Evidence map›Paper›PMID 23235550›Full record

ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2013

Correlation of computed tomography with histopathology in otosclerosis.

Alicia M Quesnel, Gul Moonis, Jason Appel, Jennifer T O'Malley, Michael J McKenna, Hugh D Curtin, Saumil N Merchant

Open access · greenAbstract read
In one paragraph

Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Diagnostic yield of MRI for pediatric hearing loss: a systematic review.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2015
    Pooled it
  2. Article
  3. Observational
  4. Review
  5. Population-based differences in otosclerosis: a dual-center study of radiological and audiological comparison in Chinese and Swiss patients.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  6. Observational
  7. Current trends in imaging for otosclerosis and the potential role of photon-counting computed tomography.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Review
  8. Article
  9. Article
  10. A comparison between endoscopic and microscopic approaches for stapes surgery: experience of a tertiary referral center.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Otosclerosis: anatomical distribution of otosclerotic loci analyzed by high-resolution computed tomography.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2019
    Article
  18. Article
  19. Lack of Evidence for Nonotosclerotic Stapes Fixation in Human Temporal Bone Histopathology.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2016
    Article
  20. Temporal Bone Histopathology in NOG-Symphalangism Spectrum Disorder.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2015
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Alicia M QuesnelDepartment of Otolaryngology, Massachusetts Eye and Ear Infirmary, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts 02114, USA. alicia_quesnel@meei.harvard.edu
Gul Moonis
Jason Appel
Jennifer T O'Malley
Michael J McKenna
Hugh D Curtin
Saumil N Merchant
Massachusetts Eye and Ear Infirmary · USHarvard University · US

Funding

Optopathology by Light Microscopy and Molecular TechniquesU24DC011943 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI MCKENNA, MICHAEL J. · 2011 to 2015
$2.7M
NIDCD NIH HHS U24 DC011943NIDCD NIH HHS U24DC011943
6 · The paper itself

Abstract

objectiveUntil now, the use of computed tomography (CT) in the diagnosis and evaluation of otosclerosis has been based on correlation of radiologic findings to patient histories, intraoperative examinations, and audiologic data. The purpose of this study was to compare CT findings in otosclerosis to histopathology. STUDY

designProspective blinded.

settingRadiology department in a tertiary referral hospital and otopathology laboratory. PATIENTS: Temporal bones from patients with otosclerosis and other otologic diseases (used as controls). INTERVENTION(S): Blinded review of specimen CT scans by radiologists and comparison of CT findings to histopathology of the same bones. MAIN OUTCOME MEASURE(S): Ability of CT to diagnose otosclerosis, identify otosclerotic foci in defined zones of the otic capsule, determine endosteal layer involvement, oval window (OW) obliteration, and round window (RW) obliteration.

resultsIn a randomized blinded evaluation, radiologists identified 8 of 10 bones with otosclerosis and made 3 false-positive diagnoses from the 36 control bones. Radiologic examination correctly identified otosclerosis anterior to the oval window, in the pericochlear area, and in the round window niche in 17 of 17, 9 of 11, and 3 of 6 bones, respectively. CT correctly determined involvement of the endosteal layer, OW obliteration, and RW obliteration in 5 of 8, 2 of 2, and 2 of 2 temporal bones.

conclusionHigh-resolution CT is highly sensitive and specific for the diagnosis of otosclerosis when compared with histopathology. Very small and subtle otosclerotic foci seen on pathology may be missed on CT. Although CT was able to positively identify cochlear endosteal margin involvement, the false-negative rate on CT was significant.

Indexed as

AdultEar, MiddleHumansOtosclerosisProspective StudiesRadiographyTemporal Bone

Identifiers

PMID23235550
PMCPMC3523308
OpenAlexW2029607495

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.