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Normal Mastoid Air Cell System Geometry: Has Surface Area Been Overestimated?

Title
Normal Mastoid Air Cell System Geometry: Has Surface Area Been Overestimated?
Authors
Byun, Sung WanLee, Seung-SinPark, Jin YoungYoo, Jeong Hyun
Ewha Authors
유정현변성완이승신
SCOPUS Author ID
유정현scopus; 변성완scopus
Issue Date
2016
Journal Title
CLINICAL AND EXPERIMENTAL OTORHINOLARYNGOLOGY
ISSN
1976-8710JCR Link2005-0720JCR Link
Citation
vol. 9, no. 1, pp. 27 - 32
Keywords
MastoidTemporal BoneImage ProcessingComputed-AssistedAlgorithmsOrgan Size
Publisher
KOREAN SOC OTORHINOLARYNGOL
Indexed
SCIE; SCOPUS; KCI WOS scopus
Abstract
Objectives. The aim of this study was to emphasize the necessity of a standard in segmentation threshold and algorithm for measuring volume and surface area of mastoid air cell system (MACS). Methods. First, we obtained axial computed tomography scans of 54 normal temporal bones from 27 subjects. Then, we manipulated Hounsfield units (HU) image data in DICOM (digital imaging and communications in medicine) files directly using our program. The volume and surface area of MACS were computed and compared at segmentation thresholds (HU) from -700 to 0 at intervals of 50 using 2 algorithms; square pixel based (SP) algorithm and marching square (MS) algorithm. Results. No significant difference was found between the volumes computed by SP and MS algorithms at each segmentation threshold. The surface area computed by SP algorithm, however, was significantly larger than that by MS algorithm. We could minimize this significant difference through a modification of the SP algorithm. As the lower HU threshold value was set, the smaller volume was measured. The surface area showed a plateau at a threshold of approximately 200 HU. The segmentation threshold had greater influence on the measured volume of MACS than the algorithm did. Conclusion. A standard method for measuring volume and surface area of MACS is thought to be necessary. We suggest that the MS algorithm and 200 HU of the threshold could be a standard in the measurement of volume and surface area of MACS.
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의학전문대학원 > 의학과 > Journal papers
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