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Research ArticleHead and Neck Imaging
Open Access

Vestibular Aqueduct Measurements in the 45° Oblique (Pöschl) Plane

A.F. Juliano, E.Y. Ting, V. Mingkwansook, L.M. Hamberg and H.D. Curtin
American Journal of Neuroradiology July 2016, 37 (7) 1331-1337; DOI: https://doi.org/10.3174/ajnr.A4735
A.F. Juliano
aFrom the Department of Radiology (A.F.J., H.D.C.), Massachusetts Eye and Ear Infirmary
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E.Y. Ting
cDepartment of Diagnostic Imaging (E.Y.T.), National University Health System, Singapore
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V. Mingkwansook
dDepartment of Radiology (V.M.), Thammasat University Hospital, Pathumthani, Thailand.
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L.M. Hamberg
bDepartment of Radiology (L.M.H.), Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
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H.D. Curtin
aFrom the Department of Radiology (A.F.J., H.D.C.), Massachusetts Eye and Ear Infirmary
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  • Fig 1.
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    Fig 1.

    The vestibular aqueduct as seen on axial (A), coronal (B), sagittal (C), and the 45° oblique (Pöschl) (D) planes (arrows). It can be seen along its entire longitudinal length on the 45° oblique plane, but only partially on the other planes. It also appears wider on the axial, coronal, and sagittal planes, due to the oblique orientation of its cross-section relative to these planes, which may lead to overestimation of its width when measurement is made in these planes.

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    Fig 2.

    CT image of the vestibular aqueduct in the 45° oblique plane. The midpoint of the vestibular aqueduct is identified, and a line (shown in black) is drawn perpendicular to its wall. The width is measured along this line.

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    Fig 3.

    The vestibular aqueduct of a cadaveric temporal bone displayed in the 45° oblique plane (arrow), in a histologically processed microtome section (A) and in a CT image (B).

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    Fig 4.

    A graph of the distance along a line drawn through the midpoint of the vestibular aqueduct (x-axis) plotted against CT attenuation in Hounsfield units at each point along this line (y-axis). The optimal percentage attenuation is denoted on the graph. Through radiologic-histologic correlation by using the cadaveric temporal bone specimen, the OPA was found to be 30%.

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    Fig 5.

    Scatterplot showing comparison between the subjective and objective techniques. Each point denotes the midpoint vestibular aqueduct measurement made by using the subjective (visual assessment) technique (x-axis) plotted against that made by using the objective (modified full width at half maximum/OPA) technique (y-axis). The Pearson correlation coefficient is r = 0.566.

Tables

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    Table 1:

    Vestibular aqueduct width obtained using the subjective and objective techniquesa

    Measurement TechniqueMean VA Width (range) (mm) (n = 192)VA Width at the 95th PercentileVA Width at the 97.5th Percentile
    Subjective (visual assessment) technique0.527 ± 0.08 (0.353–0.887)0.6660.702
    Objective (OPA) technique0.537 ± 0.077 (0.331–0.922)0.6580.717
    • Note:—VA indicates vestibular aqueduct.

    • ↵a Units are in millimeters.

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    Table 2:

    Pearson correlation coefficients to determine the precision of various measurements made

    Pearson Correlation Coefficient
    Intraobserver
        Reader 10.538
        Reader 20.648
    Interobserver
        First measurement of reader 1 vs 2nd measurement of reader 20.506
        Second measurement of reader 1 vs 1st measurement of reader 20.522
    Subjective (visual assessment) vs objective (OPA) technique
        Reader 10.499
        Reader 20.566
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American Journal of Neuroradiology: 37 (7)
American Journal of Neuroradiology
Vol. 37, Issue 7
1 Jul 2016
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Cite this article
A.F. Juliano, E.Y. Ting, V. Mingkwansook, L.M. Hamberg, H.D. Curtin
Vestibular Aqueduct Measurements in the 45° Oblique (Pöschl) Plane
American Journal of Neuroradiology Jul 2016, 37 (7) 1331-1337; DOI: 10.3174/ajnr.A4735

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Vestibular Aqueduct Measurements in the 45° Oblique (Pöschl) Plane
A.F. Juliano, E.Y. Ting, V. Mingkwansook, L.M. Hamberg, H.D. Curtin
American Journal of Neuroradiology Jul 2016, 37 (7) 1331-1337; DOI: 10.3174/ajnr.A4735
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