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

OBJECTIVE

Growing interest in measuring the cochlear duct length (CDL) has emerged, since it can influence the selection of cochlear implant electrodes. Currently the measurements are performed with ionized radiation imaging. Only a few studies have explored CDL measurements in magnetic resonance imaging (MRI). Therefore, the presented study aims to fill this gap by estimating CDL in MRI and comparing it with multislice computed tomography (CT).

STUDY DESIGN

Retrospective data analyses of 42 cochleae.

SETTING

Tertiary care medical center.

METHODS

Diameter (A value) and width (B value) of the cochlea were measured in HOROS software. The CDL and the 2-turn length were determined by the elliptic circular approximation (ECA). In addition, the CDL, the 2-turn length, and the angular length were determined via HOROS software by the multiplanar reconstruction (MPR) method.

RESULTS

CDL values were significantly shorter in MRI by MPR ( = 1.38 mm, < .001) but not by ECA. Similar 2-turn length measurements were significantly lower in MRI by MPR ( = 1.67 mm) and ECA ( = 1.19 mm, both < .001). In contrast, angular length was significantly higher in MRI ( = 26.79°, < .001). When the values were set in relation to the frequencies of the cochlea, no clinically relevant differences were estimated (58 Hz at 28-mm CDL).

CONCLUSION

In the presented study, CDL was investigated in CT and MRI by using different approaches. Since no clinically relevant differences were found, diagnostics with radiation may be omitted prior to cochlear implantation; thus, a concept of radiation-free cochlear implantation could be established.