The Importance of the Temporal Bone 3T MR Imaging in the Diagnosis of Menière's Disease.
Identifieur interne : 000154 ( Main/Corpus ); précédent : 000153; suivant : 000155The Importance of the Temporal Bone 3T MR Imaging in the Diagnosis of Menière's Disease.
Auteurs : Aist Paškonien ; Renata Baltagalvien ; Givi Lengvenis ; Vilma Beleškien ; Justinas Ivaška ; V Tra Markevi I T ; Vaiva Mickevi Ien ; Eugenijus LesinskasSource :
- Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [ 1537-4505 ] ; 2020.
Abstract
BACKGROUND
The aim of this study was to evaluate endolymphatic hydrops using the 3T temporal bone magnetic resonance imaging (MRI), performed according to the chosen protocol, and determine whether it could be applied as an objective diagnostic tool for Menière's disease.
METHODS
105 participants diagnosed with probable (n = 50) and definite (n = 55) Menière's disease were included in this prospective study at Vilnius University Hospital, Santaros Clinics. Audiometry, vestibular function tests, videonystagmography, and computer posturography were performed before MRI. The 3T MRI with gadolinium contrast was performed to evaluate the endolymphatic hydrops. Imaging protocol consisted of 3D-FLAIR and 3D T2DRIVE sequences. Vestibular endolymphatic sac was interpreted as enlarged if occupied more than 50% of the vestibular area.
RESULTS
78.1% of subjects had abnormal MRI findings other than hydrops, and it was more than 90% (50/55) of patients in the definite MD group (p < 0.001). Changes in caloric test were observed in 63.8% of subjects in general, and in 76.4% of patients with a definite Menière's disease. The side of the endolymphatic hydrops observed on MR imaging corresponded to the clinical diagnosis of the Menière's disease based on the results of audiometry (p < 0.001) and unilateral weakness (p < 0.001). Endolymphatic hydrops on MRI and directional preponderance in caloric test were two independent predictors of the definite Menière's disease.
CONCLUSIONS
Temporal bone 3T MRI with gadolinium contrast is clinically superior to confirm the diagnosis of Menière's disease. Grade II endolymphatic hydrops on MRI, directional preponderance, and unilateral weakness on caloric test were independent predictors for the definite Menière's disease.
DOI: 10.1097/MAO.0000000000002471
PubMed: 31743294
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sort="Lengvenis, Givi" uniqKey="Lengvenis G" first="Givi" last="Lengvenis">Givi Lengvenis</name><affiliation><nlm:affiliation>Centre of Radiology and Nuclear Medicine, Vilnius University Hospital Santaros Clinics.</nlm:affiliation></affiliation></author><author><name sortKey="Beleskien, Vilma" sort="Beleskien, Vilma" uniqKey="Beleskien V" first="Vilma" last="Beleškien">Vilma Beleškien</name><affiliation><nlm:affiliation>Clinic of Ear, Nose, Throat, and Eye Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Centre of Ear, Nose and Throat Diseases, Vilnius University Hospital Santaros Clinics.</nlm:affiliation></affiliation></author><author><name sortKey="Ivaska, Justinas" sort="Ivaska, Justinas" uniqKey="Ivaska J" first="Justinas" last="Ivaška">Justinas Ivaška</name><affiliation><nlm:affiliation>Clinic of Ear, Nose, Throat, and Eye Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Centre of Ear, Nose and Throat Diseases, Vilnius University Hospital Santaros Clinics.</nlm:affiliation></affiliation></author><author><name sortKey="Markevi I T, V Tra" sort="Markevi I T, V Tra" uniqKey="Markevi I T V" first="V Tra" last="Markevi I T">V Tra Markevi I T</name><affiliation><nlm:affiliation>Faculty of Medicine, Vilnius University.</nlm:affiliation></affiliation></author><author><name sortKey="Mickevi Ien, Vaiva" sort="Mickevi Ien, Vaiva" uniqKey="Mickevi Ien V" first="Vaiva" last="Mickevi Ien">Vaiva Mickevi Ien</name><affiliation><nlm:affiliation>Department of Pediatric Otorhinolaryngology and Ophthalmology, Children's Hospital, affiliate of Vilnius University Hospital Santaros Clinics, Vilnius, Lithuania.</nlm:affiliation></affiliation></author><author><name sortKey="Lesinskas, Eugenijus" sort="Lesinskas, Eugenijus" uniqKey="Lesinskas E" first="Eugenijus" last="Lesinskas">Eugenijus Lesinskas</name><affiliation><nlm:affiliation>Clinic of Ear, Nose, Throat, and Eye Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Centre of Ear, Nose and Throat Diseases, Vilnius University Hospital Santaros Clinics.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:31743294</idno><idno type="pmid">31743294</idno><idno type="doi">10.1097/MAO.0000000000002471</idno><idno type="wicri:Area/Main/Corpus">000154</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000154</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The Importance of the Temporal Bone 3T MR Imaging in the Diagnosis of Menière's Disease.</title><author><name sortKey="Paskonien, Aist" sort="Paskonien, Aist" uniqKey="Paskonien A" first="Aist" last="Paškonien">Aist Paškonien</name><affiliation><nlm:affiliation>Clinic of Ear, Nose, Throat, and Eye Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Centre of Ear, Nose and Throat Diseases, Vilnius University Hospital Santaros Clinics.