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Clinical Article
Comparison of echo-planar and turbo spin-echo diffusion-weighted imaging sequence in the diagnosis of middle ear cholesteatoma
FAN Xiaoxue  DING Changwei  LIU Zhaoyu 

Cite this article as: Fan XX, Ding CW, Liu ZY. Comparison of echo-planar and turbo spin-echo diffusion-weighted imaging sequence in the diagnosis of middle ear cholesteatoma[J]. Chin J Magn Reson Imaging, 2022, 13(6): 5-9. DOI:10.12015/issn.1674-8034.2022.06.002.


[Abstract] Objective To compare the diagnostic performance of echo planar diffusion weighted imaging (EP-DWI) and turbo spin-echo diffusion weighted imaging (TSE-DWI) for middle ear cholesteatoma.Materials and Methods This study prospectively enrolled 63 patients with preliminary clinical suspicion of middle ear cholesteatoma; all patients underwent EP-DWI and TSE-DWI scans using a Philips Ingenia 3.0 T superconducting magnetic resonance scanner and a 32-channel head coil and subsequent surgical treatment. Using pathological results as the gold standard, the imaging diagnosis and postoperative pathology were compared, and area under the curve (AUC), sensitivity, specificity, positive predictive value, and negative predictive value of EP-DWI and TSE-DWI sequences in the diagnosis of suspected cholesteatoma were calculated.Results Among the 63 patients with suspected middle ear cholesteatoma, 47 were pathologically diagnosed as cholesteatoma and 16 were non-cholesteatoma. The accuracy of TSW-DWI in the diagnosis of middle ear cholesteatoma was significantly higher than that of EP-DWI (TSE-DWI vs. EP-DWI: 0.895 vs. 0.644, P<0.05). The sensitivity (91.49%) and specificity (87.50%) of TSE-DWI in diagnosing cholesteatoma were higher than those of the EP-DWI (sensitivity: 78.72%, specificity: 50.00%) sequence.Conclusions Compared with EP-DWI, TSE-DWI can significantly improve diagnostic accuracy and reduce the misdiagnosis rate. TSE-DWI can improve the diagnostic confidence in middle ear cholesteatoma and has a high application value for clinical diagnosis.
[Keywords] middle ear;cholesteatoma;diffusion-weighted imaging;echo planar;turbo spin-echo;magnetic resonance imaging;diagnosis

FAN Xiaoxue   DING Changwei   LIU Zhaoyu*  

Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110000, China

Liu ZY, E-mail: liuzy@sj-hospital.org

Conflicts of interest   None.

Received  2022-03-28
Accepted  2022-05-27
DOI: 10.12015/issn.1674-8034.2022.06.002
Cite this article as: Fan XX, Ding CW, Liu ZY. Comparison of echo-planar and turbo spin-echo diffusion-weighted imaging sequence in the diagnosis of middle ear cholesteatoma[J]. Chin J Magn Reson Imaging, 2022, 13(6): 5-9.DOI:10.12015/issn.1674-8034.2022.06.002

