Computed-Tomography-Structured Reporting in Middle Ear Opacification: Surgical Results and Clinical Considerations From a Large Retrospective Analysis

Purpose: The aim of the study is to compare the accuracy of unstructured preoperative Computed Tomography (CT) reports from non-tertiary diagnostic centers with intraoperative findings in a large cohort of patients with Chronic Otitis Media (COM) undergone surgery. Methods: From 2012 to 2019, a tota...

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Autores principales: Cavaliere, Michele, Di Lullo, Antonella Miriam, Russo, Camilla, Mesolella, Massimo, Cantone, Elena, Di Lorenzo, Giuseppe, Motta, Gaetano, Elefante, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7943916/
https://www.ncbi.nlm.nih.gov/pubmed/33716923
http://dx.doi.org/10.3389/fneur.2021.615356
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author Cavaliere, Michele
Di Lullo, Antonella Miriam
Russo, Camilla
Mesolella, Massimo
Cantone, Elena
Di Lorenzo, Giuseppe
Motta, Gaetano
Elefante, Andrea
author_facet Cavaliere, Michele
Di Lullo, Antonella Miriam
Russo, Camilla
Mesolella, Massimo
Cantone, Elena
Di Lorenzo, Giuseppe
Motta, Gaetano
Elefante, Andrea
author_sort Cavaliere, Michele
collection PubMed
description Purpose: The aim of the study is to compare the accuracy of unstructured preoperative Computed Tomography (CT) reports from non-tertiary diagnostic centers with intraoperative findings in a large cohort of patients with Chronic Otitis Media (COM) undergone surgery. Methods: From 2012 to 2019, a total number of 301 patients were considered for our purposes. All patients with clinical evidence of COM had preoperative non-contrast high resolution CT scan of the temporal bone in non-tertiary diagnostic centers, performed within 3 months before surgery. Results: The accuracy of CT reports was analyzed in terms of nature, anatomical site, disease extension, bony erosion, vascular structures abnormalities relevant to surgical planning, and Eustachian tube patency. Compared to post-surgical findings, CT reporting critical analysis revealed a tendency to overestimation of bony erosion, coupled to underestimated description of facial canal/lateral semi-circular canal, vascular structures, and Eustachian tube. Conclusion: Discrepancies between CT reports and surgical findings in middle ear opacification can be at least in part due to limited expertise of general radiologists in ENT neuroimaging. To limit this lack of information and the limited accuracy of middle ear structures depiction, here we propose a structured checklist to adopt in the case of a temporal bone CT scan for COM, in order to optimize the communication with surgeons and provide all the crucial information for an accurate surgical planning.
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spelling pubmed-79439162021-03-11 Computed-Tomography-Structured Reporting in Middle Ear Opacification: Surgical Results and Clinical Considerations From a Large Retrospective Analysis Cavaliere, Michele Di Lullo, Antonella Miriam Russo, Camilla Mesolella, Massimo Cantone, Elena Di Lorenzo, Giuseppe Motta, Gaetano Elefante, Andrea Front Neurol Neurology Purpose: The aim of the study is to compare the accuracy of unstructured preoperative Computed Tomography (CT) reports from non-tertiary diagnostic centers with intraoperative findings in a large cohort of patients with Chronic Otitis Media (COM) undergone surgery. Methods: From 2012 to 2019, a total number of 301 patients were considered for our purposes. All patients with clinical evidence of COM had preoperative non-contrast high resolution CT scan of the temporal bone in non-tertiary diagnostic centers, performed within 3 months before surgery. Results: The accuracy of CT reports was analyzed in terms of nature, anatomical site, disease extension, bony erosion, vascular structures abnormalities relevant to surgical planning, and Eustachian tube patency. Compared to post-surgical findings, CT reporting critical analysis revealed a tendency to overestimation of bony erosion, coupled to underestimated description of facial canal/lateral semi-circular canal, vascular structures, and Eustachian tube. Conclusion: Discrepancies between CT reports and surgical findings in middle ear opacification can be at least in part due to limited expertise of general radiologists in ENT neuroimaging. To limit this lack of information and the limited accuracy of middle ear structures depiction, here we propose a structured checklist to adopt in the case of a temporal bone CT scan for COM, in order to optimize the communication with surgeons and provide all the crucial information for an accurate surgical planning. Frontiers Media S.A. 2021-02-24 /pmc/articles/PMC7943916/ /pubmed/33716923 http://dx.doi.org/10.3389/fneur.2021.615356 Text en Copyright © 2021 Cavaliere, Di Lullo, Russo, Mesolella, Cantone, Di Lorenzo, Motta and Elefante. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Cavaliere, Michele
Di Lullo, Antonella Miriam
Russo, Camilla
Mesolella, Massimo
Cantone, Elena
Di Lorenzo, Giuseppe
Motta, Gaetano
Elefante, Andrea
Computed-Tomography-Structured Reporting in Middle Ear Opacification: Surgical Results and Clinical Considerations From a Large Retrospective Analysis
title Computed-Tomography-Structured Reporting in Middle Ear Opacification: Surgical Results and Clinical Considerations From a Large Retrospective Analysis
title_full Computed-Tomography-Structured Reporting in Middle Ear Opacification: Surgical Results and Clinical Considerations From a Large Retrospective Analysis
title_fullStr Computed-Tomography-Structured Reporting in Middle Ear Opacification: Surgical Results and Clinical Considerations From a Large Retrospective Analysis
title_full_unstemmed Computed-Tomography-Structured Reporting in Middle Ear Opacification: Surgical Results and Clinical Considerations From a Large Retrospective Analysis
title_short Computed-Tomography-Structured Reporting in Middle Ear Opacification: Surgical Results and Clinical Considerations From a Large Retrospective Analysis
title_sort computed-tomography-structured reporting in middle ear opacification: surgical results and clinical considerations from a large retrospective analysis
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7943916/
https://www.ncbi.nlm.nih.gov/pubmed/33716923
http://dx.doi.org/10.3389/fneur.2021.615356
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