The aim of this study was to explore the method for obtaining the thin sectional anatomy data of the adult temporal bone and study the fine structures using this method. Three fresh adult cadaveric heads were scanned with multi-slice computer tomography (MSCT) centered on petrous bones. The CT images of 0.6 mm were obtained by multi-planar reformation (MPR). The slices of 0.1 mm were shaved off the specimen in the axial direction with the numerical control milling machine after being embedded and frozen, pictures of which were taken by the digital camera and saved in the computer. The thin axial sectional anatomic structures of the intra-temporal were investigated and correlated with MPR images. Via the comparison, fifty micro-anatomic structures of the temporal bone that can't be delineated clearly or missed in the thick sections were evaluated. The anatomical details of the temporal bone can be clearly delineated in MSCT in sub-millimeter and were identical to those in sectional anatomy images. This method can supply anatomical details that had been missed or overlooked for imaging diagnosis and surgical anatomy.
The size of SCCs remains constant from children to the elderly people, unlike the other human organs. The reference values provided by multidetector CT can serve as an aid for the interpretation of CT images.
The purpose of this study was to determine the performance of low-dose computed tomography (CT) scanning with integrated circuit (IC) detector in defining fine structures of temporal bone in children by comparing with the conventional detector.The study was performed with the approval of our institutional review board and the patients’ anonymity was maintained. A total of 86 children <3 years of age underwent imaging of temporal bone with low-dose CT (80 kV/150 mAs) equipped with either IC detector or conventional discrete circuit (DC) detector. The image noise was measured for quantitative analysis. Thirty-five structures of temporal bone were further assessed and rated by 2 radiologists for qualitative analysis. κ Statistics were performed to determine the agreement reached between the 2 radiologists on each image. Mann–Whitney U test was used to determine the difference in image quality between the 2 detector systems.Objective analysis showed that the image noise was significantly lower (P < 0.001) with the IC detector than with the DC detector. The κ values for qualitative assessment of the 35 fine anatomical structures revealed high interobserver agreement. The delineation for 30 of the 35 landmarks (86%) with the IC detector was superior to that with the conventional DC detector (P < 0.05) although there were no differences in the delineation of the remaining 5 structures (P > 0.05).The low-dose CT images acquired with the IC detector provide better depiction of fine osseous structures of temporal bone than that with the conventional DC detector.
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