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Correlation between vestibular and cochlear membranous labyrinthine hydrops by inner ear gadolinium magnetic resonance imaging angiography and hearing loss in patients with Meniere's disease
YU Jie  QI Zhongxiang  FU Yalei  JIANG Boliao  HE Qiutian  ZOU Chunhua  QIAN Shusen 

Cite this article as: Yu J, Qi ZX, Fu YL, et al. Correlation between vestibular and cochlear membranous labyrinthine hydrops by inner ear gadolinium magnetic resonance imaging angiography and hearing loss in patients with Meniere's disease[J]. Chin J Magn Reson Imaging, 2022, 13(11): 105-107, 124. DOI:10.12015/issn.1674-8034.2022.11.019.


[Abstract] Objective To investigate the correlation between vestibular and cochlear hydrolabyrinth and hearing loss in patients with Meniere's disease (MD), and to further verify the clinical value of inner ear MRI gadolinium angiography in patients with MD.Materials and Methods Retrospective analysis of 62 cases of Meniere's disease treated in our hospital from October 2017 to February 2021. All patients underwent detailed medical history inquiries, specialist physical examinations, hearing tests, vestibular function tests, inner ear MRI gadolinium angiography, etc., ordered examination to compare the correlation of hearing test with the reliability between the traditional diagnostic method, which is relied on disease symptoms, medical history, hearing test and vestibular function test, and MRI gadolinium angiography of the inner ear.Results The vestibular and cochlear membranous labyrinthine scores of inner ear MRI gadolinium angiography showed a weak positive correlation with hearing test scores respectively (r=0.414, 0.358; P<0.05). MRI gadolinium angiography of the inner ear has higher sensitivity than traditional clinical methods in the diagnosis of vestibular hydrops (sensitivity: 91.94%, 88.71%) and cochlear membranous labyrinthine hydrops (sensitivity: 87.10%, 87.10%). Traditional clinical methods have moderate consistence with MRI gadolinium angiography for the diagnosis of vestibular hydrops and cochlear membranous labyrinthine hydrops respectively (Kappa=0.526, 0.509; P<0.05).Conclusions The vestibular and cochlear membranous labyrinthine hydrops assessed by MRI gadolinium angiography were weakly correlated with hearing loss in patients with MD. MRI gadolinium angiography of the inner ear has higher clinical value than traditional clinical diagnostic methods in the diagnosis of MD.
[Keywords] Meniere's disease;the inner ear;hydrolabyrinth;cochlea;vestibule;magnetic resonance imaging;gadolinium angiography;three-dimensional fluid-attenuated inversion recovery;clinical diagnosis;correlation

YU Jie   QI Zhongxiang   FU Yalei   JIANG Boliao   HE Qiutian   ZOU Chunhua   QIAN Shusen*  

Department of Radiology, Chengdu Integrated TCM and Western Medicine Hospital, Chengdu 610000, China

Qian SS, E-mail: 625902095@qq.com

Conflicts of interest   None.

Received  2022-05-13
Accepted  2022-11-07
DOI: 10.12015/issn.1674-8034.2022.11.019
Cite this article as: Yu J, Qi ZX, Fu YL, et al. Correlation between vestibular and cochlear membranous labyrinthine hydrops by inner ear gadolinium magnetic resonance imaging angiography and hearing loss in patients with Meniere's disease[J]. Chin J Magn Reson Imaging, 2022, 13(11): 105-107, 124.DOI:10.12015/issn.1674-8034.2022.11.019

