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Research ArticleHead and Neck Imaging
Open Access

Imaging Parameters of the Ipsilateral Medial Geniculate Body May Predict Prognosis of Patients with Idiopathic Unilateral Sudden Sensorineural Hearing Loss on the Basis of Diffusion Spectrum Imaging

Y. Zhang, Z. Zhang, X. Jia, X. Guan, Y. Lyu, J. Yang and T. Jiang
American Journal of Neuroradiology November 2020, DOI: https://doi.org/10.3174/ajnr.A6874
Y. Zhang
aFrom the Department of Hyperbaric Oxygen (Y.Z., J.Y.)
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Z. Zhang
bDepartment of Radiology (Z.Z., X.J., Y.L., T.J.), Beijing Chaoyang Hospital
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X. Jia
bDepartment of Radiology (Z.Z., X.J., Y.L., T.J.), Beijing Chaoyang Hospital
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X. Guan
cDepartment of Radiology (X.G.), Beijing Shijitan Hospital, Capital Medical University, Beijing, China
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Y. Lyu
bDepartment of Radiology (Z.Z., X.J., Y.L., T.J.), Beijing Chaoyang Hospital
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J. Yang
aFrom the Department of Hyperbaric Oxygen (Y.Z., J.Y.)
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T. Jiang
bDepartment of Radiology (Z.Z., X.J., Y.L., T.J.), Beijing Chaoyang Hospital
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Figures

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  • FIG 1.
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    FIG 1.

    Fiber tractography of the MGB from diffusion spectrum imaging: A, Axial. B, Coronal. C, Sagittal. ROIs on the QA map: D, Axial. E, Coronal. F, Sagittal. RhMGN indicates Right MGB; LhMGN, Left MGB.

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    FIG 2.

    The receiver operating characteristic curves of GFA in the ipsilateral MGB. AUC indicates area under the curve.

Tables

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    Table 1:

    Demographic data, medical comorbidities, and audiometric characteristics

    Study CharacteristicsAll Patients (n = 48)OutcomeP Value
    Nonimprovement Group (n = 14)Improvement Group (n = 34)
    Sex (%)
     Male25 (52.1)7 (28.0)18 (72.0).85
     Female23 (47.9)7 (30.4)16 (69.6)
    Hypertension (%)
     Yes17 (35.4)5 (29.4)12 (70.6).97
     No31 (64.6)9 (29.0)22 (71.0)
    Type 2 diabetes (%)
     Yes10 (20.8)2 (20.0)8 (80.0).47
     No38 (79.2)12 (31.6)26 (68.4)
    Hyperlipidemia (%)
     Yes15 (31.2)4 (26.7)11 (73.3).79
     No33 (68.8)10 (26.3)23 (69.7)
    Affected ear (%)
     Left29 (60.4)7 (24.1)22 (75.9).34
     Right19 (39.6)7 (36.8)12 (63.2)
    Age (mean ± SD) (yr)52.3 ± 10.853.5 ± 11.751.88 ± 10.5.64
    Duration (mean ± SD) (day)8.9 ± 4.310.2 ± 5.08.4 ± 3.9.17
    PTA (mean ± SD) (dB)64.3 ± 25.659.5 ± 26.175.93 ± 20.7.10
    Audiogram shape (%)
     Low-frequency10 (20.8)1 (10.0)9 (90.0).45
     High-frequency11 (22.9)4 (36.4)7 (63.6)
     Flat14 (29.2)4 (28.6)10 (71.4)
     Profound13 (27.1)5 (38.5)8 (61.5)
    Hearing loss severity based on PTA (%)
     Mild (40 dB)15 (31.3)1 (6.7)14 (93.3).12
     Moderate (41–60 dB)6 (12.5)3 (50.0)3 (50.0)
     Severe (61–90 dB)18 (37.5)7 (38.9)11 (61.1)
     Profound (≥91 dB)9 (18.7)3 (33.3)6 (66.7)
    • Note:—PTA indicates pure-tone average.

