PT - JOURNAL ARTICLE AU - Rao, Dinesh AU - Murray, John V. AU - Agarwal, Amit K. AU - Sandhu, Sukhwinder Johnny AU - Rhyner, Pat A. TI - Comprehensive Review of Inner Ear Anatomy on Photon-Counting CT AID - 10.3174/ajnr.A8410 DP - 2025 May 01 TA - American Journal of Neuroradiology PG - 862--867 VI - 46 IP - 5 4099 - http://www.ajnr.org/content/46/5/862.short 4100 - http://www.ajnr.org/content/46/5/862.full SO - Am. J. Neuroradiol.2025 May 01; 46 AB - The inner ear contains many fissures and canals that can mimic pathology. Photon-counting CT allows greater spatial and contrast resolution of these structures over traditional energy-integrating CT detectors. Small channels containing nerves, arteries, and normal anatomy such as the cochlear cleft and cochlear and vestibular aqueducts are commonly encountered on temporal bone imaging. The improved visualization of these structures poses challenges for radiologists who are new to photon-counting CT. This article updates the existing temporal bone anatomy literature with a detailed anatomic review of the inner ear and major nerves frequently encountered when reviewing temporal bone imaging.EIDenergy-integrating detectorFAFfissula ante fenestramIACinternal auditory canalPCTphoton-counting CT