[1]
Oğuz E, Cebeci A, Geçici CR. The relationship between nutrition and Ménière's disease[J]. Auris Nasus Larynx, 2021, 48(5): 803-808. DOI: 10.1016/j.anl.2021.03.006.
[2]
Yu HQ, Li QZ, Li HW. Interpretation of guidelines/statements/consensus on Meniere's disease[J]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 2021, 56(8): 898-902. DOI: 10.3760/cma.j.cn115330-20210223-00080.
[3]
Magnan J, Özgirgin ON, Trabalzini F, et al. European position statement on diagnosis, and treatment of Meniere's disease[J]. J Int Adv Otol, 2018, 14(2): 317-321. DOI: 10.5152/iao.2018.140818.
[4]
Villavisanis DF, Mavrommatis MA, Berson ER, et al. Cochlear implantation in Meniere's disease: a systematic review and Meta-analysis[J]. Laryngoscope, 2021, 131(8): 1845-1854. DOI: 10.1002/lary.29393.
[5]
Espinosa-Sanchez JM, Lopez-Escamez JA. The pharmacological management of vertigo in Meniere disease[J]. Expert Opin Pharmacother, 2020, 21(14): 1753-1763. DOI: 10.1080/14656566.2020.1775812.
[6]
Lopez-Escamez JA, Attyé A. Systematic review of magnetic resonance imaging for diagnosis of Meniere disease[J]. J Vestib Res, 2019, 29(2/3): 121-129. DOI: 10.3233/VES-180646.
[7]
Sousa RT, Raposo F, Guerreiro C, et al. Magnetic resonance imaging and Ménière's disease—unavoidable alliance[J]. Neuroradiology, 2021, 63(11): 1749-1763. DOI: 10.1007/s00234-021-02744-5.
[8]
Wu PH, Chang CM, Lo WC, et al. Prediction of unilateral Meniere's disease attack using inner ear test battery[J]. Ear Hear, 2020, 41(3): 615-621. DOI: 10.1097/AUD.0000000000000785.
[9]
Lu TC, Young YH. Evolution of Meniere's disease from MD 1.0, via MD 1.5, to MD 2.0[J]. Acta Otolaryngol, 2019, 139(9): 747-752. DOI: 10.1080/00016489.2019.1632482.
[10]
Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery, Otolaryngology Head and Neck Surgery Branch of Chinese Medical Association. Guideline of diagnosis and treatment of Meniere disease (2017)[J]. Chin J Otorhinolaryngol Head Neck Surg, 2017, 52(3): 167-172. DOI: 10.3760/cma.j.issn.1673-0860.2017.03.002.
[11]
Kong WJ, Liu B, Leng YM, et al. Intensive reading of the guidelines of diagnosis and treatment of Meniere disease and benign paroxysmal positional vertigo[J]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 2017, 52(3): 178-189. DOI: 10.3760/cma.j.issn.1673-0860.2017.03.004.
[12]
Lai YM, Liu Y, Fang ZM, et al. Observation and clinical significance of visualization in gadolinium-contrast MRI of vestibular aqueduct[J]. Chin J Anat Clin, 2020(6): 628-633. DOI: 10.3760/cma.j.cn101202-20200411-00128.
[13]
Villavisanis DF, Mavrommatis MA, Berson ER, et al. Cochlear implantation in Meniere's disease: a systematic review and Meta-analysis[J]. Laryngoscope, 2021, 131(8): 1845-1854. DOI: 10.1002/lary.29393.
[14]
Wu PH, Chang CM, Lo WC, et al. Prediction of unilateral Meniere's disease attack using inner ear test battery[J]. Ear Hear, 2020, 41(3): 615-621. DOI: 10.1097/AUD.0000000000000785.
[15]
Zhong LZ, Lin Z, Sun LX. Association between cochlear vestibular function examination and inner ear MRI results in Meniere's disease[J]. Chin Arch Otolaryngol Head Neck Surg, 2019, 26(11): 592-595. DOI: 10.16066/j.1672-7002.2019.11.005.
[16]
Chen YQ, Pan ZM, Liang LL, et al. Correlation between gadolinium contrast MRI in evaluating endolymphatic Hydrops and hearing in patients with Meniere's disease[J]. Med Innov China, 2021, 18(12): 44-48. DOI: 10.3969/j.issn.1674-4985.2021.12.010.
[17]
Lin ZY, Yang J. Progress in the study of pathogenic genes of Mesnière's disease[J]. Int J Otolaryngol Head Neck Surg, 2021(6): 355-359. DOI: 10.3760/cma.j.issn.1673-4106.2021.06.011.
[18]
Zhang YY, Wang HT. The application of MRI technology with intratympanic gadolinium injection in the diagnosis and treatment of Meniere's disease[J]. J Otolaryngol Ophthalmol Shandong Univ, 2021, 35(6): 101-107. DOI: 10.6040/j.issn.1673-3770.0.2020.504.
[19]
Yu XW, Sun LX, Hu N, et al. Diagnostic value of intravenous gadolinium inner ear MRI in suspected Meniere's disease[J]. J Audiol Speech Pathol, 2020, 28(4): 380-383. DOI: 10.3969/j.issn.1006-7299.2020.04.005.

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