Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2024, Vol. 38 ›› Issue (3): 109-115.doi: 10.6040/j.issn.1673-3770.0.2023.004

• Review • Previous Articles    

Application of cone-beam CT in otorhinolaryngology head and neck surgery

YANG Ying, WEI Wei, YANG Jun   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine/Shanghai Jiaotong University School of Medicine Ear Institute/Shanghai Key Laboratory of Translational Medicine on Ear and Nose diseases, Shanghai 200092, China
  • Published:2024-06-04

PDF (PC)

16

Abstract: Cone-beam CT was developed in the 1990s and has been mainly used in the field of stomatology. With recent advances in imaging technology, cone-beam CT has been increasingly utilized in fields of Otorhinolaryngology Head and Neck Surgery. Its advantages, such as high imaging accuracy, fast scanning speed, and low radiation dose, make it a superior choice for clinical diagnosis and treatment planning. This article aimed to review the applications of cone-beam CT in the fields of ear diseases, nose diseases, pharynx diseases, laryngeal and neck diseases, trauma and skull base diseases in order to further promote its application in this field.

Key words: Computerized tomography, Cone-beam CT, Imaging resolution, Metal artifact, Radiation dose, Three-dimensional image

CLC Number: 

  • R76
[1] 季泽强, 孙梦月, 于志军, 等. 低剂量MSCT及后处理技术在颈段食管枣核异物诊疗中的应用价值[J]. 临床放射学杂志, 2022, 41(8): 1550-1553. doi:10.13437/j.cnki.jcr.2022.08.014 JI Zeqiang, SUN Mengyue, YU Zhijun, et al. The value of low-dose MSCT and post-processing technology for the diagnosis and treatment of date pit in cervical esophageal[J]. Journal of Clinical Radiology, 2022, 41(8): 1550-1553. doi:10.13437/j.cnki.jcr.2022.08.014
[2] 徐卓, 林颖, 查定军. 锥形束计算机断层扫描在人工耳蜗植入相关领域的应用进展[J]. 临床耳鼻咽喉头颈外科杂志, 2021, 35(9): 845-849. doi:10.13201/j.issn.2096-7993.2021.09.018 XU Zhuo, LIN Ying, ZHA Dingjun. The application progress of cone-beam computed tomography in cochlear implantation[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2021, 35(9): 845-849. doi:10.13201/j.issn.2096-7993.2021.09.018
[3] Arai Y, Tammisalo E, Iwai K, et al. Development of a compact computed tomographic apparatus for dental use[J]. Dentomaxillofac Radiol, 1999, 28(4): 245-248. doi:10.1038/sj/dmfr/4600448
[4] Mozzo P, Procacci C, Tacconi A, et al. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results[J]. Eur Radiol, 1998, 8(9): 1558-1564. doi:10.1007/s003300050586
[5] 韦雪琼, 王远军. 锥形束CT用于口腔颌面疾病进展[J]. 中国医学影像技术, 2021, 37(4): 603-607. doi:10.13929/j.issn.1003-3289.2021.04.030 WEI Xueqiong, WANG Yuanjun. Application progresses of cone-beam CT in oral and maxillofacial diseases[J]. Chinese Journal of Medical Imaging Technology, 2021, 37(4): 603-607. doi:10.13929/j.issn.1003-3289.2021.04.030