    • View popup
    Table 2:

    Characteristics of diffusion spectrum imaging parameters in healthy subjectsa

    ROIsParametersLeft SideRight SideP Value
    Superior olivary nucleusQA0.6725 ± 0.07830.6584 ± 0.0910.55
    GFA0.0902 ± 0.00620.0896 ± 0.0081.64
    Inferior colliculusQA0.6531 ± 0.08000.6463 ± 0.0827.76
    GFA0.0936 ± 0.00520.0943 ± 0.0055.41
    Medial geniculate bodyQA0.6324 ± 0.08140.6327 ± 0.0923.98
    GFA0.0990 ± 0.00830.0968 ± 0.0077.26
    Lateral lemniscusQA0.6530 ± 0.08150.6486 ± 0.0687.83
    GFA0.0930 ± 0.00880.0925 ± 0.0055.76
    Anterior limb of internal capsuleQA0.5717 ± 0.07540.5871 ± 0.0754.45
    GFA0.0853 ± 0.00530.0877 ± 0.0044.08
    Posterior limb of internal capsuleQA0.6947 ± 0.06350.6907 ± 0.0551.81
    GFA0.1046 ± 0.00350.1046 ± 0.0027.97
    HeschlQA0.6054 ± 0.09160.5792 ± 0.0763.27
    GFA0.0882 ± 0.00740.0831 ± 0.0141.18
    Superior temporal gyrusQA0.5974 ± 0.07620.5941 ± 0.0731.87
    GFA0.0928 ± 0.00420.0912 ± 0.0037.09
    Middle temporal gyrusQA0.6020 ± 0.07520.6064 ± 0.0720.83
    GFA0.0935 ± 0.00330.0929 ± 0.0029.46
    Inferior temporal gyrusQA0.5594 ± 0.06610.5731 ± 0.0686.47
    GFA0.0849 ± 0.00790.0871 ± 0.0069.06
    Anterior corona radiataQA0.5868 ± 0.07170.5711 ± 0.0638.41
    GFA0.0951 ± 0.00440.0937 ± 0.0039.06
    Posterior corona radiataQA0.7172 ± 0.08140.7081 ± 0.0785.68
    GFA0.1135 ± 0.00710.1126 ± 0.0077.36
    Auditory radiationQA0.6727 ± 0.07830.6617 ± 0.0827.62
    GFA0.1021 ± 0.00610.1010 ± 0.0070.49
    Brodmann area 41QA0.6350 ± 0.0790
    GFA0.0960 ± 0.0034
    Brodmann area 42QA0.5483 ± 0.0793
    GFA0.0831 ± 0.0090
    • ↵a Data are mean ± SD.

    • View popup
    Table 3:

    Differences in GFA between patients with unilateral ISSHL (hearing loss ipsilateral side and contralateral side) and healthy subjectsa

    ROIsPatients with Unilateral ISSHLHealthy Controls (n = 20)P Value
    Hearing Loss Ipsilateral Side (n = 48)Hearing Loss Contralateral Side (n = 48)
    Superior olivary nucleus0.0898 ± 0.01420.0922 ± 0.01630.08993 ± 0.0066.69
    Inferior colliculus0.0951 ± 0.00900.0948 ± 0.00670.0939 ± 0.0050.84
    Medial geniculate body0.0963 ± 0.01160.0940 ± 0.00980.0979 ± 0.0067.31
    Lateral lemniscus0.0951 ± 0.00840.0911 ± 00920.0928 ± 0.0061.07
    Anterior limb of internal capsule0.0816 ± 0.00680.0815 ± 0.00710.0865 ± 0.0038.01
    Posterior limb of internal capsule0.0984 ± 0.0073c0.0997 ± 0.0051b0.1046 ± 0.0026.001
    Heschl0.0829 ± 0.02280.0842 ± 0.01400.0857 ± 0.0078.83
    Superior temporal gyrus0.0894 ± 0.00700.0892 ± 0.00790.0920 ± 0.0034.28
    Middle temporal gyrus0.0920 ± 0.00570.0907 ± 0.00610.0932 ± 0.0026.20
    Inferior temporal gyrus0.0850 ± 0.00840.0850 ± 0.00710.0859 ± 0.0064.89
    Anterior corona radiata0.0884 ± 0.00750.0881 ± 0.00760.0941 ± 0.0039.005
    Posterior corona radiata0.1084 ± 0.00930.1079 ± 0.00910.1131 ± 0.0071.08
    Auditory radiation0.0997 ± 0.00890.0992 ± 0.00930.1015 ± 0.0057.61
    Brodmann area 410.0950 ± 0.00740.0960 ± 0.0034.47
    Brodmann area 420.0812 ± 0.00850.0831 ± 0.0090.41
    • ↵a Data are mean ± SD.

