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Research ArticleHead and Neck Imaging

Evaluation of the Normal Cochlear Second Interscalar Ridge Angle and Depth on 3D T2-Weighted Images: A Tool for the Diagnosis of Scala Communis and Incomplete Partition Type II

T.N. Booth, C. Wick, R. Clarke, J.W. Kutz, M. Medina, D. Gorsage, Y. Xi and B. Isaacson
American Journal of Neuroradiology March 2018, DOI: https://doi.org/10.3174/ajnr.A5585
T.N. Booth
aFrom the Departments of Radiology (T.N.B., R.C., D.G.)
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C. Wick
bOtolaryngology (C.W., J.W.K., M.M., B.I.), Children's Medical Center of Dallas, University of Texas Southwestern Medical Center, Dallas, Texas
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R. Clarke
aFrom the Departments of Radiology (T.N.B., R.C., D.G.)
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J.W. Kutz
bOtolaryngology (C.W., J.W.K., M.M., B.I.), Children's Medical Center of Dallas, University of Texas Southwestern Medical Center, Dallas, Texas
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M. Medina
bOtolaryngology (C.W., J.W.K., M.M., B.I.), Children's Medical Center of Dallas, University of Texas Southwestern Medical Center, Dallas, Texas
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D. Gorsage
aFrom the Departments of Radiology (T.N.B., R.C., D.G.)
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Y. Xi
cDepartment of Radiology (Y.X.), University of Texas Southwestern Medical Center, Dallas, Texas.
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B. Isaacson
bOtolaryngology (C.W., J.W.K., M.M., B.I.), Children's Medical Center of Dallas, University of Texas Southwestern Medical Center, Dallas, Texas
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  • Fig 1.
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    Fig 1.

    Axial 3D T2-weighted images from inferior to superior showing a normal osseous spiral lamina and interscalar septum. A, A normal osseous spiral lamina separating the scala tympani (posterior) and scala vestibuli (anterior) of the basal (anterior arrow) and middle turns (posterior arrow). B, A normal lateral R2 notch (arrow) associated with the second part of the interscalar septum between the upper basal and upper middle turns of the cochlea.

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    Fig 2.

    Axial 3D T2-weighted image through the cochlea in a normal-hearing ear. A, A normal lateral notch is demonstrated (arrow). B and C, At the same level, angle and depth measurements are demonstrated using electronic calipers (lines). The angle was measured as 84° with a depth of 0.6 mm.

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    Fig 3.

    Abnormal R2 notch in 2 different IP-II malformation ears, both with profound SNHL. A–C, A shallow obtuse notch is present (arrow). The scala vestibuli is enlarged (arrowheads) with anterior bowing and high insertion of the second part of the interscalar septum. The measured angle at the same level is 132° (B) with a depth of 0.3 mm (C). D and E, In the other patient, no lateral notch is seen (arrow) and the scala vestibuli is enlarged (arrowhead). At the same level, the angle is 180° and the depth is 0 mm (E).

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    Fig 4.

    Distribution of measurements of normal and abnormal ears by both novice readers.

Tables

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  • ROC analysis for the 2 novice readers

    ROC ModelAUC95% Confidence IntervalOptimal CutoffSensitivitySpecificity
    Reader 1
        Angle0.96760.9177–1114.15688%100%
        Depth (mm)0.95880.8983–10.31294100%90%
    Reader 2
        Angle0.98530.9593–1103.87494%95%
        Depth (mm)0.96470.8953–10.33536100%95%
    • Note:—ROC indicates receiver operating characteristic; AUC, area under the curve.

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Cite this article
T.N. Booth, C. Wick, R. Clarke, J.W. Kutz, M. Medina, D. Gorsage, Y. Xi, B. Isaacson
Evaluation of the Normal Cochlear Second Interscalar Ridge Angle and Depth on 3D T2-Weighted Images: A Tool for the Diagnosis of Scala Communis and Incomplete Partition Type II
American Journal of Neuroradiology Mar 2018, DOI: 10.3174/ajnr.A5585

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Evaluation of the Normal Cochlear Second Interscalar Ridge Angle and Depth on 3D T2-Weighted Images: A Tool for the Diagnosis of Scala Communis and Incomplete Partition Type II
T.N. Booth, C. Wick, R. Clarke, J.W. Kutz, M. Medina, D. Gorsage, Y. Xi, B. Isaacson
American Journal of Neuroradiology Mar 2018, DOI: 10.3174/ajnr.A5585
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