[1]
Russo C, Elefante A, Di Lullo AM, et al. ADC Benchmark Range for Correct Diagnosis of Primary and Recurrent Middle Ear Cholesteatoma[J]. Biomed Res Int, 2018, 2018: 7945482. DOI: 10.1155/2018/7945482.
[2]
Jennings BA, Prinsley P, Philpott C, et al. The genetics of cholesteatoma. A systematic review using narrative synthesis[J]. Clin Otolaryngol, 2018, 43(1): 55-67. DOI: 10.1111/coa.12900.
[3]
Djalilian H, Borrelli M, Desales A. Cholesteatoma Causing a Horizontal Semicircular Canal Fistula[J]. Ear Nose Throat J, 2021, 100 (6_suppl): 888S-891S. DOI: 10.1177/01455613211040580.
[4]
Li XY, Liu Y, Zhao DH, et al. The aetiology of ossicular chain defects in congenital cholesteatoma[J]. J Laryngol Otol, 2022, 136(5): 391-395. DOI: 10.1017/S0022215121002334.
[5]
Racca JM, Lee J, Sikorski F, et al. Cholesteatoma Is Associated With Pediatric Progressive Sensorineural Hearing Loss[J]. Ear Hear, 2021. DOI: 10.1097/AUD.0000000000001176.
[6]
Cavaliere M, Di Lullo AM, Cantone E, et al. Cholesteatoma vs granulation tissue: a differential diagnosis by DWI-MRI apparent diffusion coefficient[J]. Eur Arch Otorhinolaryngol, 2018, 275(9): 2237-2243. DOI: 10.1007/s00405-018-5082-5.
[7]
Khant ZA, Azuma M, Kadota Y, et al. Three-dimensional reversed fast imaging with steady-state precession diffusion-weighted imaging for the detection of middle ear cholesteatoma[J]. Clin Radiol, 2019, 74(11): 898.e7-898.e13. DOI: 10.1016/j.crad.2019.07.013.
[8]
Benson JC, Carlson ML, Lane JI. Non-EPI versus Multishot EPI DWI in Cholesteatoma Detection: Correlation with Operative Findings[J]. AJNR Am J Neuroradiol, 2021, 42(3): 573-577. DOI: 10.3174/ajnr.A6911.
[9]
Aikele P, Kittner T, Offergeld C, et al. Diffusion-weighted MR imaging of cholesteatoma in pediatric and adult patients who have undergone middle ear surgery[J]. AJR Am J Roentgenol, 2003, 181(1): 261-265. DOI: 10.2214/ajr.181.1.1810261.
[10]
Zou J, Chen GL, Chen YK, et al. RS-EPI DWI and SS-EPI DWI Sequences Imaging for Diagnosis of Cholesteatoma[J]. Chin J Otol, 2020, 18(1): 80-87. DOI: 10.3969/j.issn.1672-2922.2020.01.014.
[11]
De Foer B, Vercruysse JP, Pilet B, et al. Single-Shot, Turbo Spin-Echo, Diffusion-Weighted Imaging versus Spin-Echo-Planar, Diffusion Weighted Imaging in the Detection of Acquired Middle Ear Cholesteatoma[J]. AJNR Am J Neuroradiol, 2006, 27(7): 1480-1482.
[12]
Ozgen B, Bulut E, Dolgun A, et al. Accuracy of turbo spin-echo diffusion-weighted imaging signal intensity measurements for the diagnosis of cholesteatoma[J]. Diagn Interv Radiol, 2017, 23(4): 300-306. DOI: 10.5152/dir.2017.16024.
[13]
Wiesmueller M, Wuest W, May MS, et al. Comparison of Readout-Segmented Echo-Planar Imaging and Single-Shot TSE DWI for Cholesteatoma Diagnostics[J]. AJNR Am J Neuroradiol, 2021, 42(7): 1305-1312. DOI: 10.3174/ajnr.A7112.
[14]
Barbara M, Covelli E, Monini S, et al. Early non-EPI DW-MRI after cholesteatoma surgery[J]. Ear Nose Throat J, 2021. DOI: 10.1177/01455613211042946.
[15]
Fischer N, Plaikner M, Schartinger VH, et al. MRI of middle ear cholesteatoma: The importance of observer reliance from diffusion sequences[J]. J Neuroimaging, 2022, 32(1): 120-126. DOI: 10.1111/jon.12919.
[16]
Fischer N, Schartinger VH, Dejaco D, et al. Readout-Segmented Echo-Planar DWI for the Detection of Cholesteatomas: Correlation with Surgical Validation[J]. AJNR Am J Neuroradiol, 2019, 40(6): 1055-1059. DOI: 10.3174/ajnr.A6079.
[17]
Muzaffar J, Metcalfe C, Colley S, et al. Diffusion-weighted magnetic resonance imaging for residual and recurrent cholesteatoma: a systematic review and meta-analysis[J]. Clinical Otolaryngology, 2017, 42(3): 536-543. DOI: 10.1111/coa.12762.
[18]
Baba A, Kurihara S, Fukuda T, et al. Non-echoplanar diffusion weighed imaging and T1-weighted imaging for cholesteatoma mastoid extension[J]. Auris Nasus Larynx, 2021, 48(5): 846-851. DOI: 10.1016/j.anl.2021.01.010.
[19]
Hirata K, Nakaura T, Okuaki T, et al. Comparison of the image quality of turbo spin echo- and echo-planar diffusion-weighted images of the oral cavity[J]. Medicine (Baltimore), 2018, 97(19): e0447. DOI: 10.1097/MD.0000000000010447.
[20]
Tyagi N, Cloutier M, Zakian K, et al. Diffusion-weighted MRI of the lung at 3T evaluated using echo-planar-based and single-shot turbo spin-echo-based acquisition techniques for radiotherapy applications[J]. J Appl Clin Med Phys, 2019, 20(1): 284-292. DOI: 10.1002/acm2.12493.
[21]
Fan X, Ding CW, Liu ZY. The value of turbo spin-echo diffusion weighted imaging in the diagnosis of temporal bone cholesteatoma[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2020, 34(2): 119-123. DOI: 10.13201/j.issn.1001-1781.2020.02.005.
[22]
Lin M, Sha Y, Sheng Y, et al. Accuracy of 2D BLADE Turbo Gradient- and Spin-Echo Diffusion Weighted Imaging for the Diagnosis of Primary Middle Ear Cholesteatoma[J]. Otol Neurotol, 2022. DOI: 10.1097/MAO.0000000000003521.
[23]
Sheng Y, Hong R, Sha Y, et al. Performance of TGSE BLADE DWI compared with RESOLVE DWI in the diagnosis of cholesteatoma[J]. BMC Med Imaging, 2020, 20(1): 40. DOI: 10.1186/s12880-020-00438-7.
[24]
Lin M, Lin N, Sheng Y, et al. Detection of cholesteatoma: 2D BLADE turbo gradient- and spin-echo imaging versus readout-segmented echo-planar diffusion-weighted imaging[J]. Eur Arch Otorhinolaryngol, 2022. DOI: 10.1007/s00405-022-07370-2.
[25]
Fan XX, Liu ZY, Ding CW, et al. The value of turbo spin-echo diffusion-weighted imaging apparent diffusion coefficient in the diagnosis of temporal bone cholesteatoma[J]. Clin Radiol, 2019, 74(12): 977.e1-977.e7. DOI: 10.1016/j.crad.2019.08.016.
[26]
Muhonen EG, Mahboubi H, Moshtaghi O, et al. False-Positive Cholesteatomas on Non-Echoplanar Diffusion-Weighted Magnetic Resonance Imaging[J]. Otol Neurotol, 2020, 41(5): e588-e592. DOI: 10.1097/MAO.0000000000002606.

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