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Consensus on MR Imaging of Endolymphatic Hydrops in Patients With Suspected Hydropic Ear Disease (Meniere)

Yupeng Liu1,2,3, Ilmari Pyykkö4, Shinji Naganawa5

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Frontiers in Surgery
|May 16, 2022
PubMed

Insights

This expert consensus provides guidelines for Magnetic Resonance Imaging (MRI) to visualize endolymphatic hydrops (EH), a key indicator of Meniere's disease, using contrast agents.

Area of Science:

  • Otolaryngology
  • Radiology
  • Neuroscience

Background:

  • Endolymphatic hydrops (EH) is the defining histological feature of Meniere's disease.
  • Magnetic Resonance Imaging (MRI) with contrast agents enables visualization of EH.
  • Current application of MRI for EH lacks a unified expert consensus.

Purpose of the Study:

  • To establish an expert consensus on the MRI technique for visualizing endolymphatic hydrops (EH).
  • To standardize MRI protocols for diagnosing Meniere's disease.
  • To provide recommendations on patient selection, contrast administration, and image evaluation.

Main Methods:

  • Review and synthesis of existing literature and expert opinion.
  • Development of consensus guidelines covering indications, contraindications, and contrast administration routes (intravenous vs. intratympanic).
  • Standardization of MRI sequences, scanning parameters, and image interpretation methods.

Main Results:

  • Detailed recommendations are provided for each aspect of the MRI procedure for EH.
  • Advantages and disadvantages of different methods and techniques are discussed.
  • Rationale for each recommendation is elucidated in attached comments.

Conclusions:

  • A unified expert consensus on MRI for endolymphatic hydrops is presented.
  • These guidelines aim to improve diagnostic accuracy and consistency for Meniere's disease.
  • Standardized MRI protocols will enhance the clinical utility of this imaging technique.
Keywords:
Meniere's diseaseconsensusendolymphatic hydropsgadoliniummagnetic resonance imaging

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