[6] 孙静坤, 张志伟, 彭刚, 等. C臂锥形束CT成像时间对脑血管成像效果分析[J]. 中国医学计算机成像杂志, 2022, 28(4): 427-432. doi:10.19627/j.cnki.cn31-1700/th.2022.04.013 SUN Jingkun, ZHANG Zhiwei, PENG Gang, et al. Effect of C-arm cone-beam CT with different imaging time in cerebrovascular imaging[J]. Chinese Computed Medical Imaging, 2022, 28(4): 427-432. doi:10.19627/j.cnki.cn31-1700/th.2022.04.013
[7] 韩晓楠, 张均, 王亚丽, 等. 锥形束CT应用于寰枢椎成像的低剂量研究[J]. 中国临床医学影像杂志, 2023, 34(2): 82-86. doi:10.12117/jccmi.2023.02.002 HAN Xiaonan, ZHANG Jun, WANG Yali, et al. Low-dose study of cone-beam CT applied to atlantoaxial spine imaging[J]. Journal of China Clinic Medical Imaging, 2023, 34(2): 82-86. doi:10.12117/jccmi.2023.02.002
[8] 刘姝言, 高兴旺, 刘懿梅, 等. 锥形束CT图像引导乳腺癌放疗中不同配准方法研究[J]. 中国医学物理学杂志, 2023, 40(1): 7-12. doi:10.3969/j.issn.1005-202X.2023.01.002 LIU Shuyan, GAO Xingwang, LIU Yimei, et al. Comparison of different registration methods in cone-beam CT image guided radiotherapy for breast cancer[J]. Chinese Journal of Medical Physics, 2023, 40(1): 7-12. doi:10.3969/j.issn.1005-202X.2023.01.002
[9] 陈真云, 薛莉, 盛修贵, 等. 纠正中晚期宫颈癌IGRT摆位误差的CBCT应用价值[J]. 中华肿瘤防治杂志, 2021, 28(18): 1423-1427. doi:10.16073/j.cnki.cjcpt.2021.18.11 CHEN Zhenyun, XUE Li, SHENG Xiugui, et al. Value of correction of setup errors in image guided radiation therapy with cone-beam computer tomography for advanced cervical carcinoma[J]. Chinese Journal of Cancer Prevention and Treatment, 2021, 28(18): 1423-1427. doi:10.16073/j.cnki.cjcpt.2021.18.11
[10] 黄健健, 夏巍, 唐翔龙, 等. 锥形束CT在人工耳蜗植入中的研究进展[J]. 临床耳鼻咽喉头颈外科杂志, 2021, 35(6): 567-572. doi:10.13201/j.issn.2096-7993.2021.06.019 HUANG Jianjian, XIA Wei, TANG Xianglong, et al. Progress of research on cone-beam CT in cochlear implantation[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2021, 35(6): 567-572. doi:10.13201/j.issn.2096-7993.2021.06.019
[11] 谷晓芳. 放射治疗用锥形束CT图像引导设备技术审评要求探讨[J]. 中国医学物理学杂志, 2018, 35(9): 993-996. doi:10.3969/j.issn.1005-202X.2018.09.001 GU Xiaofang. Requirements for technical review of CBCT image-guided radiotherapy system[J]. Chinese Journal of Medical Physics, 2018, 35(9): 993-996. doi:10.3969/j.issn.1005-202X.2018.09.001
[12] 曹山松. 锥形束CT在牙体牙髓病诊治中的研究进展[J]. 医疗装备, 2021, 34(22): 195-196. doi:10.3969/j.issn.1002-2376.2021.22.099 CAO Shansong. Research progress of cone-beam CT in the diagnosis and treatment of endodontic diseases [J]. Medical Equipment, 2021,34(22):195-196. doi:10.3969/j.issn.1002-2376.2021.22.099
[13] 黄锦锋, 陈晓朝, 王宏. 口腔锥形束CT关键参数检测方法的研究[J]. 计量学报, 2021, 42(3): 375-379. doi:10.3969/j.issn.1000-1158.2021.03.19 HUANG Jinfeng, CHEN Xiaozhao, WANG Hong. Research on the detection method of key parameters of oral and maxillofacial CBCT[J]. Acta Metrologica Sinica, 2021, 42(3): 375-379. doi:10.3969/j.issn.1000-1158.2021.03.19
[14] 宋跃帅, 龚树生. 应用锥形束CT评估人工耳蜗植入后电极形态的研究[J]. 临床耳鼻咽喉头颈外科杂志, 2018, 32(18): 1371-1373. doi:10.13201/j.issn.1001-1781.2018.18.002 SONG Yueshuai, GONG Shusheng. Study of cone-beam CT in evaluating the electrode array of cochlear implantation postoperatively[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2018, 32(18): 1371-1373. doi:10.13201/j.issn.1001-1781.2018.18.002