</nlm:affiliation></affiliation></author><author><name sortKey="Baltagalvien, Renata" sort="Baltagalvien, Renata" uniqKey="Baltagalvien R" first="Renata" last="Baltagalvien">Renata Baltagalvien</name><affiliation><nlm:affiliation>Centre of Radiology and Nuclear Medicine, Vilnius University Hospital Santaros Clinics.</nlm:affiliation></affiliation></author><author><name sortKey="Lengvenis, Givi" sort="Lengvenis, Givi" uniqKey="Lengvenis G" first="Givi" last="Lengvenis">Givi Lengvenis</name><affiliation><nlm:affiliation>Centre of Radiology and Nuclear Medicine, Vilnius University Hospital Santaros Clinics.</nlm:affiliation></affiliation></author><author><name sortKey="Beleskien, Vilma" sort="Beleskien, Vilma" uniqKey="Beleskien V" first="Vilma" last="Beleškien">Vilma Beleškien</name><affiliation><nlm:affiliation>Clinic of Ear, Nose, Throat, and Eye Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Centre of Ear, Nose and Throat Diseases, Vilnius University Hospital Santaros Clinics.</nlm:affiliation></affiliation></author><author><name sortKey="Ivaska, Justinas" sort="Ivaska, Justinas" uniqKey="Ivaska J" first="Justinas" last="Ivaška">Justinas Ivaška</name><affiliation><nlm:affiliation>Clinic of Ear, Nose, Throat, and Eye Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Centre of Ear, Nose and Throat Diseases, Vilnius University Hospital Santaros Clinics.</nlm:affiliation></affiliation></author><author><name sortKey="Markevi I T, V Tra" sort="Markevi I T, V Tra" uniqKey="Markevi I T V" first="V Tra" last="Markevi I T">V Tra Markevi I T</name><affiliation><nlm:affiliation>Faculty of Medicine, Vilnius University.</nlm:affiliation></affiliation></author><author><name sortKey="Mickevi Ien, Vaiva" sort="Mickevi Ien, Vaiva" uniqKey="Mickevi Ien V" first="Vaiva" last="Mickevi Ien">Vaiva Mickevi Ien</name><affiliation><nlm:affiliation>Department of Pediatric Otorhinolaryngology and Ophthalmology, Children's Hospital, affiliate of Vilnius University Hospital Santaros Clinics, Vilnius, Lithuania.</nlm:affiliation></affiliation></author><author><name sortKey="Lesinskas, Eugenijus" sort="Lesinskas, Eugenijus" uniqKey="Lesinskas E" first="Eugenijus" last="Lesinskas">Eugenijus Lesinskas</name><affiliation><nlm:affiliation>Clinic of Ear, Nose, Throat, and Eye Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Centre of Ear, Nose and Throat Diseases, Vilnius University Hospital Santaros Clinics.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</title><idno type="eISSN">1537-4505</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>The aim of this study was to evaluate endolymphatic hydrops using the 3T temporal bone magnetic resonance imaging (MRI), performed according to the chosen protocol, and determine whether it could be applied as an objective diagnostic tool for Menière's disease.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>105 participants diagnosed with probable (n = 50) and definite (n = 55) Menière's disease were included in this prospective study at Vilnius University Hospital, Santaros Clinics. Audiometry, vestibular function tests, videonystagmography, and computer posturography were performed before MRI. The 3T MRI with gadolinium contrast was performed to evaluate the endolymphatic hydrops. Imaging protocol consisted of 3D-FLAIR and 3D T2DRIVE sequences. Vestibular endolymphatic sac was interpreted as enlarged if occupied more than 50% of the vestibular area.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>78.1% of subjects had abnormal MRI findings other than hydrops, and it was more than 90% (50/55) of patients in the definite MD group (p < 0.001). Changes in caloric test were observed in 63.8% of subjects in general, and in 76.4% of patients with a definite Menière's disease. The side of the endolymphatic hydrops observed on MR imaging corresponded to the clinical diagnosis of the Menière's disease based on the results of audiometry (p < 0.001) and unilateral weakness (p < 0.001). Endolymphatic hydrops on MRI and directional preponderance in caloric test were two independent predictors of the definite Menière's disease.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Temporal bone 3T MRI with gadolinium contrast is clinically superior to confirm the diagnosis of Menière's disease. Grade II endolymphatic hydrops on MRI, directional preponderance, and unilateral weakness on caloric test were independent predictors for the definite Menière's disease.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Data-Review" Owner="NLM"><PMID Version="1">31743294</PMID><DateRevised><Year>2020</Year><Month>01</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1537-4505</ISSN><JournalIssue CitedMedium="Internet"><Volume>41</Volume><Issue>2</Issue><PubDate><Year>2020</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</Title><ISOAbbreviation>Otol Neurotol</ISOAbbreviation></Journal><ArticleTitle>The Importance of the Temporal Bone 3T MR Imaging in the Diagnosis of Menière's Disease.