PDF(Pubmed)
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.
CONCLUSIONS: 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.
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.
CONCLUSIONS: 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.
摘要：
背景：自从引入水肿磁共振成像（MRI）以来，临床梅尼埃病与放射学内淋巴水肿（EH）之间的诊断困境已经出现。本研究的目的是探讨水肿MRI在EH诊断中的潜在应用。
方法：本综述是根据发表在引文报告期刊上的同行评审文章开发的。美国国家医学图书馆的MEDLINE数据库，Scopus,和GoogleScholar用于根据报告评论的指南（PRISMA2020声明）收集文章。
结果：最初，从1983年到2023年共检索到470篇文章，最终选择了80篇相关文章。每个实验室通过积液MRI检测EH的灵敏度（69％-92％）和特异性（78％-96％）值各不相同，可能是由于候选人选择和采用的评分系统。
结论：积液MRI的应用可以（1）区分EH和突发性感觉神经性听力损失；（2）确定EH的患侧；（3）确认EH合并其他疾病的诊断。值得注意的是,并非所有EH的差异都可以在MR图像上可视化。需要填补的现有空白之一是更新后的积水MRI无法识别失真，也就是说,破裂,崩溃,瘘管,或内耳隔室的纤维化，类似于组织病理学证据所能证明的。因此，未来需要增强的超高分辨率的积液MRI来展示内耳隔室的精细结构。
方法：本综述是根据发表在引文报告期刊上的同行评审文章开发的。美国国家医学图书馆的MEDLINE数据库，Scopus,和GoogleScholar用于根据报告评论的指南（PRISMA2020声明）收集文章。
结果：最初，从1983年到2023年共检索到470篇文章，最终选择了80篇相关文章。每个实验室通过积液MRI检测EH的灵敏度（69％-92％）和特异性（78％-96％）值各不相同，可能是由于候选人选择和采用的评分系统。
结论：积液MRI的应用可以（1）区分EH和突发性感觉神经性听力损失；（2）确定EH的患侧；（3）确认EH合并其他疾病的诊断。值得注意的是,并非所有EH的差异都可以在MR图像上可视化。需要填补的现有空白之一是更新后的积水MRI无法识别失真，也就是说,破裂,崩溃,瘘管,或内耳隔室的纤维化，类似于组织病理学证据所能证明的。因此，未来需要增强的超高分辨率的积液MRI来展示内耳隔室的精细结构。
