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评估基于平板电脑软件测量耳蜗管长度的组内和组间可靠性。

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

机构信息

Department of Otolaryngology-Head and Neck Surgery, Stanford University, Stanford, California, USA.

Otolaryngology Department, Tanta University, Tanta, Egypt.

出版信息

Otol Neurotol. 2021 Apr 1;42(4):558-565. doi: 10.1097/MAO.0000000000003015.


DOI:10.1097/MAO.0000000000003015
PMID:33492059
Abstract

OBJECTIVE: The objective of this study is to build upon previous work validating a tablet-based software to measure cochlear duct length (CDL). Here, we do so by greatly expanding the number of cochleae (n = 166) analyzed, and examined whether computed tomography (CT) slice thickness influences reliability of CDL measurements. STUDY DESIGN: Retrospective chart review study. SETTING: Tertiary referral center. PATIENTS: Eighty-three adult cochlear implant recipients were included in the study. Both cochleae were measured for each patient (n = 166). INTERVENTIONS: Three raters analyzed the scans of 166 cochleae at 2 different time points. Each rater individually identified anatomical landmarks that delineated the basal turn diameter and width. These coordinates were applied to the elliptic approximation method (ECA) to estimate CDL. The effect of CT scan slice thickness on the measurements was explored. MAIN OUTCOME MEASURES: The primary outcome measure is the strength of the inter- and intra-rater reliability. RESULTS: The mean CDL measured was 32.84 ± 2.03 mm, with a range of 29.03 to 38.07 mm. We observed no significant relationship between slice thickness and CDL measurement (F1,164 = 3.04; p = 0.08). The mean absolute difference in CDL estimations between raters was 1.76 ± 1.24 mm and within raters was 0.263 ± 0.200 mm. The intra-class correlation coefficient (ICC) between raters was 0.54 and ranged from 0.63 to 0.83 within raters. CONCLUSIONS: This software produces reliable measurements of CDL between and within raters, regardless of CT scan thickness.

摘要

目的:本研究旨在在前人验证一种用于测量耳蜗管长度(CDL)的平板电脑软件的工作基础上进一步展开。在这里,我们通过极大地增加分析的耳蜗数量(n=166)来实现这一点,并研究了计算机断层扫描(CT)切片厚度是否会影响 CDL 测量的可靠性。

研究设计:回顾性图表审查研究。

设置:三级转诊中心。

患者:83 名成年人工耳蜗植入受者纳入本研究。每位患者的双侧耳蜗均进行了测量(n=166)。

干预措施:3 名评估者在 2 个不同时间点分析了 166 个耳蜗的扫描图像。每位评估者分别识别出描绘基底回直径和宽度的解剖学标志。这些坐标应用于椭圆近似法(ECA)来估计 CDL。还探索了 CT 扫描切片厚度对测量结果的影响。

主要观察指标:主要观察指标是评估者之间和内部的强度可靠性。

结果:测量的平均 CDL 为 32.84±2.03mm,范围为 29.03 至 38.07mm。我们没有观察到切片厚度与 CDL 测量之间的显著关系(F1,164=3.04;p=0.08)。评估者之间 CDL 估计值的平均绝对差异为 1.76±1.24mm,而评估者内部为 0.263±0.200mm。评估者之间的组内相关系数(ICC)为 0.54,而评估者内部的 ICC 范围为 0.63 至 0.83。

结论:无论 CT 扫描厚度如何,该软件均可在评估者之间和内部产生可靠的 CDL 测量结果。

相似文献

[1]
Assessment of Inter- and Intra-Rater Reliability of Tablet-Based Software to Measure Cochlear Duct Length.

Otol Neurotol. 2021-4-1

[2]
CT imaging-based approaches to cochlear duct length estimation-a human temporal bone study.

Eur Radiol. 2022-2

[3]
Comparing Cochlear Duct Lengths Between CT and MR Images Using an Otological Surgical Planning Software.

Otol Neurotol. 2020-10

[4]
[Measuring the cochlea using a tablet-based software package: influence of imaging modality and rater background].

HNO. 2022-10

[5]
Validating a New Tablet-based Tool in the Determination of Cochlear Implant Angular Insertion Depth.

Otol Neurotol. 2019-9

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

Otol Neurotol. 2017-3

[7]
Cochlear Duct Length Measurements in Computed Tomography and Magnetic Resonance Imaging Using Newly Developed Techniques.

OTO Open. 2021-9-24

[8]
Variation of the cochlear anatomy and cochlea duct length: analysis with a new tablet-based software.

Eur Arch Otorhinolaryngol. 2022-4

[9]
Direct measurement of cochlear parameters for automatic calculation of the cochlear duct length.

Ann Saudi Med. 2020

[10]
Determination of Cochlear Duct Length With 3D Two-dimensional Methods: A Retrospective Clinical Study of Imaging by Computed Tomography and Cone Beam Computed Tomography.

In Vivo. 2021

引用本文的文献

[1]
Improved radiological imaging of congenital aural atresia using flat-panel volume CT.

HNO. 2024-12

[2]
[Improved radiological imaging of congenital aural atresia using flat-panel volume CT. German version].

HNO. 2024-11

[3]
Tonotopic and Default Frequency Fitting for Music Perception in Cochlear Implant Recipients: A Randomized Clinical Trial.

JAMA Otolaryngol Head Neck Surg. 2024-11-1

[4]
Comprehensive literature review on the application of the otological surgical planning software OTOPLAN® for cochlear implantation.

HNO. 2024-12

[5]
[Comprehensive literature review on the application of the otological-surgical planning software OTOPLAN® for cochlear implantation. German version].

HNO. 2024-10

[6]
Otological Planning Software-OTOPLAN: A Narrative Literature Review.

Audiol Res. 2023-10-18

[7]
Validation of Automatic Cochlear Measurements Using OTOPLAN Software.

J Pers Med. 2023-5-8

[8]
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

[9]
[Measuring the cochlea using a tablet-based software package: influence of imaging modality and rater background].

HNO. 2022-10

[10]
Robotic Cochlear Implant Surgery: Imaging-Based Evaluation of Feasibility in Clinical Routine.

Front Surg. 2021-9-29

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