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High resolution micro-CT scanning as an innovatory tool for evaluation of the surgical positioning of cochlear implant electrodes 

Authors: A. Postnov a;  A. Zarowski ab;  N. De Clerck a;  F. Vanpoucke c;  F. E. Offeciers b;  D. Van Dyck a; S. Peeters a
Affiliations:   a Department of Physics, Department of Biomedical Sciences, University of Antwerp, Antwerp, Belgium
b University ORL Department, Medical Institute St Augustinus, University of Antwerp, Antwerp, Belgium
c European Research Lab, Advanced Bionics Corporation, Antwerp, Belgium
DOI: 10.1080/00016480500437377
Publication Frequency: 12 issues per year
Published in: journal Acta Oto-Laryngologica, Volume 126, Issue 5 May 2006 , pages 467 - 474
Formats available: HTML (English) : PDF (English)
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Abstract

X-ray microtomography (micro-CT) is a new technique allowing for visualization of the internal structure of opaque specimens with a quasi-histological quality. Among multiple potential applications, the use of this technique in otology is very promising. Micro-CT appears to be ideally suited for in vitro visualization of the inner ear tissues as well as for evaluation of the electrode damage and/or surgical insertion trauma during implantation of the cochlear implant electrodes. This technique can greatly aid in design and development of new cochlear implant electrodes and is applicable for temporal bone studies. The main advantage of micro-CT is the practically artefact-free preparation of the samples and the possibility of evaluation of the interesting parameters along the whole insertion depth of the electrode. This paper presents the results of the first application of micro-CT for visualization of the inner ear structures in human temporal bones and for evaluation of the surgical positioning of the cochlear implant electrodes relative to the intracochlear soft tissues.
Keywords: Cochlear implants; micro-CT; three-dimensional imaging; surgical trauma; insertion trauma
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