</ArticleTitle><Pagination><MedlinePgn>235-241</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/MAO.0000000000002471</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The aim of this study was to evaluate endolymphatic hydrops using the 3T temporal bone magnetic resonance imaging (MRI), performed according to the chosen protocol, and determine whether it could be applied as an objective diagnostic tool for Menière's disease.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">105 participants diagnosed with probable (n = 50) and definite (n = 55) Menière's disease were included in this prospective study at Vilnius University Hospital, Santaros Clinics. Audiometry, vestibular function tests, videonystagmography, and computer posturography were performed before MRI. The 3T MRI with gadolinium contrast was performed to evaluate the endolymphatic hydrops. Imaging protocol consisted of 3D-FLAIR and 3D T2DRIVE sequences. Vestibular endolymphatic sac was interpreted as enlarged if occupied more than 50% of the vestibular area.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">78.1% of subjects had abnormal MRI findings other than hydrops, and it was more than 90% (50/55) of patients in the definite MD group (p < 0.001). Changes in caloric test were observed in 63.8% of subjects in general, and in 76.4% of patients with a definite Menière's disease. The side of the endolymphatic hydrops observed on MR imaging corresponded to the clinical diagnosis of the Menière's disease based on the results of audiometry (p < 0.001) and unilateral weakness (p < 0.001). Endolymphatic hydrops on MRI and directional preponderance in caloric test were two independent predictors of the definite Menière's disease.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Temporal bone 3T MRI with gadolinium contrast is clinically superior to confirm the diagnosis of Menière's disease. Grade II endolymphatic hydrops on MRI, directional preponderance, and unilateral weakness on caloric test were independent predictors for the definite Menière's disease.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Paškonienė</LastName><ForeName>Aistė</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Clinic of Ear, Nose, Throat, and Eye Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre of Ear, Nose and Throat Diseases, Vilnius University Hospital Santaros Clinics.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Baltagalvienė</LastName><ForeName>Renata</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Centre of Radiology and Nuclear Medicine, Vilnius University Hospital Santaros Clinics.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lengvenis</LastName><ForeName>Givi</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Centre of Radiology and Nuclear Medicine, Vilnius University Hospital Santaros Clinics.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beleškienė</LastName><ForeName>Vilma</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Clinic of Ear, Nose, Throat, and Eye Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre of Ear, Nose and Throat Diseases, Vilnius University Hospital Santaros Clinics.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ivaška</LastName><ForeName>Justinas</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Clinic of Ear, Nose, Throat, and Eye Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre of Ear, Nose and Throat Diseases, Vilnius University Hospital Santaros Clinics.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Markevičiūtė</LastName><ForeName>Vėtra</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Faculty of Medicine, Vilnius University.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mickevičienė</LastName><ForeName>Vaiva</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Pediatric Otorhinolaryngology and Ophthalmology, Children's Hospital, affiliate of Vilnius University Hospital Santaros Clinics, Vilnius, Lithuania.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lesinskas</LastName><ForeName>Eugenijus</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Clinic of Ear, Nose, Throat, and Eye Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre of Ear, Nose and Throat Diseases, Vilnius University Hospital Santaros Clinics.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Otol Neurotol</MedlineTA><NlmUniqueID>100961504</NlmUniqueID><ISSNLinking>1531-7129</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>11</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>11</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>11</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31743294</ArticleId><ArticleId IdType="doi">10.1097/MAO.0000000000002471</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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