Department of Otolaryngology-Head and Neck Surgery, Stanford University, Stanford, California, USA.
Otolaryngology Department, Tanta University, Tanta, Egypt.
Otol Neurotol. 2021 Apr 1;42(4):558-565. doi: 10.1097/MAO.0000000000003015.
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.
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。
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