Evidence map›Paper›PMID 36574326›Full record

ReviewAJNR. American journal of neuroradiology2022

Correlation between Histopathology and Signal Loss on Spin-Echo T2-Weighted MR Images of the Inner Ear: Distinguishing Artifacts from Anatomy.

B K Ward, A Mair, N Nagururu, M Bauer, B Büki

Open access · hybridAbstract readReview
In one paragraph

Review in AJNR. American journal of neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Utility of MRI quantitative analysis in assessment of audio-vestibular impairment.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Article
  3. Article
  4. Article
  5. Article
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

5 authors at 4 institutions in 4 countries.

B K WardFrom the Department of Otolaryngology-Head and Neck Surgery (B.K.W., N.N.), The Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0001-5201-6117
A MairDepartment of Otolaryngology (A.M., B.B.).ORCID 0000-0002-7205-2657
N NagururuFrom the Department of Otolaryngology-Head and Neck Surgery (B.K.W., N.N.), The Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0001-5526-1425
M BauerRadiology (M.B.), Karl Landsteiner University Hospital Krems, Krems an der Donau, Austria.ORCID 0000-0002-3271-1339
B BükiDepartment of Otolaryngology (A.M., B.B.) bela.bueki@krems.lknoe.at.ORCID 0000-0002-9733-3076
Johns Hopkins University · USBells University of Technology · NGBotswana Geoscience Institute · BWKarl Landsteiner University of Health Sciences · AT

Funding

NIDCD National Temporal Bone, Hearing and Balance Pathology Resource RegistryU24DC013983 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI LIBERMAN, M. CHARLES, QUESNEL, ALICIA M · 2014 to 2025
$6.5M
HIGH FIELD MRI AND THE LABYRINTH: VESTIBULAR STIMULATION AND NEW IMAGING TECHNIQUESK23DC018302 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI WARD, BRYAN KEVIN · 2021 to 2025
$991k
NIDCD NIH HHS K23 DC018302NIDCD NIH HHS U24 DC013983
6 · The paper itself

Abstract

background and purposeMR imaging of the inner ear on heavily T2-weighted sequences frequently has areas of signal loss in the vestibule. The aim of the present study was to correlate the anatomic structures of the vestibule with areas of low signal intensity. MATERIALS AND

methodsWe reviewed T2-weighted spin-echo MR imaging studies of the internal auditory canal from 27 cases and cataloged signal intensity variations in the vestibulum of inner ears. Using a histologic preparation of a fully mounted human ear, we prepared 3D reconstructions showing the regions of sensory epithelia (semicircular canal cristae, utricular, and saccular maculae). Regions of low signal intensity were reconstructed in 3D, categorized by appearance, and compared with the 3D histologic preparation.

resultsThe region corresponding to the lateral semicircular canal crista showed signal loss in most studies (94%). In the utricle, a focus of signal loss occurred in the anterior-cranial portion of the utricle and corresponded to the location of the utricular macula and associated nerve on histopathologic specimens (63% of studies). Additional areas of low signal were observed in the vestibule, corresponding to the fluid-filled endolymphatic space and not to a solid anatomic structure.

conclusionsSmall foci of signal loss within the inner ear vestibule on T2-weighted spin-echo images correlate with anatomic structures, including the lateral semicircular canal crista and the utricular macula. More posterior intensity variations in the endolymphatic space are likely artifacts, potentially representing fluid flow within the endolymph caused by magneto-hydrodynamic Lorentz forces.

Indexed as

ArtifactsVestibule, LabyrinthHumansMagnetic Resonance ImagingSemicircular Canals

Identifiers

PMID36574326
PMCPMC9575535
OpenAlexW4294044068

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.