TY - JOUR
T1 - Novel radiologic approaches for cholesteatoma detection
T2 - implications for endoscopic ear surgery
AU - Saxby, Alexander J.
AU - Jufas, Nicholas
AU - Kong, Jonathan H. K.
AU - Newey, Allison
AU - Pitman, Alexander G.
AU - Patel, Nirmal P.
PY - 2021/2/1
Y1 - 2021/2/1
N2 - Technological advancement in computed tomography (CT) and MRI has improved cholesteatoma detection rates considerably in the past decade. Accurately predicting disease location and extension is essential for staging, planning, and preoperative counseling, in particular in the newer approach of endoscopic ear surgery. Improved sensitivity and specificity of these radiological methods may allow the surgeon to confidently monitor patients, therefore avoiding unnecessary surgery. This article outlines recent advances in CT and MRI technology and advantages and disadvantages of the newer techniques. Emphasis on improving the feedback loop between the radiologist and surgeon will increase the accuracy of these new technologies.
AB - Technological advancement in computed tomography (CT) and MRI has improved cholesteatoma detection rates considerably in the past decade. Accurately predicting disease location and extension is essential for staging, planning, and preoperative counseling, in particular in the newer approach of endoscopic ear surgery. Improved sensitivity and specificity of these radiological methods may allow the surgeon to confidently monitor patients, therefore avoiding unnecessary surgery. This article outlines recent advances in CT and MRI technology and advantages and disadvantages of the newer techniques. Emphasis on improving the feedback loop between the radiologist and surgeon will increase the accuracy of these new technologies.
KW - Cholesteatoma
KW - Computed tomography
KW - Cone beam CT
KW - Diffusion-weighted imaging
KW - Endoscopic ear surgery
KW - Fusion imaging
KW - Magnetic resonance imaging
KW - Otoendoscopy
UR - http://www.scopus.com/inward/record.url?scp=85095584714&partnerID=8YFLogxK
U2 - 10.1016/j.otc.2020.09.011
DO - 10.1016/j.otc.2020.09.011
M3 - Review article
C2 - 33153729
AN - SCOPUS:85095584714
SN - 0030-6665
VL - 54
SP - 89
EP - 109
JO - Otolaryngologic Clinics of North America
JF - Otolaryngologic Clinics of North America
IS - 1
ER -