Cohlea

Urechea externa, medie si interna

 Anatomia urechii interne
Urechea interna – stanca temporalului
- Labirintul osos
- Labirintul membranos
- intre l. osos si membranos – perilimfa (Na+)
- in l. membranos – endolimfa (K+)
- Contine: - vestibulul osos
- canalele semicirculare
- melcul osos (cohlea osoasa)
Anatomia cohleei
 Antomia cohleei
Cohleea – spirala osoasa 2,5 x
- compartimente:
- scala vestibuli – perilimfa
- scala media – endolimfa
- scala tympani – perilimfa
- In canalul cohlear – organul Corti, membrana
bazilara si membrana tectoria – 2 geluri
acelulare
 Anatomia cohleei
Organul Corti – ganglionul spiral Corti
- pe membrana bazilara
- grup de celule ciliate
- cilii – membrana tectoria
Urechea - CT

1. Cohlea
2. Muschiul tensor al
timpanului
3. Manerul ciocanasului
4. Canalul nervului facial
5. Muschiul stapedius
6. Fereastra rotunda
Cohlea conturaj
Cohlea conturaj – CT/IRM
Cohlea conturaj – CT/IRM
Cohlea conturaj – CT/IRM
Cohlea conturaj – CT/IRM
 Cohlea conturaj
Title:
CT-based delineation of organs at risk in the head and neck
region: DAHANCA, EORTC, GORTEC, HKNPCSG, NCIC CTG,
NCRI, NRG Oncology and TROG consensus guidelines
Authors:
Charlotte L. Brouwer,Roel J.H.M. Steenbakkers,Jean
Bourhis,Wilfried Budach,Cai Grau,Vincent Grégoire,Marcel
van Herk,Anne Lee,Philippe Maingon,Chris Nutting,Brian
O’Sullivan,Sandro V. Porceddu,David I. Rosenthal,Nanna M.
Sijtsema et al.
Publication: Radiotherapy and Oncology
Publisher: Elsevier © 2015
Cohlea conturaj
 Cohlea conturaj

Some of the atlas structures are very small, such as the cochlea,
pituitary gland, lacrimal glands and chiasm, with volumes <0.5 cm3.
Volume and dose–volume histogram (DVH) data calculated over
such small volumes is susceptible to differences in the calculation
algorithm (i.e. sampling and interpolation strategy), and also
depend on CT slice thickness, pixel width, dose grid voxel width and
DVH dose resolution, and may differ widely between the various
methods [22]. Consequently we recommend expanding small
structures such as the cochlea, pituitary gland, chiasm and
arytenoids by 5 mm to calculate reliable and more consistent DVH
data (but avoid overlap with the PTV). Additionally, we recommend
acquiring constrast-enhanced CT scans with ⩽2 mm slice thickness
to improve delineations of such very small structures.
QUANTEC - cohlea