Keidar E, Singh J, Santiago-Rivera OJ, et al. - Researchers conducted this retrospective, cross-sectional review to assess the effectiveness and importance of preoperative imaging among the elderly population ≥ 70 y.o. with bilateral progressive sensorineural hearing loss undergoing cochlear implantation. The sample consisted of patients ≥ 70 y.o. with bilateral presbycusis who underwent preoperative imaging and cochlear implantation. One hundred and thirty-three patients (mean age 79.38 [5.51 SD]) underwent a total of 142 surgical cases and 147 total scans. Data reported that the total cost of imaging was $29,694. Findings suggested that reducing unnecessary preoperative imaging can probably reduce cochlear implantation costs. Preoperative imaging in this study did not impact the surgeon's preference of which side to operate on. Imaging can, however, provide an anatomic roadmap and contribute to either surgical confidence or caution. With the growing number of elderly adults qualifying for cochlear implants, preoperative imaging in this particular population needs to be defined more clearly.