used to display normal anatomy as well as pathology involving the middle and inner ear. Most of the multiplanar reconstructions employed in this chapter are slight modifications of the standard imaging planes utilized in the days of multiplanar tomography (sagittal, coronal, Pöschl, and stenvers planes).


Temporal Bone Semicircular Canal Oblique Plane Vestibular Aqueduct Isotropic Voxel Size 
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  1. Belden CJ, Weg N, Minor LB, Zinreich SJ (2003) Ct evaluation of bone dehiscence of the superior semicircular canal as a cause of sound- and/or pressure-induced vertigo [see comment]. Radiology 226(2):337–343PubMedCrossRefGoogle Scholar
  2. Bin Z, Jingzhen H, Daocai W, Kai L, Cheng L (2008) Traumatic ossicular chain separation: sliding-thin-slab maximum-intensity projections for diagnosis. J Compu Ass Tomogr 32(6):951–954CrossRefGoogle Scholar
  3. Brunner S (1969) Tomography in otoradiology. Radiologe 9(2):56–60PubMedGoogle Scholar
  4. Buckingham RA, Valvassori GE (1973) Tomographic anatomy of the temporal bone. Otolaryngol Clin N Am 6(2):337–362Google Scholar
  5. Hans P, Grant AJ, Laitt RD, Ramsden RT, Kassner A, Jackson A (1999) Comparison of three-dimensional visualization techniques for depicting the scala vestibuli and scala tympani of the cochlea by using high-resolution mr imaging. Am J Neuroradiol 20(7):1197–1206PubMedGoogle Scholar
  6. Henrot P, Iochum S, Batch T, Coffinet L, Blum A, Roland J (2005) Current multiplanar imaging of the stapes. Am J Neuroradiol 26(8):2128–2133PubMedGoogle Scholar
  7. Jackler RK, De La Cruz A (1989) The large vestibular aqueduct syndrome. Laryngoscope 99 (12):1238–1242; discussion 1242–1233Google Scholar
  8. Kelsall DC, Shallop JK, Brammeier TG, Prenger EC (1997) Facial nerve stimulation after nucleus 22-channel cochlear implantation. Am J Otol 18(3):336–341PubMedGoogle Scholar
  9. Krombach GA, Di Martino E, Martiny S, Prescher A, Haage P, Buecker A, Gunther RW (2006) Dehiscence of the superior and/or posterior semicircular canal: delineation on t2-weighted axial three-dimensional turbo spin-echo images, maximum intensity projections and volume-rendered images. Eur Arch Otorhinolaryngol 263(2):111–117PubMedCrossRefGoogle Scholar
  10. Lane J, Lindell E, Witte R, DeLone D, Driscoll C (2006) Middle and inner ear: improved depiction with multiplanar reconstruction of volumetric ct data. Radiographics 26(1):115–124PubMedCrossRefGoogle Scholar
  11. Lane JI, Witte RJ (2010) The temporal bone: an imaging atlas. Springer, HeidelbergGoogle Scholar
  12. Mafee MF, Charletta D, Kumar A, Belmont H (1992) Large vestibular aqueduct and congenital sensorineural hearing loss. Am J Neuroradiol 13(2):805–819PubMedGoogle Scholar
  13. Merchant SN, Rosowski JJ (2008) Conductive hearing loss caused by third-window lesions of the inner ear. Otol Neurotol 29(3):282–289PubMedCrossRefPubMedCentralGoogle Scholar
  14. Naganawa S, Senda K, Yamakawa K, Fukatsu H, Ishigaki T, Nakashima T, Sugimoto H, Aoki I, Takai H (1995) High resolution mr imaging of the inner ear apparatus using 3d-fast spin echo sequence. Nippon Igaku Hoshasen Gakkai Zasshi—Nippon Acta Radiologica 55(1):81–82Google Scholar
  15. Ozgen B, Cunnane ME, Caruso PA, Curtin HD (2008) Comparison of 45 degrees oblique reformats with axial reformats in ct evaluation of the vestibular aqueduct. Am J Neuroradiol 29(1):30–34PubMedCrossRefGoogle Scholar
  16. Pimontel-Appel B, Ettore GC (1980) Pöschl positioning and the radiology of meniere’s disease. J Belge Radiol 63(2–3):359–367PubMedGoogle Scholar
  17. Vanspauwen R, Salembier L, Van den Hauwe L, Parizel P, Wuyts FL, Van de Heyning PH (2006) Posterior semicircular canal dehiscence: value of vemp and multidetector ct. B-ENT 2(3):141–145PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Division of Neuroradiology, Department of RadiologyMayo Clinic College of MedicineRochesterUSA

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