Evidence map›Paper›PMID 39130211›Full record

ArticleLaryngoscope investigative otolaryngology2024

New non-contrast MRI of endolymphatic hydrops in Ménière's disease considering inversion time.

Masanori Ishii, Hiroshi Tanaka, Ryuichi Asai, Yasuhisa Kanai, Yujin Kato, Yusuke Ito, Fumihiro Mochizuki, Masami Yoneyama, Gail Ishiyama, Akira Ishiyama

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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
  5. Temporal Bone 3D Reconstruction and Analysis of Endolymph Volume in Meniere Disease.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2026
    Article
  6. 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
  7. Observational
  8. 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
  9. 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
  10. 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

10 authors.

Masanori IshiiDepartment of Otorhinolaryngology Japan Community Healthcare Organization (JCHO) Tokyo Shinjuku Medical Center Tokyo Japan.ORCID https://orcid.org/0000-0002-3452-8677
Hiroshi TanakaDepartment of Radiology Ochanomizu Surugadai Clinic Tokyo Japan.
Ryuichi AsaiDepartment of Radiology Advanced Imaging Center (AIC) Yaesu Clinic Tokyo Japan.
Yasuhisa KanaiDepartment of Radiology Ochanomizu Surugadai Clinic Tokyo Japan.
Yujin KatoDepartment of Otorhinolaryngology The Jikei University School of Medicine Tokyo Japan.
Yusuke ItoDepartment of Otorhinolaryngology The Jikei University School of Medicine Tokyo Japan.
Fumihiro MochizukiDepartment of Otolaryngology University of Miami Miller School of Medicine Miami Florida USA.
Masami YoneyamaMR Clinical Science Philips Japan.
Gail IshiyamaDepartment of Neurology David Geffen School of Medicine at UCLA Los Angeles California USA.ORCID https://orcid.org/0000-0003-4382-8089
Akira IshiyamaDepartment of Head & Neck Surgery David Geffen School of Medicine at UCLA Los Angeles California USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Three-tesla MRI with gadolinium-based contrast agents is important in diagnosing Ménière's disease. However, contrast agents cannot be used in some patients. By using the compositional difference between the inner ear endolymph and perilymph, we performed basic and clinical research focused on potassium ions and protein to find the optimal parameters for visualizing endolymphatic hydrops on MRI without contrast. We then examined the relationship between severity stage and visualization rate of endolymphatic hydrops. Methods: In phantom experiments simulating the endolymph and perilymph, we explored MRI parameters that could be used to separate endolymph from perilymph by gradually changing the inversion time. We then used these parameters to perform both new non-contrast MRI and contrast MRI on the same day in Ménière's disease patients, and we compared the visualization rates of endolymphatic hydrops under the two modalities. Fifty patients were selected from 478 patients with Ménière's disease of different severity stages; 12 patients had asthma and allergy to contrast agents. Results: The higher the disease stage, the higher the endolymphatic hydrops visualization rate. The new non-contrast MRI gave significantly higher ( Conclusion: New non-contrast MRI with parameters focusing on the endolymph-perilymph difference in the density of protons surrounding the potassium ions and protein can produce images consistent with endolymphatic hydrops. We believe that this groundbreaking method will be useful for diagnosing Ménière's disease in patients. Evidence Level: Clinical studies are at evidence level 3 in non-randomized controlled trials.

Indexed as

endolymphatic hydropsinversion recovery (RI)inversion time (TI)Ménière's diseasenon‐contrast MRI

Identifiers

PMID39130211
PMCPMC11316216

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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.