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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.

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