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Head and Neck Imaging |
1 From the Institute of Clinical Radiology (L.J., H.B., M.L., M.R.), Department of Neurology (V.A.), and Department of Oto-Rhino-Laryngology (M.H.), University of Munich, Klinikum Grosshadern, Marchioninistr 15, 81366 Munich, Germany; and Department of Biostatistics, Tulane University, New Orleans, La (S.S.). Received July 29, 2002; revision requested September 20; final revision received June 15, 2004; accepted July 7. Address correspondence to L.J. (e-mail: jaeger@ med.uni-muenchen.de).
PURPOSE: To evaluate multi and singledetector row computed tomographic (CT) depiction of anatomic landmarks of temporal bone.
MATERIALS AND METHODS: Institutional review board approval and written informed consent were obtained. In 50 temporal bones, transverse and coronal singledetector row CT images were compared with transverse and reformatted coronal multidetector row CT images obtained of additional 50 temporal bones. Two radiologists evaluated images. Visibility of 50 landmarks was scored with a five-point quality rating scale. Fisher exact test,
statistics, and Mann-Whitney U test were used to evaluate imaging technique and landmark visibility.
RESULTS: In delineating landmarks, total interobserver agreement was higher (P < .001) for transverse multi than for singledetector row CT images. In 60% of landmarks, interobserver agreement was higher (P < .001) for transverse multi than for singledetector row CT images. In 20% of landmarks, there was no difference, and in another 20% of landmarks, interobserver agreement was higher (P < .01) for singledetector row CT. Total interobserver agreement was higher (P < .01) for coronal multidetector row reformations than for coronal singledetector row images. In 58% of landmarks, interobserver agreement was higher (P < .001) for coronal multidetector row reformations than for coronal singledetector row images, while there was no difference in 8%. In 34% of landmarks, interobserver agreement was higher (P < .001) for coronal singledetector row images. Frequency of detected landmarks was higher for transverse (82%) and coronal (88%) multidetector row images than for corresponding singledetector row images. In 72% of landmarks, transverse multidetector row images were (P < .05) superior to corresponding transverse singledetector row images in landmark delineation. In 56% of landmarks, reformatted coronal multidetector row images were (P < .05) superior to coronal singledetector row images in landmark delineation.
CONCLUSION: Multidetector row CT images, including reformations, better delineate temporal bone anatomy than do singledetector row CT images.
© RSNA, 2005
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