Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Correlation of Semi-Quantitative Findings of Endolymphatic Hydrops in Mri With the Audiometric Findings in Patients With Meniere's Disease Publisher



Kazemi MA1, 2 ; Ghasemi A3 ; Casselman JW4, 5, 6 ; Shafiei M2 ; Zarandy MM7, 8 ; Sharifian H1 ; Hashemi H2 ; Firouznia K2 ; Moradi B2, 9 ; Kasani K10 ; Etemadimanesh A3
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Radiology, Amiralam Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Radiology, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Medical Imaging Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Radiology, AZ St. Jan Brugge-Oostende av, Campus Brugge, Ruddershove 10, Brugge, B-8000, Belgium
  5. 5. University Ghent, Gent, Belgium
  6. 6. Department of Radiology, AZ St. Augustinus, Oosterveldlaan 24, Antwerpen, B-2610, Belgium
  7. 7. Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Department of Otorhinolaryngology, Amiralam Hospital, Tehran University of Medical Sciences, Tehran, Iran
  9. 9. Department of Radiology, Yas Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran
  10. 10. Bachelor of Radiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran

Source: Journal of Otology Published:2022


Abstract

Purpose: To investigate the correlation between vestibular hydrops (VH), cochlearhydrops (CH), vestibular aqueduct non-visibility (VANV), and visually increased perilymphatic enhancement (VIPE) with the findings of pure-tone audiometry (PTA) in Meniere's disease (MD) patients. Methods: In this cross-sectional study, 53 ears belonging to 48 patients were divided into two groups and evaluated. In group “MD patients,” there were 24 ears of 19 patients diagnosed with the definite MD (14 patients with unilateral and 5 patients withbilateral involvements). The “control group” consisted of 29 non-symptomatic ears belonging to patients diagnosed with unilateral sudden sensory-neural hearing loss or unilateral schwannoma. All the patients underwent 2 sessions of temporal bone MRI using the same 3T system: an unenhanced axial T1, T2, and 3D-FLAIR MRI, an intravenous gadolinium-enhanced axial T1 fat-sat, and 4 h after the injection, an axial 3D-T2 cube and 3D-FLAIR session. VH, CH, VANV, and VIPE were assessed. Subsequently, the correlation between EH indices and PTA findings (in three frequency domains of low, middle, and high) were evaluated, and the predictive value of MRI was calculated. Results: VH was significantly correlated with the hearing threshold in the low, middle, and high-frequency domains. CH was also correlated with the hearing threshold in the low and middle domains. Contrarily, VIPE was not associated with hearing thresholds, and VANV was only correlated with the hearing threshold in low frequencies. Conclusion: The grade of VH, CH, and VANV were significantly correlated with the hearing thresholds in PTA. © 2022 PLA General Hospital Department of Otolaryngology Head and Neck Surgery