[15] Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice[J]. J Can Dent Assoc, 2006, 72(1): 75-80
[16] de Cock J, Mermuys K, Goubau J, et al. Cone-beam computed tomography: a new low dose, high resolution imaging technique of the wrist, presentation of three cases with technique[J]. Skeletal Radiol, 2012, 41(1): 93-96. doi:10.1007/s00256-011-1198-z
[17] 徐卓, 林颖, 张鑫雨, 等. 锥形束CT评估人工耳蜗植入术后电极位置与植入损伤的研究[J]. 中华耳科学杂志, 2022, 20(4): 570-575. doi:10.3969/j.issn.1672-2922.2022.04.007 XU Zhuo, LIN Ying, ZHANG Xinyu, et al. Assessment of electrode position and inner ear trauma by cone-beam CT in patients with cochlear implantation[J]. Chinese Journal of Otology, 2022, 20(4): 570-575. doi:10.3969/j.issn.1672-2922.2022.04.007
[18] 朱科技, 施雄. 口腔颌面锥形束CT和螺旋CT口腔修复全冠图像伪影的对比研究[J]. 口腔颌面外科杂志, 2020, 30(4): 249-251. doi:10.3969/j.issn.1005-4979.2020.04.011
[19] 张宗德, 赵昊, 付森博, 等. CBCT检查对不典型鼻窦炎患者诊断符合率的影响[J]. 现代医用影像学, 2018, 27(3): 839-840
[20] 李晓明, 邸斌. 影像导航技术在鼻窦-颅底内镜手术中的应用[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 1-6. doi: doi: 10.6040/j.issn.1673-3770.0.2017.143 LI Xiaoming, DI Bin. Application of imaging navigation technique in the endoscopic sinonasal and skull base surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(2): 1-6. doi: 10.6040/j.issn.1673-3770.0.2017.143
[21] 方勤, 周文雯, 刘艳玲, 等. 锥形束CT观察中内耳细微结构的应用价值[J]. 临床耳鼻咽喉头颈外科杂志, 2021, 35(9): 788-795. doi:10.13201/j.issn.2096-7993.2021.09.005 FANG Qin, ZHOU Wenwen, LIU Yanling, et al. Value of cone-beam computer tomography in the middle and inner ear observation[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2021, 35(9): 788-795. doi:10.13201/j.issn.2096-7993.2021.09.005
[22] 张征宇, 王振常, 尹红霞. 锥形束CT: 颞骨精细影像诊断的新方法[J]. 生命科学仪器, 2018, 16(S1): 65-70 ZHANG Zhengyu, WANG Zhenchang, YIN Hongxia. Cone-beam CT: a new technology in detailed imaging of temporal bone[J]. Life Science Instruments, 2018, 16(S1): 65-70
[23] 李进叶, 孙立新, 王林省, 等. 耳蜗及面神经管锥形束CT与多层螺旋CT数据测量的对比研究及临床价值[J]. 实用放射学杂志, 2022, 38(9): 1415-1418. doi:10.3969/j.issn.1002-1671.2022.09.005 LI Jinye, SUN Lixin, WANG Linsheng, et al. Comparative study and clinical value of cone-beam CT and multi-slice spiral CT of cochlear and facial nerve canals[J]. Journal of Practical Radiology, 2022, 38(9): 1415-1418. doi:10.3969/j.issn.1002-1671.2022.09.005
[24] Zhang ZY, Yin HX, Wang Z, et al. Imaging re-evaluation of the tympanic segment of the facial nerve canal using cone-beam computed tomography compared with multi-slice computed tomography[J]. Eur Arch Otorhinolaryngol, 2019, 276(7): 1933-1941. doi:10.1007/s00405-019-05419-3
[25] 王争,尹红霞,张征宇, 等. 锥形束CT与多层螺旋CT对前庭导水管显示能力的比较分析[J]. 中华医学杂志, 2018, 98(41): 3328-3331. doi:10.3760/cma.j.issn.0376-2491.2018.41.007 WANG Zheng, YIN Hongxia, ZHANG Zhengyu, et al. Comparative analysis of the display ability of cone-beam CT and multi-slice spiral CT in vestibular aqueduct [J]. Chinese Medical Journal, 2018, 98(41): 3328-3331. doi: 10.3760/cma.j.issn.0376-2491.2018.41.007
