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Radiology. 2005 Apr;235(1):133-41. Epub 2005 Feb 9.

CT of the normal temporal bone: comparison of multi- and single-detector row CT.

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  • 1Institute of Clinical Radiology, University of Munich, Klinikum Grosshadern, Marchioninistrasse 15, 81366 Munich, Germany. jaeger@med.uni-muenchen.de

Abstract

PURPOSE:

To evaluate multi- and single-detector 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 single-detector row CT images were compared with transverse and reformatted coronal multi-detector 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, kappa 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 single-detector row CT images. In 60% of landmarks, interobserver agreement was higher (P < .001) for transverse multi- than for single-detector row CT images. In 20% of landmarks, there was no difference, and in another 20% of landmarks, interobserver agreement was higher (P < .01) for single-detector row CT. Total interobserver agreement was higher (P < .01) for coronal multi-detector row reformations than for coronal single-detector row images. In 58% of landmarks, interobserver agreement was higher (P < .001) for coronal multi-detector row reformations than for coronal single-detector row images, while there was no difference in 8%. In 34% of landmarks, interobserver agreement was higher (P < .001) for coronal single-detector row images. Frequency of detected landmarks was higher for transverse (82%) and coronal (88%) multi-detector row images than for corresponding single-detector row images. In 72% of landmarks, transverse multi-detector row images were (P < .05) superior to corresponding transverse single-detector row images in landmark delineation. In 56% of landmarks, reformatted coronal multi-detector row images were (P < .05) superior to coronal single-detector row images in landmark delineation.

CONCLUSION:

Multi-detector row CT images, including reformations, better delineate temporal bone anatomy than do single-detector row CT images.

PMID:
15703310
DOI:
10.1148/radiol.2351020895
[PubMed - indexed for MEDLINE]
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