Cochlear Model for the Evaluation of MRI Sequences and Cochlear Implant Electrode Pattern at 3T

• Published in: Annals of Otology and Neurotology 2021-09, Vol.4 (1), p.006-010
• Main Authors: Scholtz, Lars Uwe, Riemann, Conrad, Gehl, Hans Björn, Sudhoff, Holger, Todt, Ingo
• Format: Article
• Language: English
• Subjects: Original Article
• ISSN: 2581-5784; 2581-5784
• DOI: 10.1055/s-0041-1735992

Abstract Introduction  Cochlear implant (CI) magnets and surgical techniques (e.g., positioning) have made an impact on the relationship between CI and magnetic resonance imaging (MRI) by solving the problem of pain and artifact. Recent investigations displayed the possibility to evaluate the CI electrode position by MRI in vivo. However, further improved perceptual quality is needed to allow an improved evaluation of the electrode. Aims  The aim of this study was to assess a cochlear model for the examination of CI electrode pattern and MRI sequences in vitro. Materials and Methods  We investigated CI electrodes in a fluid-filled three-dimensional artificial scala tympani model combined with a fluid package in a 3T MRI scanner. Different high-resolution T2 sequences (0.6–0.2 mm voxel size) were used for the visual electrode pattern evaluation for finding an optimized sequence. Results  Artificial models can be used to evaluate MRI characteristics of CI electrodes. In our scanner configuration, a 0.3 mm voxel and 0.9 mm slice thickness sequence showed the best compromise between resolution and scanning time. Conclusion and Significance  MRI model-based testing can be performed in vitro to evaluate CI electrodes’ pattern and to optimize sequences. An MRI model is a tool for in vitro testing of MRI sequences and might help for future in vivo applications.