    • ↵b Compared with the control group, P < .05 after Bonferroni correction.

    • ↵c Compared with the control group, P < .01 after Bonferroni correction.

    • View popup
    Table 4:

    Differences in QA between patients with unilateral ISSHL (hearing loss ipsilateral side and contralateral side) and healthy subjectsa

    ROIsPatients with Unilateral ISSHLHealthy Controls (n = 20)P Value
    Hearing Loss Ipsilateral Side (n = 48)Hearing Loss Contralateral Side (n = 48)
    Superior olivary nucleus0.5883 ± 0.10470.6058 ± 0.09890.6578 ± 0.0852.04
    Inferior colliculus0.6006 ± 0.08440.5949 ± 0.07870.6463 ± 0.0860.06
    Medial geniculate body0.5607 ± 0.09490.5395 ± 0.0876b0.6309 ± 0.0883.001
    Lateral lemniscus0.5986 ± 0.0903c0.5588 ± 0.1002b0.6527 ± 0.0714.001
    Anterior limb of internal capsule0.4798 ± 0.0778b0.4825 ± 0.0868b0.5799 ± 0.0646<.001
    Posterior limb of internal capsule0.6264 ± 0.11150.6342 ± 0.09740.6895 ± 0.0585.04
    Heschl0.4931 ± 0.14520.5029 ± 0.10110.5840 ± 0.0799.01
    Superior temporal gyrus0.5249 ± 0.08120.5266 ± 0.08200.5918 ± 0.0759.005
    Middle temporal gyrus0.5421 ± 0.0732c0.5345 ± 0.0730c0.6026 ± 0.0780.002
    Inferior temporal gyrus0.4969 ± 0.06590.4852 ± 0.09140.5639 ± 0.0674.001
    Anterior corona radiata0.5000 ± 0.0691b0.4985 ± 0.0676b0.0580 ± 0.0739<.001
    Posterior corona radiata0.6537 ± 0.09880.6484 ± 0.09160.7148 ± 0.0837.02
    Auditory radiation0.5950 ± 0.08480.5948 ± 0.08600.6607 ± 0.0819.008
    Brodmann area 410.5515 ± 0.1041c0.6303 ± 0.0850.002
    Brodmann area 420.4792 ± 0.07560.5421 ± 0.0860.004
    • ↵a Data are mean ± SD.

    • ↵b Compared with the control group, P < .01 after Bonferroni correction.

    • ↵c Compared with the control group, P < .05 after Bonferroni correction.

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Y. Zhang, Z. Zhang, X. Jia, X. Guan, Y. Lyu, J. Yang, T. Jiang
Imaging Parameters of the Ipsilateral Medial Geniculate Body May Predict Prognosis of Patients with Idiopathic Unilateral Sudden Sensorineural Hearing Loss on the Basis of Diffusion Spectrum Imaging
American Journal of Neuroradiology Nov 2020, DOI: 10.3174/ajnr.A6874

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Imaging Parameters of the Ipsilateral Medial Geniculate Body May Predict Prognosis of Patients with Idiopathic Unilateral Sudden Sensorineural Hearing Loss on the Basis of Diffusion Spectrum Imaging
Y. Zhang, Z. Zhang, X. Jia, X. Guan, Y. Lyu, J. Yang, T. Jiang
American Journal of Neuroradiology Nov 2020, DOI: 10.3174/ajnr.A6874
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