[26] 范新泰, 王娜, 侯凌霄, 等. 锥形束CT对人工耳蜗植入术后电极位置的评估[J]. 中华耳鼻咽喉头颈外科杂志, 2019, 54(8): 566-570. doi: 10.3760/cma.j.issn.1673-0860.2019.08.002 FAN Xintai, WANG Na, HOU Lingxiao, et al. Evaluation of the electrode position by CBCT following cochlear implantation[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2019, 54(8): 566-570. doi: 10.3760/cma.j.issn.1673-0860.2019.08.002
[27] Helal RA, Jacob R, Elshinnawy MA, et al. Cone-beam CT versus multidetector CT in postoperative cochlear implant imaging: evaluation of image quality and radiation dose[J]. AJNR Am J Neuroradiol, 2021, 42(2): 362-367. doi: 10.3174/ajnr.A6894
[28] Abesi F, Alimohamadi M. Cone beam computed tomography(CBCT)findings of fungal sinusitis in post COVID-19 patient: a case report[J]. Caspian J Intern Med, 2022, 13(Suppl 3): 307-310. doi:10.22088/cjim.13.0.307
[29] 卿玲, 连珊, 王险峰, 等. 上颌窦骨分隔及骨瘤患者锥形束CT影像学分析[J]. 实用医学杂志, 2014, 30(1): 79-82. doi:10.3969/j.issn.1006-5725.2014.01.028 QING Ling, LIAN Shan, WANG Xianfeng, et al. Cone-beam CT imaging analysis of maxillary sinus bone septum and osteoma patients[J]. Journal of Practical Medicine, 2014, 30(1): 79-82. doi: 10.3969/j.issn.1006-5725.2014.01.028
[30] 黄迪,吴兴胜,石连水. 鼻中隔偏曲、中鼻甲气化及下鼻甲肥大对青少年上颌窦底部气化影响的CBCT分析[J]. 实用口腔医学杂志, 2021, 37(4): 535-539. doi:10.3969/j.issn.1001-3733.2021.04.020 HUANG Di, WU Xingsheng, SHI Lianshui. Effects of nasal septum deviation, middle turbinate gasification and inferior turbinate hyperplasia on maxillary sinus base gasification in adolescents: a CBCT analysis [J]. Journal of Practical Stomatology, 2021, 37(4): 535-539. doi: 10.3969/j.issn.1001-3733.2021.04.020
[31] 陶裕鹏,蔡捷鸿. 锥形束CBCT对上颌窦提升术后种植体的测量研究[J]. 影像研究与医学应用, 2022, 6(24): 194-196. doi:10.3969/j.issn.2096-3807.2022.24.064 TAO Yupeng, CAI Jiehong. Measurement of implant after maxillary sinus lift by Cone-beam CT[J]. Imaging Research and Medical Application, 2022, 6(24): 194-196. doi:10.3969/j.issn.2096-3807.2022.24.064
[32] 冯凯华,玉贵永,邹良群. 锥形束CT在鼻咽癌调强放疗中摆位误差情况及对靶区、邻近器官剂量的影响分析[J]. 中国CT和MRI杂志, 2022, 20(5): 7-9. doi:10.3969/j.issn.1672-5131.2022.05.003 FENG Kaihua, YU Guiyong, ZOU Liangqun. Analysis of positioning error of cone-beam CT in intensity modulated radiotherapy for nasopharyngeal carcinoma and its effect on dose of target area and adjacent organs [J]. Chinese Journal of CT and MRI, 2022, 20(5): 7-9. doi:10.3969/j.issn.1672-5131.2022.05.003
[33] 冉雪琪, 李建锋, 曹绍艾. 探讨低剂量口腔CBCT检查中耳鼻喉相关组织的表现[J]. CT理论与应用研究, 2022, 31(3): 392-398. doi:10.15953/j.ctta.2021.035 RAN Xueqi, LI Jianfeng, CAO Shaoai. Analysis of the manifestations of ENT in low-dose oral CBCT examination[J]. Computerized Tomography Theory and Applications, 2022, 31(3): 392-398. doi:10.15953/j.ctta.2021.035
[34] 陈红, 廉兴, 张国忠, 等. CT和电子鼻内镜诊断儿童腺样体肥大的价值观察[J]. 中国CT和MRI杂志, 2021, 19(5): 144-146. doi:10.3969/j.issn.1672-5131.2021.05.046 CHEN Hong, LIAN Xing, ZHANG Guozhong, et al. Value of CT and electronic nasal endoscope in diagnosis of adenoid hypertrophy in children[J]. Chinese Journal of CT and MRI, 2021, 19(5): 144-146. doi:10.3969/j.issn.1672-5131.2021.05.046
