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Research ArticleHead and Neck Imaging

Measuring 3D Cochlear Duct Length on MRI: Is It Accurate and Reliable?

M.B. Eser, B. Atalay, M.B. Dogan, N. Gündüz and M.T. Kalcioglu
American Journal of Neuroradiology September 2021, DOI: https://doi.org/10.3174/ajnr.A7287
M.B. Eser
aFrom the Departments of Radiology (M.B.E., B.A., M.B.D., N.G.)
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B. Atalay
aFrom the Departments of Radiology (M.B.E., B.A., M.B.D., N.G.)
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M.B. Dogan
aFrom the Departments of Radiology (M.B.E., B.A., M.B.D., N.G.)
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N. Gündüz
aFrom the Departments of Radiology (M.B.E., B.A., M.B.D., N.G.)
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M.T. Kalcioglu
bOtorhinolaryngology-Head and Neck Surgery (M.T.K.), Faculty of Medicine, Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Istanbul, Turkey
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  • FIG 1.
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    FIG 1.

    Screenshot of the CT postprocessing software used in the study. A and C, Planes perpendicular to the modiolus are formed. B, The cochlear view is shown; in this plane, the basal turn can be fully traced and the bone structure of the round window is visualized as a thin line parallel to the purple line. The purple line also indicates the A-value measured from the niche to the opposite cochlear wall and the diameter of the cochlear basal turn. C, The round window niche is distinguished as a hypodense area below the measuring point. D, The measurement screen.

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    FIG 2.

    Screenshot of the MR imaging postprocessing software. A and C, Planes perpendicular to modiolus are formed. B, The cochlear view is shown; in this plane, the basal turn can be fully traced and the bone structure of the round window is viewed as a thin hypointense line parallel to the purple line. C, The round window niche is not distinguished, and bone and air are shown as hypointense on the FIESTA-C MR imaging sequence. D, The measurement screen.

  • FIG 3.
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    FIG 3.

    CT (A) and MR imaging (B) of the cochlea of the same patient. The red ring seen in these images shows the lateral wall of the cochlea. The black arrow seen on the CT (A) image and the red arrow seen on the MR imaging (B) image indicate the outermost point of the lateral cochlear wall. The lateral cochlear wall, the target point of measurement, and other anatomic structures are summarized in a schematic view (C). Created with BioRender.com.

Tables

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    Table 1:

    Internal acoustic canal 3D FIESTA-C protocol

    3D FIESTA-C
    PlaneAxial + coronal + sagittal oblique
    Fat suppression+
    TR (ms)6.9
    TE (ms)Min
    Flip angle55°
    Section thickness (mm)1
    FOV (mm)320 × 320
    Bandwidth (Hz)90
    Matrix (mm × mm)256 × 192
    • Note:—Min indicates 2.6–12 ms.

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    Table 2:

    Intraobserver accuracy and reliability of observer 1’s cochlear LWL measurements between CT and MR imaging

    CT (mean) (95% CI)MRI (mean) (95% CI)ICC (95% CI)P Value
    Cochlea basal turn length (mm)22.95 (SD, 1.21) (22.65–23.25)23.37 (SD, 1.12) (23.09–23.65)0.70 (0.48–0.82)<.001a
    Cochlea 2 turn length (mm)35.92 (SD, 1.98) (35.43–36.41)36.27 (SD, 1.77) (35.83–36.71)0.85 (0.75–0.91)<.001a
    Cochlea lateral wall length (mm)41.52 (SD, 2.25) (40.96–42.08)41.44 (SD, 2.18) (40.90–41.98)0.94 (0.90–0.96)<.001a
    • ↵a The P value is statistically significant.

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    Table 3:

    Intraobserver accuracy and reliability of observer 2’s cochlear LWL measurements between CT and MR imaging

    CT (mean) (95% CI)MRI (mean) (95% CI)ICC (95% CI)P Value
    Cochlea basal turn length (mm)22.57 (SD, 1.21) (22.28–22.88)22.91 (SD, 1.18) (22.61–23.20)0.69 (0.52–0.80)<.001a
    Cochlea 2 turn length (mm)35.51 (SD, 2.17) (34.98–36.05)36.37 (SD, 2.08) (35.85–36.88)0.79 (0.66–0.87)<.001a
    Cochlea lateral wall length (mm)41.74 (SD, 2.69) (41.07–42.40)42.34 (SD, 2.53) (41.71–42.97)0.86 (0.73–0.92)<.001a
    • ↵a The P value is statistically significant.

    • View popup
    Table 4:

    Interobserver reliability of 2 observers

    CT ICC (95% CI)P ValueMRI ICC (95% CI)P Value
    Cochlea basal turn length0.86 (0.73–0.92)<.001a0.72 (0.45–0.85)<.001a
    Cochlea 2 turn length0.87 (0.79–0.92)<.001a0.77 (0.64–0.85)<.001a
    Cochlea lateral wall length0.90 (0.84–0.94)<.001a0.69 (0.46–0.82)<.001a
    • ↵a The P value is statistically significant.

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M.B. Eser, B. Atalay, M.B. Dogan, N. Gündüz, M.T. Kalcioglu
Measuring 3D Cochlear Duct Length on MRI: Is It Accurate and Reliable?
American Journal of Neuroradiology Sep 2021, DOI: 10.3174/ajnr.A7287

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Measuring 3D Cochlear Duct Length on MRI: Is It Accurate and Reliable?
M.B. Eser, B. Atalay, M.B. Dogan, N. Gündüz, M.T. Kalcioglu
American Journal of Neuroradiology Sep 2021, DOI: 10.3174/ajnr.A7287
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