Combined application of single-energy metal artifact reduction and reconstruction techniques in patients with Cochlear implants

Abstract Background The purpose of this study was to develop an effective method of reducing metal artifacts in cochlear implant (CI) electrodes. Methods The temporal bones of 30 patients (34 ears) after CI were examined with 320-detector row computed tomography, which was evaluated by two senior ra...

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Main Authors: Fanqin Wei, Jiahui Li, Chunxiang Zhou, Yun Li, Xianren Wang, Bixue Huang, Qiyang Sun, Guanxia Xiong
Format: Article
Language:English
Published: SAGE Publishing 2020-09-01
Series:Journal of Otolaryngology - Head and Neck Surgery
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Online Access:http://link.springer.com/article/10.1186/s40463-020-00462-1
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author Fanqin Wei
Jiahui Li
Chunxiang Zhou
Yun Li
Xianren Wang
Bixue Huang
Qiyang Sun
Guanxia Xiong
author_facet Fanqin Wei
Jiahui Li
Chunxiang Zhou
Yun Li
Xianren Wang
Bixue Huang
Qiyang Sun
Guanxia Xiong
author_sort Fanqin Wei
collection DOAJ
description Abstract Background The purpose of this study was to develop an effective method of reducing metal artifacts in cochlear implant (CI) electrodes. Methods The temporal bones of 30 patients (34 ears) after CI were examined with 320-detector row computed tomography, which was evaluated by two senior radiologists using a double-blind method. Noise, artifact index, signal-to-noise ratio, and the subjective image quality score were compared before versus after using single-energy metal artifact reduction (SEMAR). The electrode position, single electrode visibility, and electrode count were evaluated using SEMAR combined with either multi-planar reconstruction (MPR) or maximum intensity projection. Results The two radiologists’ measurements had good consistency. SEMAR significantly reduced the image noise and artifacts index and significantly improved the signal-to-noise ratio and subjective image quality score (P < 0.01). The combination of SEMAR with MPR was conducive to accurate assessment of electrode position and single-electrode visibility. The combination of SEMAR with MIP facilitated accurate and intuitive matching of the assessed electrode count with the number of electrodes implanted during the operation (P = 0.062). Conclusion SEMAR significantly reduces metal artifacts generated by CI electrodes and improves the quality of computed tomography images. The combination of SEMAR with MPR and maximum intensity projection is beneficial for evaluating the position and number of CI electrodes.
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spelling doaj-art-ff5d33b5c9574cf29065bc7ef3288a442025-02-03T10:54:11ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162020-09-014911910.1186/s40463-020-00462-1Combined application of single-energy metal artifact reduction and reconstruction techniques in patients with Cochlear implantsFanqin Wei0Jiahui Li1Chunxiang Zhou2Yun Li3Xianren Wang4Bixue Huang5Qiyang Sun6Guanxia Xiong7Department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital, Sun Yat-sen UniversityDepartment of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital, Sun Yat-sen UniversityDepartment of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital, Sun Yat-sen UniversityDepartment of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital, Sun Yat-sen UniversityDepartment of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital, Sun Yat-sen UniversityDepartment of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital, Sun Yat-sen UniversityDepartment of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital, Sun Yat-sen UniversityDepartment of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital, Sun Yat-sen UniversityAbstract Background The purpose of this study was to develop an effective method of reducing metal artifacts in cochlear implant (CI) electrodes. Methods The temporal bones of 30 patients (34 ears) after CI were examined with 320-detector row computed tomography, which was evaluated by two senior radiologists using a double-blind method. Noise, artifact index, signal-to-noise ratio, and the subjective image quality score were compared before versus after using single-energy metal artifact reduction (SEMAR). The electrode position, single electrode visibility, and electrode count were evaluated using SEMAR combined with either multi-planar reconstruction (MPR) or maximum intensity projection. Results The two radiologists’ measurements had good consistency. SEMAR significantly reduced the image noise and artifacts index and significantly improved the signal-to-noise ratio and subjective image quality score (P < 0.01). The combination of SEMAR with MPR was conducive to accurate assessment of electrode position and single-electrode visibility. The combination of SEMAR with MIP facilitated accurate and intuitive matching of the assessed electrode count with the number of electrodes implanted during the operation (P = 0.062). Conclusion SEMAR significantly reduces metal artifacts generated by CI electrodes and improves the quality of computed tomography images. The combination of SEMAR with MPR and maximum intensity projection is beneficial for evaluating the position and number of CI electrodes.http://link.springer.com/article/10.1186/s40463-020-00462-1SEMAR; electrodeImage qualityComputed tomography
spellingShingle Fanqin Wei
Jiahui Li
Chunxiang Zhou
Yun Li
Xianren Wang
Bixue Huang
Qiyang Sun
Guanxia Xiong
Combined application of single-energy metal artifact reduction and reconstruction techniques in patients with Cochlear implants
Journal of Otolaryngology - Head and Neck Surgery
SEMAR; electrode
Image quality
Computed tomography
title Combined application of single-energy metal artifact reduction and reconstruction techniques in patients with Cochlear implants
title_full Combined application of single-energy metal artifact reduction and reconstruction techniques in patients with Cochlear implants
title_fullStr Combined application of single-energy metal artifact reduction and reconstruction techniques in patients with Cochlear implants
title_full_unstemmed Combined application of single-energy metal artifact reduction and reconstruction techniques in patients with Cochlear implants
title_short Combined application of single-energy metal artifact reduction and reconstruction techniques in patients with Cochlear implants
title_sort combined application of single energy metal artifact reduction and reconstruction techniques in patients with cochlear implants
topic SEMAR; electrode
Image quality
Computed tomography
url http://link.springer.com/article/10.1186/s40463-020-00462-1
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