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验证一种新型基于平板电脑的工具在确定人工耳蜗植入体角度插入深度中的应用。

Validating a New Tablet-based Tool in the Determination of Cochlear Implant Angular Insertion Depth.

机构信息

Department of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill, North Carolina, USA.

出版信息

Otol Neurotol. 2019 Sep;40(8):1006-1010. doi: 10.1097/MAO.0000000000002296.


DOI:10.1097/MAO.0000000000002296
PMID:31290802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6697191/
Abstract

OBJECTIVE: The objective of this study is to determine the reliability of a new tablet-based software that utilizes postoperative computed tomography to determine angular insertion depth (AID), cochlear duct length (CDL), and the cochlear place frequency of individual electrodes in cochlear implant recipients. PATIENTS: Twenty adult cochlear implant recipients with lateral-wall electrode arrays of varying lengths were included in the study. INTERVENTION: Cochlear and electrode array measurements were made by 2 otolaryngologists using a tablet-based software. The user manually identifies the modiolus, round window, and each electrode contact to calculate AID. The user also manually identifies cochlear landmarks to calculate the CDL. The AID and CDL are applied to the Greenwood function to obtain an estimate of the cochlear place frequency for each electrode. MAIN OUTCOME MEASURE(S): The primary outcome measure was the reliability of the instrument, as assessed with intra and interrater reliability of measured AID and CDL. The resultant differences in the estimated cochlear place frequency of the most apical electrode were also evaluated. RESULTS: A broad range of AIDs were observed (390°-659°). Intraclass correlation coefficients for intra (0.991) and interrater reliability (0.980) of AID of the most apical electrode contact were excellent. Intra (0.820) and interrater reliability (0.784) of CDL were also excellent. The estimated cochlear place frequency for the most apical electrode differed by an average of 6.7% (0-18.7%) across the 2 raters. CONCLUSION: There is excellent agreement amongst clinicians in the determination of AID and CDL, resulting in small changes in estimated cochlear place frequency of the most apical electrode using this new software.

摘要

目的:本研究旨在确定一种新的基于平板电脑的软件的可靠性,该软件利用术后计算机断层扫描来确定角度插入深度(AID)、耳蜗管长度(CDL)以及耳蜗植入接受者个体电极的耳蜗位置频率。

患者:本研究纳入了 20 名接受侧墙电极阵列的成年耳蜗植入接受者,其电极阵列长度不一。

干预措施:两名耳鼻喉科医生使用基于平板电脑的软件进行耳蜗和电极阵列测量。用户手动识别蜗轴、圆窗和每个电极接触,以计算 AID。用户还手动识别耳蜗地标以计算 CDL。将 AID 和 CDL 应用于 Greenwood 函数,以获得每个电极的耳蜗位置频率的估计值。

主要观察指标:主要观察指标是仪器的可靠性,通过测量 AID 和 CDL 的内部和内部评分者可靠性来评估。还评估了最顶端电极的估计耳蜗位置频率的差异。

结果:观察到广泛的 AID(390°-659°)。最顶端电极接触的 AID 的内部(0.991)和内部评分者可靠性(0.980)的组内相关系数均为优秀。CDL 的内部(0.820)和内部评分者可靠性(0.784)也很好。使用新软件,最顶端电极的估计耳蜗位置频率平均相差 6.7%(0-18.7%)。

结论:在确定 AID 和 CDL 方面,临床医生之间存在极好的一致性,从而导致最顶端电极的估计耳蜗位置频率发生较小变化。

相似文献

[1]
Validating a New Tablet-based Tool in the Determination of Cochlear Implant Angular Insertion Depth.

Otol Neurotol. 2019-9

[2]
Automatic Cochlear Duct Length Estimation for Selection of Cochlear Implant Electrode Arrays.

Otol Neurotol. 2017-3

[3]
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Acta Otolaryngol. 2023-9

[4]
Incidence of Complete Insertion in Cochlear Implant Recipients of Long Lateral Wall Arrays.

Otolaryngol Head Neck Surg. 2021-10

[5]
CT imaging-based approaches to cochlear duct length estimation-a human temporal bone study.

