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磁共振成像用于诊断上半规管裂的效能

The Efficacy of Magnetic Resonance Imaging for the Diagnosis of Superior Semicircular Canal Dehiscence.

作者信息

Beyazal Çeliker Fatma, Özgür Abdulkadir, Çeliker Metin, Beyazal Mehmet, Turan Arzu, Terzi Suat, İnecikli Mehmet Fatih

机构信息

Department of Radiology, Recep Tayyip Erdoğan University School of Medicine, Rize, Turkey.

Department of Otorhinolaryngology, University of Health Sciences, Samsun Health Practices and Research Center, Samsun, Turkey.

出版信息

J Int Adv Otol. 2018 Apr;14(1):68-71. doi: 10.5152/iao.2017.4103. Epub 2017 Dec 14.

Abstract

OBJECTIVE

This study aimed to evaluate the efficacy of magnetic resonance imaging (MRI) for diagnosing superior semicircular canal dehiscence (SSCD).

MATERIALS AND METHODS

The radiological records of patients who were admitted to our clinic with complaints of otologic and neuro-otologic symptoms between October 2014 and December 2015 were retrospectively reviewed. Among these patients, those who underwent both computed tomography and MRI and were reported to have SSCD in the temporal bone on at least one side were included in the study group. MRI records of patients with a confirmed diagnosis were then assessed for the presence of SSCD.

RESULTS

The left and right semicircular canals of 52 patients were evaluated in this study. The sensitivity and specificity of MRI in the diagnosis of SSCD was 89.06% and 90%, respectively. The positive and negative predictive values were 93.44% and 83.72%, respectively.

CONCLUSION

The use of multiplanar reformats and angulation techniques during MRI assessment of patients with neuro-otologic symptoms can improve the diagnostic process for patients with SSCD. This may allow early diagnosis of the disease by using just one imaging method, which would also reduce the costs per patient during the diagnosis period.

摘要

目的

本研究旨在评估磁共振成像(MRI)诊断上半规管裂(SSCD)的有效性。

材料与方法

回顾性分析2014年10月至2015年12月因耳科和神经耳科症状就诊于我院患者的放射学记录。在这些患者中,将那些同时接受计算机断层扫描和MRI检查且颞骨至少一侧报告有SSCD的患者纳入研究组。然后对确诊患者的MRI记录进行SSCD存在情况评估。

结果

本研究评估了52例患者的左右半规管。MRI诊断SSCD的敏感性和特异性分别为89.06%和90%。阳性和阴性预测值分别为93.44%和83.72%。

结论

在对神经耳科症状患者进行MRI评估时使用多平面重建和角度技术可改善SSCD患者的诊断过程。这可能仅通过一种成像方法就能实现疾病的早期诊断,同时还能降低诊断期间每位患者的成本。

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