Liu Yupeng, Pyykkö Ilmari, Naganawa Shinji, Marques Pedro, Gürkov Robert, Yang Jun, Duan Maoli
Department of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Ear Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Front Surg. 2022 Apr 28;9:874971. doi: 10.3389/fsurg.2022.874971. eCollection 2022.
Endolymphatic hydrops (EH) is considered the histological hallmark of Meniere's disease. Visualization of EH has been achieved by special sequences of inner ear magnetic resonance imaging (MRI) with a gadolinium-based contrast agent intravenous or intratympanic administration. Although it has been applied for more than 10 years since 2007, a unified view on this technique has not yet been achieved. This paper presents an expert consensus on MRI of endolymphatic hydrops in the following aspects: indications and contra-indications for patient selection, methods of contrast-agent administration (intravenous or intratympanic), MRI sequence selection, the specific scanning parameter settings, and standard image evaluation methods and their advantages and disadvantages. For each part of this consensus, a comment is attached to elucidate the reasons for the recommendation.
内淋巴积水（EH）被认为是梅尼埃病的组织学标志。通过使用基于钆的造影剂进行静脉注射或鼓室内给药的内耳磁共振成像（MRI）特殊序列，已实现对内淋巴积水的可视化。尽管自2007年以来该技术已应用了10多年，但尚未达成对此技术的统一观点。本文从以下几个方面提出了关于内淋巴积水MRI的专家共识：患者选择的适应证和禁忌证、造影剂给药方法（静脉注射或鼓室内给药）、MRI序列选择、具体扫描参数设置以及标准图像评估方法及其优缺点。对于该共识的每个部分，都附有注释以阐明推荐的理由。
