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弥散张量成像能否揭开主观性耳鸣之谜:是时候采用一些略有不同寻常的参数了。

Could DTI Unlock the Mystery of Subjective Tinnitus: It's Time for Parameters That Go A Little Out of the Routine.

作者信息

Yilmaz Eren, Yildirim Duzgun, Sanli Deniz Esin Tekcan, Elpen Pinar, Tuzuner Filiz Gosterisli, Inan Neslihan Gokmen, Sirin Ahmet, Yagimli Mustafa, Tozan Hakan, Sanli Ahmet Necati, Kandemirli Sedat Giray

机构信息

Faculty of Health Sciences, Istanbul Gelisim University, Istanbul, Turkey.

Vocational School of Health Sciences, Department of Medical Imaging, Acibadem University, Istanbul, Turkey.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):5277-5284. doi: 10.1007/s12070-024-04963-7. Epub 2024 Aug 28.


DOI:10.1007/s12070-024-04963-7
PMID:39559082
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11569339/
Abstract

In this study, it was aimed to assess the microstructural changes in the main central auditory pathway in cases with subjective tinnitus. In total, 101 subjects (52 cases with bilateral subjective non-pulsatile tinnitus and 49 healthy cases as the control group) were included in the study. Participants underwent pure tone audiogram and Diffusion Tensor Imaging-Magnetic Resonance Imaging (DTI-MRI) examination with a 3 Tesla MRI device. The number of tracts, tract length, volume, and quantitative anisotropy (QA) and normalized quantitative anisotropy' (nQA) values were calculated by plotting cochleocortical pathways from the cochlear nerve to ipsilateral and contralateral Heschl's gyrus (HG). In pure tone audiometry, the control group had lower hearing thresholds than cases with tinnitus. Fibres and nQA values from the right cochlear nerve to the right HG were significantly lower in the tinnitus group than in the control group. Cochlear nuclei voxel counts were significantly decreased in the tinnitus group. Both cochlear nucleus volumes were higher in the tinnitus group than in the control group. nQA values in both cochlear nuclei were decreased in the tinnitus group. This study showed that the most commonly affected part in subjective non-pulsatile tinnitus cases is the cochlear nucleus. Therefore, the cochlear nucleus should be evaluated more carefully in cases presenting with subjective tinnitus.

摘要

在本研究中,旨在评估主观性耳鸣患者主要中枢听觉通路的微观结构变化。本研究共纳入101名受试者(52例双侧主观性非搏动性耳鸣患者和49例健康受试者作为对照组)。参与者使用3特斯拉磁共振成像设备进行了纯音听力图和扩散张量成像-磁共振成像(DTI-MRI)检查。通过绘制从蜗神经到同侧和对侧颞横回(HG)的蜗皮质通路,计算束的数量、束长度、体积以及定量各向异性(QA)和归一化定量各向异性(nQA)值。在纯音听力测定中,对照组的听力阈值低于耳鸣患者。耳鸣组从右侧蜗神经到右侧HG的纤维和nQA值显著低于对照组。耳鸣组蜗核体素计数显著减少。耳鸣组双侧蜗核体积均高于对照组。耳鸣组双侧蜗核的nQA值均降低。本研究表明,主观性非搏动性耳鸣病例中最常受影响的部位是蜗核。因此,对于出现主观性耳鸣的病例,应更仔细地评估蜗核。

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本文引用的文献

[1]
ACR Appropriateness Criteria® Tinnitus: 2023 Update.

J Am Coll Radiol. 2023-11

[2]
Resting-state Networks in Tinnitus : A Scoping Review.

Clin Neuroradiol. 2022-12

[3]
A Comparative Olfactory MRI, DTI and fMRI Study of COVID-19 Related Anosmia and Post Viral Olfactory Dysfunction.

Acad Radiol. 2022-1

[4]
Human Cochlear Nucleus on 7 Tesla Diffusion Tensor Imaging: Insights Into Micro-anatomy and Function for Auditory Brainstem Implant Surgery.

Otol Neurotol. 2020-4

[5]
Abnormal Spontaneous Neural Activity of the Central Auditory System Changes the Functional Connectivity in the Tinnitus Brain: A Resting-State Functional MRI Study.

Front Neurosci. 2019-12-20

[6]
Differences between generalized Q-sampling imaging and diffusion tensor imaging in visualization of crossing neural fibers in the brain.

Surg Radiol Anat. 2019-9

[7]
Auditory Related Resting State fMRI Functional Connectivity in Tinnitus Patients: Tinnitus Diagnosis Performance.

Otol Neurotol. 2018-1

[8]
Diffusion Tensor Imaging of Central Auditory Pathways in Patients with Sensorineural Hearing Loss: A Systematic Review.

Otolaryngol Head Neck Surg. 2017-11-7

[9]
Commentary: Cluster failure: Why fMRI inferences for spatial extent have inflated false-positive rates.

Front Hum Neurosci. 2017-6-28

[10]
Cluster failure: Why fMRI inferences for spatial extent have inflated false-positive rates.

Proc Natl Acad Sci U S A. 2016-7-12

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