Delineation of temporal bone anatomy: feasibility of low-dose 64-row CT in regard to image quality

• Published in: European radiology Vol. 17; no. 10; pp. 2638 - 2645
• Main Authors: Lutz, Jürgen, Jäger, Vanessa, Hempel, Martin John, Srivastav, Sudesh, Reiser, Maximilian, Jäger, Lorenz
• Format: Journal Article
• Language: English
• Published: Germany Springer Nature B.V 01.10.2007
• Subjects: Bone imaging; Bones; Collimation; Computed tomography; Feasibility Studies; Female; Females; Humans; Image processing; Image quality; Male; Males; Medical imaging; Middle Aged; Neck; Patients; Radiation; Radiation Dosage; Rotation; Sensors; Statistical analysis; Temporal bone; Temporal Bone - anatomy & histology; Temporal Bone - diagnostic imaging; Thickness; Tomography; Tomography, X-Ray Computed - methods; Germany
• ISSN: 0938-7994; 1432-1084
• DOI: 10.1007/s00330-007-0578-1

The aim of our present study was to evaluate the visualization of anatomical landmarks of the temporal bone using a low-dose 64-slice computed tomography (CT) technique. A total of 120 patients were evaluated, 60 patients (mean age 47.1 years; 36 male, 24 female) underwent examination with a 4-slice CT scanner: 180 mAs, 120 kV, 1 s rotation time, 2 x 0.5 mm collimation, 0.5 mm slice thickness. Another 60 consecutive patients (mean age 37.4 years; 43 male, 37 female) were examined using a 64-slice CT low-dose protocol: 140 mAs, 120 kV, 1 s rotation time, 12 x 0.6 mm collimation, 0.6 mm slice thickness. The visibility of 42 landmarks was scored by two blinded radiologists using a five-point quality rating scale. Mean equivalent dose was significantly lower for the 64-slice CT protocol (0.31 mSv +/- 0.12 mSv) compared to the 4-slice CT protocol (0.61 mSv +/- 0.08 mSv). Despite increased image noise, only 19% of the anatomical landmarks were delineated significantly better on the axial sections of the 4-slice CT and only 9.5% of the anatomical landmarks on the reformatted coronal images. The interobserver agreement did not differ significantly between the two modalities. Low-dose 64-slice CT technique facilitates temporal bone imaging with sufficient anatomical detail.