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In vivo imaging of saccular hydrops in humans reflects sensorineural hearing loss rather than Meniere’s disease symptoms

European radiology, 2018-07, Vol.28 (7), p.2916-2922 [Peer Reviewed Journal]

European Society of Radiology 2018 ;European Radiology is a copyright of Springer, (2018). All Rights Reserved. ;Distributed under a Creative Commons Attribution 4.0 International License ;ISSN: 0938-7994 ;EISSN: 1432-1084 ;DOI: 10.1007/s00330-017-5260-7 ;PMID: 29564597

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Title:
In vivo imaging of saccular hydrops in humans reflects sensorineural hearing loss rather than Meniere’s disease symptoms
Author: Attyé, Arnaud ; Eliezer, Michael ; Medici, Maud ; Tropres, Irène ; Dumas, Georges ; Krainik, Alexandre ; Schmerber, Sébastien
Subjects: Adult ; Aged ; Bioengineering ; Case-Control Studies ; Contrast Media ; Diagnosis, Differential ; Diagnostic Radiology ; Disease control ; Edema ; Edema - complications ; Edema - diagnostic imaging ; Edema - physiopathology ; Female ; Head and Neck ; Hearing impairment ; Hearing loss ; Hearing Loss, Sensorineural - complications ; Hearing Loss, Sensorineural - diagnostic imaging ; Hearing protection ; Humans ; Image Enhancement - methods ; Imaging ; Imaging, Three-Dimensional - methods ; Internal Medicine ; Interventional Radiology ; Life Sciences ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Medicine ; Medicine & Public Health ; Meglumine ; Meniere Disease - diagnostic imaging ; Meniere's disease ; Middle Aged ; Neuroradiology ; Organometallic Compounds ; Patients ; Prospective Studies ; Radiology ; Saccule ; Saccule and Utricle - diagnostic imaging ; Saccule and Utricle - physiopathology ; Sensitivity ; Sensitivity and Specificity ; Ultrasound ; Vertigo
Is Part Of: European radiology, 2018-07, Vol.28 (7), p.2916-2922
Description: Objectives A case-controlled imaging study demonstrated that saccular hydrops was specific to Meniere’s disease (MD), but only present in a subset of patients. Here, we compared patients with definite MD, vertigo and sensorineural hearing loss (SNHL) to elucidate the relationship between saccular hydrops and extent of SNHL. Methods In this prospective study, we performed 3D-FLAIR sequences between 4.5 and 5.5 h after contrast media injection in patients with MD (n=20), SNHL (n=20), vertigo (n=20) and 30 healthy subjects. Two radiologists independently graded saccular hydrops. ROC analysis was performed to determine the hearing loss threshold to differentiate patients with saccular hydrops. Results Saccular hydrops was found in 11 of 20 MD patients, 10 of 20 SNHL patients and in none of the vertigo patients and healthy subjects. In SNHL patients, 45 dB was the threshold above which there was a significant association with saccular hydrops, with sensitivity of 100 % and specificity of 90 %. In MD patients, 40 dB was the threshold above which there was a significant association with saccular hydrops, with sensitivity of 100 % and specificity of 44 %. Conclusions Our results indicate saccular hydrops as a feature of worse than moderate SNHL rather than MD itself. Key Points • MRI helps clinicians to assess patients with isolated low-tone sensorineural hearing loss. • Saccular hydrops correlates with sensorineural hearing loss at levels above 40 dB. • Vertigo patients without sensorineural hearing loss do not have saccular hydrops. • Saccular hydrops is described in patients without clinical diagnosis of Meniere’s disease.
Publisher: Berlin/Heidelberg: Springer Berlin Heidelberg
Language: English
Identifier: ISSN: 0938-7994
EISSN: 1432-1084
DOI: 10.1007/s00330-017-5260-7
PMID: 29564597
Source: AUTh Library subscriptions: ProQuest Central
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In vivo imaging of saccular hydrops in humans reflects sensorineural hearing loss rather than Meniere’s disease symptoms

European Society of Radiology 2018 ;European Radiology is a copyright of Springer, (2018). All Rights Reserved. ;Distributed under a Creative Commons Attribution 4.0 International License ;ISSN: 0938-7994 ;EISSN: 1432-1084 ;DOI: 10.1007/s00330-017-5260-7 ;PMID: 29564597

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