CIMPLE : Cochlear Implantation Modeling, PLanning & Evaluation

Main Objectives 

The development of cochlear implants can be considered as one of the great medical progress of the XXth century leading to a real revolution in the management of bilateral severe to profound deafness.

The project  ‘CIMPLE’  (Cochlear Implantation Modeling, PLanning & Evaluation) takes a trans-disciplinary approach

  • to enhance our understanding of the human hearing system;
  • to develop better methods for the diagnosis of profound hearing pathologies;
  • to improve the planning, the implantation and the use of cochlear implants.

This project involves several academic (Inria Sophia Antipolis) and clinical (CHU Nice, IUFC)  partners member of the Université Côte d’Azur and a company (Oticon Medical). They are all located in the Nice area and are engaged in a long term collaborative framework to develop a strong cluster of expertise in otology.

The cochlea is a spiral-shaped cavity making around 2.5 turns around its axis which is part of the inner ear. It plays a key role in the transformation  of acoustic waves into electric signals transmitted to the brain. One important aspect of this project is the assessment of the cochlea shape from Computed Tomography (CT) images of patients.

Reconstructing the cochlea from CT images is challenging since its subtle shape cannot be fully observed from this type of image and therefore sophisticated methods are being developed combining knowledge in  anatomy, medical imaging, geometry, statistics, and machine learning.

Other aspects of this project include :

  • Planning cochlear implant surgery
  • Assessment of post-operative array insertion traumatisms
  • Assesment of post-operative intra cochlear electrodes position
  • Assesment of electrical field distribution in an implanted cochlea
  • Post-operative optimization of cochlear implants parameterization (or programming)
  • Improving the otosclerosis CT diagnosis
Funding 

The work is funded by the region Provence-Alpes-Côte d’Azur, Université Côte d’Azur and OTICON MEDICAL.

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Partners

This work is a collaborative work between, INRIA , OTICON MEDICAL, Institut Universitaire de la Face et du Cou (IUFC) and the radiology department of the Centre Hospitalier Universitaire (CHU) de Nice

            

Participants:  Hervé Delingette (Inria), Nicholas Ayache (Inria), Zihao WANG (INRIA, UCA), Thomas Demarcy (Oticon Medical), Dan Gnansia (Oticon Medical),  Clair Vandersteen (IUFC), Nicolas Guevara (IUFC), Alexandra Benarrous, (CHU), Charles Raffaelli (CHU).

Publications

[1] Clair Vandersteen, Thomas DemarcyHervé Delingette, Charles Raffaelli, Jonathan Laudanski, Thierry Pourcher, Jacques Darcourt, Philippe Franken, Dan Gnansia, Nicholas Ayache, and Nicolas Guevara. Teaching tool for advanced visualization of temporal bone structures by fusion of $\mu$CT and CT scan images. 8th International Symposium on Objective Measures in Auditory Implants, October 2014. Note: Poster.  

[2] K. Dang, M. Clerc, C. Vandersteen, N. Guevara, D. Gnansia.
In situ validation of a parametric model of electrical field distribution in an implanted cochlea, in: 7th International IEEE EMBS Conference on Neural Engineering, Montpellier, France, France, April 2015. [DOI : 10.1109/NER.2015.7146711 ] https://hal.inria.fr/hal-01242020

[3] Clair Vandersteen, Thomas Demarcy, Coralie Roger, Eric Fontas, Charles Raffaelli, Nicholas AyacheHervé Delingette, and Nicolas Guevara. Impact of the surgical experience on cochleostomy location: a comparative temporal bone study between endaural and posterior tympanotomy approaches for cochlear implantationEuropean Archives of Oto-Rhino-Laryngology, pp 1-7, 2015.   

[4] Dan Gnansia, Thomas Demarcy, Clair Vandersteen, Charles Raffaelli, Nicolas Guevara, Hervé Delingette, and Nicholas AyacheOptimal electrode diameter in relation to volume of the cochleaEuropean Annals of Otorhinolaryngology, Head and Neck Diseases, 133, Supplement 1:S66-S67, June 2016.   

[5] Thomas Demarcy, Clair Vandersteen, Dan Gnansia, Charles Raffaelli, Hervé DelingetteNicholas Ayache, and Nicolas Guevara. Estimation de la position post-implantation cochléaire de l’électrode à partir d’images tomodensitométriques cliniques. In 123ème Congrès de la Société Française d’Oto-Rhino-Laryngologie et de Chirurgie de la Face et du Cou, Annales françaises d’Oto-rhino-laryngologie et de Pathologie Cervico-faciale, Paris, France, October 2016. Congrès de la Société Française d’Oto-Rhino-Laryngologie et de Chirurgie de la Face et du Cou.

[6] Thomas Demarcy, Clair Vandersteen, Charles Raffaelli, Dan Gnansia, Nicolas Guevara, Nicholas Ayache, and Hervé DelingetteUncertainty Quantification of Cochlear Implant Insertion from CT Images. In Raj Shekhar, Stefan Wesarg, Miguel Angel Gonzalez Ballester, Klaus Drechsler, Yoshinobu Sato, Marius Erdt, Marius George Linguraru, and Cristina Oyarzun Laura, editors, 5th International Workshop on Clinical Image-Based Procedures – CLIP 2016, Held in Conjunction with MICCAI 2016, volume 9958 of Lecture Notes in Computer Science, Athens, Greece, pages 27-35, October 2016. Springer.   

[7] Thomas DemarcySegmentation and study of anatomical variability of the cochlea from medical images. Theses, Université Côte d’Azur, July 2017.  

[8] Thomas Demarcy, Clair Vandersteen, Nicolas Guevara, Charles Raffaelli, Dan Gnansia, Nicholas Ayache, and Hervé DelingetteAutomated analysis of human cochlea shape variability from segmented $\mu$CT imagesComputerized Medical Imaging and Graphics, 59(July 2017):1 – 12, 2017.  

 

 

 

 

 

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