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Improved and Simplified Methods for Specifying Positions of the Electrode Bands of a Cochlear Implant Array

 

作者: Lawrence Cohen,   Jin Xu,   Shi Xu,   Graeme Clark,  

 

期刊: The American Journal of Otology  (OVID Available online 1996)
卷期: Volume 17, issue 6  

页码: 859-865

 

ISSN:0192-9763

 

年代: 1996

 

出版商: OVID

 

关键词: Cochlear implant array;Electrode bands;Radiology

 

数据来源: OVID

 

摘要:

ObjectiveTo develop techniques for measuring the positions of the individual electrodes of a multiple channel cochlear implant and for estimating associated characteristic frequencies.BackgroundInformation concerning the positions of the individual electrodes of a cochlear implant array is important for analyzing speech perception or psychophysical data and for optimizing speech-processing strategies. This study presents two techniques for obtaining such information from postoperative plain film radiographs.MethodsA template spiral shape, derived from analysis of the radiographs of 30 cochlear implant patients, is used to obtain measurements of the angular positions of the electrode bands within scala tympani. A research technique measures angular positions and estimates characteristic frequencies for all electrode bands but requires that the positions of two cochlear landmarks and all electrode bands be digitized. A clinical technique provides similar angle and frequency estimates but requires a minimum of information to be extracted visually from the radiograph. The lateral positions of the bands are estimated, in the research technique, using mean outer and inner wall functions obtained from 11 Silastic molds of scala tympani.Results:The mean position of the implanted array relative to the mean scala tympani outer wall function was consistent with published histologic observations of implanted temporal bones. Measured angles did not vary greatly with experimenter or with rotation of the cochlea relative to the radiographic beam by up to 20°.ConclusionsThe techniques described allow, principally, measurement of the longitudinal positions of the bands of a cochlear implant in scala tympani and estimation of corresponding characteristic frequencies.

 

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