Contribution of Reformatted Multislice Temporal Computed Tomography Images in the Planes of Stenvers and Poschl to the Diagnosis of Superior Semicircular Canal Dehiscence


Duman I. S., Dogan S.

JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, cilt.44, sa.1, ss.53-58, 2020 (SCI-Expanded) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 44 Sayı: 1
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1097/rct.0000000000000957
  • Dergi Adı: JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Biotechnology Research Abstracts, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.53-58
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Hayır

Özet

Objective In the diagnosis of superior semicircular canal dehiscence (SSCD), computed tomography (CT) is the only imaging method. The aims of the study were to show that reformat images are more accurate than standard planes for diagnosis of SSCD and to determine the prevalence of SSCD. Methods The retrospective review yielded 1309 temporal CTs performed in our radiology department for any reason. Two radiologist interpreted CTs in standard planes collaboratively. Patients with SSCD were reinterpreted in Poschl and Stenvers planes by 2 radiologists separately. Results Statistical analysis was made by accepting that 2 radiologists diagnosis were accurate in Poschl plane. Coronal plane sensitivity 86%, specificity 64%, Stenvers plane sensitivity 96%, and specificity 52% have been found in the mean result of 2 observers (P < 0.001). Conclusions In the diagnosis of SSCD, standard and Stenvers planes can cause false-negative and false-positive diagnoses. Interpretation in Poschl plane can significantly increase sensitivity, specificity, negative, and positive predictive values for diagnosing dehiscence.