Observational studyNeuroradiology2026
Imaging features of otosclerosis on photon counting detector CT: a retrospective case series and literature review.
Observational study in Neuroradiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Photon-counting detector computed tomography for temporal bone: does higher resolution matter?Current opinion in otolaryngology & head and neck surgery · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeImaging findings of otosclerosis have been previously described using traditional energy integrated detector CT scanners. Recent developments in photon counting detector CT allow improved spatial and contrast resolution over previous technology.
methodsA retrospective observational case series review was carried out in 53 patients (106 temporal bones) who had imaging findings of otosclerosis. Imaging findings of otosclerosis were documented, including specific plaque location, the presence of otic capsule expansion, and IAC diverticula. The Symons and Fanning classification was used to categorize findings. The presence of the cochlear cleft was documented. 50 asymptomatic patients were reviewed to determine the presence of features that could be confounded for otosclerosis.
resultsPer the Symons and Fanning classification, the following types were found in individual temporal bones: type 0-13, type 1-48, type 2a - 12, type 2b - 6, type 2c - 16, type 3-4. Seven patients had imaging findings that did not fit the classification criteria, primarily isolated otospongiotic plaques in other parts of the otic capsule. The fissula ante fenestram was involved in 91 otosclerosis and 4 temporal bones in asymptomatic patients. The cochlear cleft was visible in 3 otosclerotic and 10 normal temporal bones. Otic capsule thickness in symptomatic patients: concave - 52, flat - 27, convex - 24. In asymptomatic patients: concave - 98, flat - 2, convex - 0. IAC diverticula: present in 36% of otosclerosis and 2% of normal. Isolated foci of otospongiosis were identified in several patients without classic fenestral or retrofenestral disease.
conclusionsPhoton counting CT allows excellent visualization of otospongiotic plaques. Due to the high resolution, subclinical findings can be overlooked in asymptomatic patients and plaque may be visualized in the otic capsule that are not part of existing classification systems. The current study coincides with previous studies which demonstrate that otosclerosis may occur in any part of the otic capsule.
Indexed as
Identifiers
41201491What OpenQuestion holds
Registered trials
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.