The value of four stage vestibular hydrops grading and asymmetric perilymphatic enhancement in the diagnosis of Menière’s disease on MRI

Purpose There is still a clinical-radiologic discrepancy in patients with Menière’s disease (MD). Therefore, the purpose of this study was to investigate the reliability of current MRI endolymphatic hydrops (EH) criteria according to Baráth in a larger study population and the clinical utility of ne...

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Bibliographic Details
Published in:Neuroradiology 2019-04, Vol.61 (4), p.421-429
Main Authors: Bernaerts, Anja, Vanspauwen, Robby, Blaivie, Cathérine, van Dinther, Joost, Zarowski, Andrzej, Wuyts, Floris L., Vanden Bossche, Stephanie, Offeciers, Erwin, Casselman, Jan W., De Foer, Bert
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Cochlea
Contrast Media
Diagnosis, Differential
Diagnostic systems
Female
Gadolinium
Grading
Head and neck
Head-Neck-ENT Radiology
Humans
Image Interpretation, Computer-Assisted
Imaging
Imaging, Three-Dimensional
Intravenous administration
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Medical diagnosis
Medicine
Medicine & Public Health
Meniere Disease - classification
Meniere Disease - diagnostic imaging
Meniere's disease
Middle Aged
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Organometallic Compounds
Otolaryngology
Patients
Perilymph - diagnostic imaging
Population studies
Radiology
Regression analysis
Reliability analysis
Reproducibility of Results
Retrospective Studies
Sensitivity
Surgery
Vestibular system
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Summary:Purpose There is still a clinical-radiologic discrepancy in patients with Menière’s disease (MD). Therefore, the purpose of this study was to investigate the reliability of current MRI endolymphatic hydrops (EH) criteria according to Baráth in a larger study population and the clinical utility of new imaging signs such as a supplementary fourth low-grade vestibular EH and the degree of perilymphatic enhancement (PE) in patients with Menière’s disease (MD). Methods This retrospective study included 148 patients with probable or definite MD according to the 2015 American Academy of Otolaryngology, Head and Neck Surgery criteria who underwent a 4-h delayed intravenous Gd-enhanced 3D-FLAIR MRI between January 2015 and December 2016. Vestibular EH, vestibular PE, cochlear EH, and cochlear PE were reviewed twice by three experienced readers. Cohen’s Kappa and multivariate logistic regression were used for analysis. Results The intra- and inter-reader reliability for the grading of vestibular-cochlear EH and PE was excellent (0.7 
ISSN:0028-3940
1432-1920
DOI:10.1007/s00234-019-02155-7