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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Epub ahead of print

doi: https://doi.org/10.3342/kjorl-hns.2024.00220    [Epub ahead of print]
Current State of Inner Ear MRI in Meniere’s Disease
Su Bi Oh , Won-Ho Chung, Young Sang Cho
Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
메니에르병에서 내이 자기공명영상의 활용
오수비 , 정원호, 조영상
성균관대학교 의과대학 삼성서울병원 이비인후과학교실
Correspondence  Young Sang Cho ,Tel: +82-2-3410-3577, Fax: +82-2-3410-3879, Email: ys83.cho@samsung.com
Received: 11 April 2024; Revised: May 30, 2024   Accepted: 31 May 2024.  Published online: 14 November 2024.
ABSTRACT
Ménière’s disease (MD) is one of the diseases that greatly reduces the quality of life, causing repeated dizziness, hearing loss, and tinnitus. There have been various efforts to diagnose MD and predict its prognosis, but even today, hearing test is the only objective test included in the diagnostic criteria. This is because we lack tools with which we can clearly identify the endolymphatic hydrops (EH), the histologic hallmark of MD. Since the mid-2000s, 3-tesla MRI using a three-dimensional fluid-attenuated inversion recovery sequence has begun to be used to detect the EH of MD. More recently, many clinical studies have been conducted using this sequence of MRI, and the diagnostic value of inner ear MRI has thus increased. In particular, with the remarkable development of the convolutional neural network (CNN), the technology of medical image analysis has also grown dramatically. In this work, we explore how inner ear MRI is clinically used in MD, how CNN is actually used in the diagnosis of MD, and finally consider the diagnostic value of inner ear MRI in the future.
Keywords: Hearing loss Magnetic resonance imaging Meniere disease Vertigo
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