Clinical Application of 3D-FIESTA Image in Patients with Unilateral Inner Ear Symptom.
10.7874/kja.2013.17.3.111
- Author:
Jae Ho OH
1
;
Jae Ho CHUNG
;
Hyun Jung MIN
;
Seok Hyun CHO
;
Chul Won PARK
;
Seung Hwan LEE
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, Korea. shleemd@hanyang.ac.kr
- Publication Type:Original Article
- Keywords:
Retrocochlear disease;
Hearing loss;
Tinnitus;
MRI
- MeSH:
Aneurysm;
Arteries;
Diagnosis;
Ear;
Ear, Inner*;
Evoked Potentials, Auditory, Brain Stem;
Hearing Loss;
Hearing Loss, Unilateral;
Humans;
Magnetic Resonance Imaging;
Mass Screening;
Medical Records;
Methods;
Neuroma, Acoustic;
Retrocochlear Diseases;
Temporal Bone;
Tinnitus;
Vestibular Aqueduct;
Vestibulocochlear Nerve
- From:Korean Journal of Audiology
2013;17(3):111-117
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND AND OBJECTIVES: Unilateral auditory dysfunction such as tinnitus and hearing loss could be a warning sign of a retrocochlear lesion. Auditory brainstem response (ABR) and internal auditory canal magnetic resonance image (MRI) are suggested as novel diagnostic tools for retrocochlear lesions. However, the high cost of MRI and the low sensitivity of the ABR test could be an obstacle when assessing patients with unilateral ear symptoms. The purpose of this study was to introduce the clinical usefulness of three-dimensional fast imaging employing steady-state acquisition (3D-FIESTA) MRI in patients with unilateral ear symptoms. SUBJECTS AND METHODS: Two hundred and fifty-three patients with unilateral tinnitus or unilateral hearing loss who underwent 3D-FIESTA temporal bone MRI as a screening test were enrolled. We reviewed the abnormal findings in the 3D-FIESTA images and ear symptoms using the medical records. RESULTS: In patients with unilateral ear symptoms, 51.0% of the patients had tinnitus and 32.8% patients were assessed to have sudden sensory neural hearing loss. With 3D-FIESTA imaging, twelve patients were diagnosed with acoustic neuroma, four with enlarged vestibular aqueduct syndrome, and two with posterior inferior cerebellar artery aneurysm. Inner ear anomalies and vestibulocochlear nerve aplasia could be diagnosed with 3D-FIESTA imaging. CONCLUSIONS: 3D-FIESTA imaging is a highly sensitive method for the diagnosis of cochlear or retrocochlear lesions. 3D-FIESTA imaging is a useful screening tool for patients with unilateral ear symptoms.
