Evidence map›Paper›PMID 34928414›Full record

ArticleEuropean radiology2022

Visualization of the saccule and utricle with non-contrast-enhanced FLAIR sequences.

Hikaru Fukutomi, Lydia Hamitouche, Takayuki Yamamoto, Laurent Denat, Lijun Zhang, Bei Zhang, Valentin Prevost, Bruno Triaire, Vincent Dousset, Xavier Barreau and 1 more

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Article in European radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Substantially Higher Vestibular Hydrops Agreement in Older Patients Assessed by Non-contrast vs. Contrast-enhanced MRI: A Preliminary Study.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2026
    Article
  4. Article
  5. Labyrinthine Signal Intensity on Non-contrast-enhanced 3D-real Inversion Recovery MR Imaging: Correlation with the Endolymphatic Volume Measured on Contrast-enhanced HYDROPS-Mi2.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2026
    Article
  6. Article
  7. Article
  8. Preliminary Findings on Non-contrast Enhanced Positive Endolymph Images: Limited Delineation of Endolymphatic Space.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2025
    Article
  9. The Endolymph Signal in Non-contrast Enhanced 3D-real IR Image Differs between the Ears with and without Significant Endolymphatic Hydrops.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2025
    Article
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  14. Article
  15. Pitfalls of Using T2-contrast Enhancement Techniques in 3D-FLAIR to Detect Endolymphatic Hydrops.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2023
    Article
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 3 countries.

Hikaru Fukutomi *Univ. Bordeaux, Institut de Bio-imagerie IBIO, 33000, Bordeaux, France.
Lydia Hamitouche *CHU de Bordeaux, Neuroimagerie Diagnostique Et Thérapeutique, 33000, Bordeaux, France.
Takayuki YamamotoUniv. Bordeaux, Institut de Bio-imagerie IBIO, 33000, Bordeaux, France.
Laurent DenatUniv. Bordeaux, Institut de Bio-imagerie IBIO, 33000, Bordeaux, France.
Lijun ZhangCanon Medical Systems China, Beijing, China.
Bei ZhangCanon Medical Systems Europe, Zoetermeer, The Netherlands.
Valentin PrevostCanon Medical Systems Corporation, Tochigi, Japan.
Bruno TriaireCanon Medical Systems Corporation, Tochigi, Japan.
Vincent DoussetUniv. Bordeaux, Institut de Bio-imagerie IBIO, 33000, Bordeaux, France.
Xavier BarreauCHU de Bordeaux, Neuroimagerie Diagnostique Et Thérapeutique, 33000, Bordeaux, France.
Thomas TourdiasUniv. Bordeaux, Institut de Bio-imagerie IBIO, 33000, Bordeaux, France. thomas.tourdias@chu-bordeaux.fr.ORCID http://orcid.org/0000-0002-7151-6325
Université de Bordeaux · FRCanon (Japan) · JPCentre Hospitalier Universitaire de Bordeaux · FRCanon (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectives3D-fluid attenuation inversion recovery (FLAIR) collected 4 h after intravenous gadolinium injection can delineate the perilymphatic space (PLS) from the endolymphatic space (ELS) to capture endolymphatic hydrops, the pathological counterpart of Ménière's disease. We aimed to optimize visualization of such inner ear internal anatomy using 3D-FLAIR without injection.

methods3D-FLAIR signal from different fluid compartments such as PLS and ELS was first simulated. Then, twenty-two healthy subjects were scanned at 3.0-T MRI with non-injected 3D-FLAIR using variable T2 preparations (T2Preps) (OFF, 200, 400, and 600 ms) and variable inversion times (TIs) (from 224 to 5000 ms) and different resolutions (1.0 × 1.0 × 1.5, 0.6 × 0.6 × 0.8, and 0.6 × 0.6 × 0.6 mm

resultsThe PLS and ELS were differentiated when T2Prep was used but not without. The relative contrast was larger with T2Prep at 400 ms than at 200 or 600 ms (0.72 ± 0.22 vs. 0.44 ± 0.11, p = 0.019; and 0.72 ± 0.22 vs. 0.46 ± 0.28, p = 0.034, respectively). The saccule and utricle were best delineated in 87. % cases with T2Prep = 400 and TI = 2100 ms at the highest resolution. Visualization of the saccule and utricle in the optimized non-injected 3D-FLAIR was similar to conventional injected 3D-FLAIR in a patient.

conclusionsCombining a specific T2Prep and TI in non-injected 3D-FLAIR could separate PLS and ELS and even the saccule and utricle, paving the way toward future application to diagnose Ménière's disease. KEY POINTS: • MRI can capture the internal anatomy of inner ear without injection of contrast media. • Specific parameters consisting of a T2 preparation of 400 ms and an inversion time of 2100 ms must be used to visualize the saccule and utricle on non-injected 3D-FLAIR.

Indexed as

Endolymphatic HydropsMeniere DiseaseContrast MediaGadoliniumGadolinium DTPAHumansImaging, Three-DimensionalInjections, IntravenousMagnetic Resonance ImagingMaleSaccule and UtricleContrast MediaGadoliniumGadolinium DTPAEar vestibuleEndolymphatic hydropsGadoliniumMagnetic resonance imagingMeniere disease

Identifiers

PMID34928414
OpenAlexW4200082938

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.