Eur Radiol. 2022-2

[6]
Intra- and Interrater Reliability of CT- versus MRI-Based Cochlear Duct Length Measurement in Pediatric Cochlear Implant Candidates and Its Impact on Personalized Electrode Array Selection.

J Pers Med. 2023-4-4

[7]
Variation of the cochlear anatomy and cochlea duct length: analysis with a new tablet-based software.

Eur Arch Otorhinolaryngol. 2022-4

[8]
Development of Insertion Models Predicting Cochlear Implant Electrode Position.

Ear Hear. 2016

[9]
Estimation of Cochlear Implant Insertion Depth Using 2D-3D Registration of Postoperative X-Ray and Preoperative CT Images.

Otol Neurotol. 2024-3-1

[10]
Assessment of Inter- and Intra-Rater Reliability of Tablet-Based Software to Measure Cochlear Duct Length.

Otol Neurotol. 2021-4-1

引用本文的文献

[1]
Radiation-free automatic planning for cochlear implantation: Comparing cochlear duct lengths between CT and MRI.

Braz J Otorhinolaryngol. 2025-4-30

[2]
Surgical Experience in Pre-Operative Measurement of Cochlear Duct Length in Cochlear Implant Surgery.

Indian J Otolaryngol Head Neck Surg. 2025-2

[3]
Influence of cochlear coverage on speech perception in single sided deafness, bimodal, and bilateral implanted cochlear implant patients.

Eur Arch Otorhinolaryngol. 2025-4

[4]
X-ray guided anatomy-based fitting: The validity of OTOPLAN.

PLoS One. 2024

[5]
Tonotopic and Default Frequency Fitting for Music Perception in Cochlear Implant Recipients: A Randomized Clinical Trial.

JAMA Otolaryngol Head Neck Surg. 2024-11-1

[6]
Advances in 3D Inner Ear Reconstruction Software for Cochlear Implants: A Comprehensive Review.

Methods Protoc. 2024-5-23

[7]
Application of anatomy-based spacing of electrode contacts for achieving a uniform semitonal resolution: A novel concept in cochlear implant electrode design.

Sci Rep. 2024-2-1

[8]
Otological Planning Software-OTOPLAN: A Narrative Literature Review.

Audiol Res. 2023-10-18

[9]
Incidence of Cochlear Implant Electrode Contacts in the Functional Acoustic Hearing Region and the Influence on Speech Recognition with Electric-Acoustic Stimulation.

Otol Neurotol. 2023-12-1

[10]
Evaluation of the Performance of OTOPLAN-Based Cochlear Implant Electrode Array Selection: A Retrospective Study.

J Pers Med. 2023-8-20

本文引用的文献

[1]
A Novel Method for Clinical Cochlear Duct Length Estimation toward Patient-Specific Cochlear Implant Selection.

OTO Open. 2018-10-2

[2]
Effectiveness of skull X-RAY to determine cochlear implant insertion depth.

J Otolaryngol Head Neck Surg. 2018-9-3

[3]
Residual Cochlear Function in Adults and Children Receiving Cochlear Implants: Correlations With Speech Perception Outcomes.

Ear Hear. 2019

[4]
An automated A-value measurement tool for accurate cochlear duct length estimation.

J Otolaryngol Head Neck Surg. 2018-1-22

[5]
Insertion depth impacts speech perception and hearing preservation for lateral wall electrodes.

Laryngoscope. 2017-10

[6]
Automatic Cochlear Duct Length Estimation for Selection of Cochlear Implant Electrode Arrays.

Otol Neurotol. 2017-3

[7]
Electrode Location and Angular Insertion Depth Are Predictors of Audiologic Outcomes in Cochlear Implantation.

Otol Neurotol. 2016-9

[8]
Measurement of Cochlear Implant Electrode Position From Intraoperative Post-insertion Skull Radiographs: A Validation Study.

Otol Neurotol. 2015-9

[9]
The Relationship Between Insertion Angles, Default Frequency Allocations, and Spiral Ganglion Place Pitch in Cochlear Implants.

Ear Hear. 2015

[10]
Standardization of CT depiction of cochlear implant insertion depth.

AJNR Am J Neuroradiol. 2015-2

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