Potential Application of Hydrops MR Imaging: A Systematic Review.

IF 2.6 3区 医学 Q1 OTORHINOLARYNGOLOGY Journal of Otolaryngology - Head & Neck Surgery Pub Date : 2024-01-01 DOI:10.1177/19160216241250350
Yi-Ho Young, Kao-Tsung Lin
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Abstract

Background: Diagnostic dilemma between clinical Meniere's disease and radiological endolymphatic hydrops (EH) has emerged since the introduction of hydrops magnetic resonance imaging (MRI). The aim of this study is to explore the potential application of hydrops MRI on diagnosing the EH.

Methods: This review was developed from peer-reviewed articles published in those journals listed on journal of citation reports. The MEDLINE database of the US National Library of Medicine, Scopus, and Google Scholar were used to collect articles based on the guidelines (PRISMA 2020 statement) for reporting reviews.

Results: Initially, 470 articles were retrieved from 1983 to 2023, and 80 relevant articles were ultimately selected. The sensitivity (69%-92%) and specificity (78%-96%) values varied from each laboratory for detecting EH via hydrops MRI, probably due to candidate selection and the grading system employed.

Conclusion: The application of hydrops MRI allows (1) differentiation between EH and sudden sensorineural hearing loss; (2) determination of the affected side of EH; and (3) confirmation of the diagnosis of EH concomitant with other disorders. Notably, not all differentials for EH can be visualized on MR images. One of the existing gaps to be filled is that updated hydrops MRI fails to identify distortion, that is, rupture, collapse, fistula, or fibrosis of the inner ear compartments, akin to what histopathological evidence can demonstrate. Hence, enhanced ultrahigh resolution of hydrops MRI is required for demonstrating fine structures of the inner ear compartments in the future.

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水肿 MR 成像的潜在应用:系统回顾
背景:自水肿磁共振成像(MRI)问世以来,临床梅尼埃病和放射学内淋巴水肿(EH)之间出现了诊断难题。本研究旨在探讨水肿磁共振成像在诊断 EH 方面的潜在应用:方法:本综述从同行评议文章中选取,这些文章发表在引用报告期刊上。根据综述报告指南(PRISMA 2020 声明),使用美国国家医学图书馆的 MEDLINE 数据库、Scopus 和 Google Scholar 收集文章:初步检索了 1983 年至 2023 年期间的 470 篇文章,最终筛选出 80 篇相关文章。每个实验室通过肾积水 MRI 检测 EH 的敏感性(69%-92%)和特异性(78%-96%)值各不相同,这可能是由于候选者的选择和采用的分级系统所致:结论:应用水肿 MRI 可以:(1) 鉴别 EH 和突发性感音神经性听力损失;(2) 确定 EH 的患侧;(3) 确诊合并其他疾病的 EH。值得注意的是,并非所有 EH 的鉴别诊断都能在磁共振图像上看到。需要填补的现有空白之一是,最新的水肿 MRI 无法识别内耳区的变形,即破裂、塌陷、瘘管或纤维化,这与组织病理学证据所能显示的情况类似。因此,今后需要提高水肿 MRI 的超高分辨率,以显示内耳区的精细结构。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.50
自引率
2.90%
发文量
0
审稿时长
6 weeks
期刊介绍: Journal of Otolaryngology-Head & Neck Surgery is an open access, peer-reviewed journal publishing on all aspects and sub-specialties of otolaryngology-head & neck surgery, including pediatric and geriatric otolaryngology, rhinology & anterior skull base surgery, otology/neurotology, facial plastic & reconstructive surgery, head & neck oncology, and maxillofacial rehabilitation, as well as a broad range of related topics.
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