ABSTRACT
Accurate determination of intracochlear electrode position in patients with cochlear implants could provide a basis for detecting migration of the implant and could aid in the selection of stimulation parameters for sound processor programming. New computer algorithms for submillimeter resolution and 3-D reconstruction from spiral computed tomographic (CT) scans now make it possible to accurately determine the position of implanted electrodes within the cochlear canal. The accuracy of these algorithms was tested using an electrode array placed in a phantom model. Measurements of electrode length and interelectrode distance from spiral CT scan reconstructions were in close agreement with those from stereo microscopy. Although apparent electrode width was increased on CT scans due to partial volume averaging, a correction factor was developed for measurements from conventional radiographs and an expanded CT absorption value scale added to detect the presence of platinum electrodes and wires. The length of the cochlear canal was calculated from preoperative spiral CT scans for one patient, and the length of insertion of the electrode array was calculated from her postoperative spiral CT scans. The cross-sectional position of electrodes in relation to the outer bony wall and modiolus was measured and plotted as a function of distance with the electrode width correction applied.
Subject(s)
Algorithms , Cochlear Implants , Ear, Inner/diagnostic imaging , Ear, Inner/ultrastructure , Image Processing, Computer-Assisted , Tomography, X-Ray Computed , Adult , Anthropometry , Foreign-Body Migration/diagnostic imaging , Humans , Postoperative Care , Preoperative Care , Reproducibility of ResultsABSTRACT
The repeatability and accuracy of brain surface cortical sulcal length measurements obtained with three-dimensional (3D) reconstructions of volumetric, gradient-echo magnetic resonance (MR) images were tested. The brains of eight healthy adult volunteers and one cadaver were imaged in both the coronal and sagittal planes to yield a set of 128 1.5-2.0-mm-thick contiguous sections. 3D reconstructions of the brain cerebral cortical surfaces were obtained with computer software. Location and distance measurements of surface sulci were repeated on each reconstructed image. The same structures in the cadaver brain were independently measured with a 3D electromagnetic digitizer to validate the results of the 3D MR imaging method. All measurements from reconstructed images had high repeatability, and there were no statistically significant differences between measurement trials. The accuracy of measurements with 3D MR imaging was also good; the mean difference between digitizer and 3D MR measurements for sulcal lengths was 0.81 cm (average, 5.45-12.9 cm).
Subject(s)
Brain Mapping/methods , Brain/anatomy & histology , Magnetic Resonance Imaging/methods , Adult , Female , Humans , Image Processing, Computer-Assisted/methods , Male , Radiology Information Systems , Reproducibility of Results , Signal Processing, Computer-AssistedABSTRACT
Three-dimensional surface images of the human heart may be produced from magnetic resonance imaging. These examinations are used in the evaluation of congenital heart disease for preoperative planning and postoperative evaluation. Computer graphics software has been adapted to produce three-dimensional images of the beating heart from contiguous two-dimensional serial EKG-triggered magnetic resonance image data sets. The natural boundary between flowing blood and cardiac tissue serves to outline cardiac structures. The techniques for producing these images and pitfalls in the operation of the system as well as examples of their application to the study of patients with congenital heart disease are outlined in this article.
