MR Imaging of Ménière’s Disease after Combined Intratympanic and Intravenous Injection of Gadolinium using HYDROPS2

Endolymphatic hydrops (EH) in Ménière’s disease is currently evaluated by 3-dimensional (3D)-real inversion recovery (IR) sequence after intratympanic (IT) administration of gadolinium (Gd) or by heavily T2-weighted (hT2W)-3D-fluid-attenuated IR (FLAIR) sequence after intravenous (IV) injection of G...

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Bibliographic Details
Published in:Magnetic Resonance in Medical Sciences 2014/06/01, Vol.13(2), pp.133-137
Main Authors: NAGANAWA, Shinji, YAMAZAKI, Masahiro, KAWAI, Hisashi, BOKURA, Kiminori, IIDA, Tatsuo, SONE, Michihiko, NAKASHIMA, Tsutomu
Format: Article
Language:English
Subjects:
3D imaging
Adult
advanced imaging techniques
Aged
Female
Gadolinium DTPA - administration & dosage
Humans
Image Interpretation, Computer-Assisted - methods
Imaging, Three-Dimensional
Injections
Injections, Intralesional
magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Meniere Disease - pathology
Middle Aged
Ménière’s disease
Subtraction Technique
temporal bone disease
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Summary:Endolymphatic hydrops (EH) in Ménière’s disease is currently evaluated by 3-dimensional (3D)-real inversion recovery (IR) sequence after intratympanic (IT) administration of gadolinium (Gd) or by heavily T2-weighted (hT2W)-3D-fluid-attenuated IR (FLAIR) sequence after intravenous (IV) injection of Gd. Unilateral IT injection is usually performed. We employed a method in which we simultaneously administered contrast into one ear intravenously (IV side) and into the other ear both intravenously and intratympanically (IT + IV side) to evaluate EH in 10 patients with Ménière’s disease. We then compared a HYDROPS2 image obtained by subtracting magnetic resonance cisternography from hT2W-3D-FLAIR with an image obtained by 3D-real IR and found that we could evaluate EH in all ears on the HYDROPS2 image but only in the IT + IV side on the 3D-real IR image.
ISSN:1347-3182
1880-2206
DOI:10.2463/mrms.2013-0061