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Imaging of Ménière Disease

Anja Bernaerts1, Bert De Foer1

  • 1Department of Radiology, GZA Hospitals Antwerp, Oosterveldlaan 24, Wilrijk 2610, Belgium.

Neuroimaging Clinics of North America
|November 24, 2018
PubMed

Insights

Magnetic resonance imaging (MRI) can visualize Ménière disease's endolymphatic hydrops. Contrast-enhanced MRI, particularly with delayed intravenous gadolinium, is a reliable and accurate method for detection and grading.

Area of Science:

  • Radiology
  • Neurology
  • Otolaryngology

Background:

  • Ménière disease is characterized by endolymphatic hydrops.
  • Accurate visualization of endolymphatic hydrops is crucial for diagnosis and management.

Purpose of the Study:

  • To evaluate the effectiveness of different Magnetic Resonance Imaging (MRI) techniques for visualizing endolymphatic hydrops in Ménière disease.

Main Methods:

  • Comparison of noncontrast heavily T2-weighted MRI sequences.
  • Assessment of contrast-enhanced MRI techniques, including intratympanic gadolinium and delayed intravenous gadolinium administration.
  • Focus on 3-dimensional fluid-attenuated inversion recovery (3D FLAIR) sequences.

Main Results:

  • Noncontrast MRI's reproducibility requires further confirmation.
  • Delayed intravenous gadolinium administration with contrast-enhanced MRI is frequently used.
  • This technique demonstrates high diagnostic accuracy in detecting and grading Ménière disease via endolymphatic hydrops visualization.

Conclusions:

  • Contrast-enhanced MRI, especially with delayed intravenous gadolinium, is a reliable method for visualizing endolymphatic hydrops.
  • This technique aids in the accurate diagnosis and grading of Ménière disease.
Keywords:
ClassificationDiagnosisEndolymphatic hydropsMR imagingMénière diseaseTemporal bone disease

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