[35] 倪守洁, 邹娟娟, 郭瑞祥, 等. 儿童头颅侧位片测量参数对腺样体肥大诊断价值的研究[J]. 山东大学耳鼻喉眼学报, 2023, 37(2): 39-44. doi: 10.6040/j.issn.1673-3770.0.2022.002 NI Shoujie, ZOU Juanjuan, GUO Ruixiang, et al. Study on the diagnostic value of children's cephalometric roentgenogram measurement parameters for adenoid hypertrophy[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(2): 39-44. doi: 10.6040/j.issn.1673-3770.0.2022.002
[36] Gao DK, Sun XY, Yang Y, et al. Diagnostic value of CBCT in Chinese children with adenoid hypertrophy[J]. Laryngoscope Investig Otolaryngol, 2022, 7(5): 1308-1314. doi:10.1002/lio2.837
[37] Walliczek-Dworschak U, Diogo I, Strack L, et al. Indications of cone beam CT in head and neck imaging in children[J]. Acta Otorhinolaryngol Ital, 2017, 37(4): 270-275. doi:10.14639/0392-100X-1219
[38] Nasseh I, Al-Rawi W. Cone beam computed tomography[J]. Dent Clin North Am, 2018, 62(3): 361-391. doi:10.1016/j.cden.2018.03.002
[39] 王学昌, 王涛, 任欣, 等. 内镜下经口入路保留扁桃体茎突截短术疗效分析[J]. 山东大学耳鼻喉眼学报, 2021, 35(4): 17-21. doi:10.6040/j.issn.1673-3770.0.2020.413 WANG Xuechang, WANG Tao, REN Xin, et al. Analysis of the clinical efficacy of endoscopy-assisted intraoral removal of an elongated styloid process with-out tonsillectomy[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(4): 17-21. doi:10.6040/j.issn.1673-3770.0.2020.413
[40] 宋跃帅,刘良发. 锥形束CT与螺旋CT测量茎突长度的对比分析[J]. 中华医学杂志, 2018, 98(23): 1841-1843. doi:10.3760/cma.j.issn.0376-2491.2018.23.007 SONG Yueshuai, LIU Liangfa. Cone-beam CT and spiral CT analysis in measuring the length of the styloid process [J]. Chinese journal of medicine, 2018, 98(23): 1841-1843. doi: 10.3760 / cma. J.i SSN. 0376-2491.2018.23.007
[41] 张扬, 于美清, 崔玉兰, 等. 茎突综合征的锥形束CT研究[J]. 现代口腔医学杂志, 2021, 35(3): 185-187 ZHANG Yang, YU Meiqing, CUI Yulan, et al. The use of cone bean computed tomography in assessing the styloid process syndrome[J]. Journal of Modern Stomatology, 2021, 35(3): 185-187
[42] 武勇进, 王鹏, 韩晓东, 等. 鼻骨CT三维成像技术辅助鼻骨骨折的诊断研究[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(5): 452-455. doi:10.13201/j.issn.2096-7993.2020.05.016 WU Yongjin, WANG Peng, HAN Xiaodong, et al. Three-dimension CT assisted treatment of nasal fracture[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2020, 34(5): 452-455. doi:10.13201/j.issn.2096-7993.2020.05.016
[43] 刘中棋,黄春东,杨水贤. CBCT3D成像技术在颌面部外伤临床诊断的应用[J]. 影像研究与医学应用, 2021, 5(16): 89-90. doi:10.3969/j.issn.2096-3807.2021.16.040 LIU Zhongqi, HUANG Chundong, YANG Shuixian. Application of CBCT3D imaging technology in the clinical diagnosis of maxillofacial trauma[J]. Imaging Research and Medical Application, 2021, 5(16): 89-90. doi:10.3969/j.issn.2096-3807.2021.16.040
[1] LIU Zhi-qi1，2， LIU Li-si1， YANG Kun3. Hearing screenings  in 11894 infants [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(2): 8-12.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd