Warning: mkdir(): Permission denied in /home/virtual/lib/view_data.php on line 93 Warning: chmod() expects exactly 2 parameters, 3 given in /home/virtual/lib/view_data.php on line 94 Warning: fopen(/home/virtual/pfmjournal/journal/upload/ip_log/ip_log_2024-05.txt): failed to open stream: No such file or directory in /home/virtual/lib/view_data.php on line 100 Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 101 The usefulness of inner ear magnetic resonance imaging in patient with Ménière’s disease: A narrative review
Precis Future Med Search


Precis Future Med > Volume 6(2); 2022 > Article
Cho, Song, Cho, and Chung: The usefulness of inner ear magnetic resonance imaging in patient with Ménière’s disease: A narrative review


Ménière’s disease (MD) is a multifactorial disorder with typical symptoms of recurrent vertigo, tinnitus, fluctuating hearing loss, and sensations of ear fullness. This disease greatly reduces the quality of life for patients. Unfortunately, it is difficult to diagnose and predictthe prognosis using only diagnostic methods, including audiometry. Therefore, since the mid-2000s, various efforts have been made to directly identify endolymphatic hydrops (EH), a histologic hallmark of MD, through magnetic resonance imaging (MRI) of the inner ear. Various studies have revealed significant correlation among degree of EH on inner ear MRI, patient symptoms, and test results. Although there are some limitations, inner ear MRI is expected to be widely used for differential diagnosis of MD, recurrent low-frequency hearing loss, non-specific vertigo, and vestibular migraine. In addition, as an automated analysis system of EH using the convolutional neural network algorithm has been developed,the usefulness of inner ear MRI is increasing. This algorithm can generate results that are highly consistent with those generated by manual calculation and can do so more quickly. Although there are some limitations to be overcome, inner ear MRI is expected to be widely used for differential diagnosis of various EH-related diseases in the not-too-distantfuture.


Ménière’s disease (MD) was named afterthe French physician Prosper Ménière (1799 to 1862) at the end ofthe 19th century. MDis characterized by (1) sudden vertigo attack,(2) fluctuating sensorineural hearing loss, (3) tinnitus, and (4) aural pressure or fullness. The name MD is believed to have been derived from Adam Politzer’s use of the name ‘Symptom der Meniereschen Krankeitform’ in 1867 [1].
Although MD was first discovered by Prosper Ménière, he did not provide accurate pathological findings [2]. In 1938,the Hallpike et al. [3] and Yamakawa [4] group almost simultaneously published pathophysiological evidence of MD. They described endolymphatic hydrops (EH) in temporal bones of patients with symptoms of MD. Their findings were confirmed by several different histopathological observations, and EH is almost universally accepted as the most important pathological manifestation of MD(Fig. 1)[3,4].
The globally accepted diagnostic criteria have changed several times. In 1972, ‘A hearing balance subcommittee under the American Academy of Otolaryngology’ set definitions and diagnostic criteria, and after that, the ‘American Association of Otolaryngology-Head and Neck Surgery (AAO-HNS)’ changed the criteria in 1985 and 1995 [5]. The most widely used diagnostic criteria today, created by a committee of the Bárány Society in 2015, have removed the “certain” and “possible” MDs (Table1)[6].
Results from epidemiological studies of the prevalence of MD vary by race or region, with reports ranging from 17 to 513 cases per 100,000 people [7]. The age of onset varies from 20 to 60 years of age, but the highest prevalence is seen in the 40s [8]. Such diversity in prevalence is due to racial and genetic differences, but at the same time, due to the lack of objective and definitive diagnostic methods [9]. Currently, patients’ symptoms are very important for the diagnosis of MD, and the only objective test other than that is pure tone audiometry (PTA).
The most objective method for diagnosing MD is to identify EH as a histological hall marker in the cochlear or vestibule, but it has been impossible to identify it for a long time directly. However, epochal changes began to occur with the development of magnetic resonance imaging (MRI) and post-image processing protocols for MRI in the mid-2000s [9].
At present, many groups have reported the study results for EH visualized by intratympanic (IT) or intravenous (IV) injection of a contrast media in MRI. Accordingly, MD-related research, which has been somewhat stagnant for the past several decades, is entering a new phase. Therefore, we summarize the usefulness of inner ear MRI in the diagnosis and treatment of MD.


Since the mid-2000s, various attempts have been made to identify EH in humans with the development of imaging technology using MRI. In 2004, Duan et al. [10] first successfully identified EH in the inner ear organ using 4.7 T MRI in live guinea pigs. The Nakashima group at Nagoya University in Japan confirmed EH after IT and IV injections of contrast media to MD patients using 3T MRI [11]. Since then, efforts to confirm EH using MRI have increased worldwide. In particular, IV-gadolinium (Gd)-enhanced inner ear MRI has several advantages over IT methods [12,13]. The IV contrast enhancement method is less invasive and much more efficient than the IT method (because it requires less time after contrast injection (4 hours vs. 24 hours) In addition, the IT method requires injection of both ears in order to evaluate both sides simultaneously, but the IV method can evaluate both sides simultaneously with a single IV injection [14]. Several studies have reported an association between the severity of EH on MRI and symptoms in patients with MD, and IV-Gd inner ear MRI is useful in diagnosing MD by showing a correlation between hearing-vestibular outcome and hydrocephalus. Several studies have reported an association between the severity of EH on MRI and symptoms in patients with MD. These results prove that IV-Gd inner ear MRI is useful for MD diagnosis by showing a good correlation with the previously used audio-vestibular tests [15]. Recently, more detailed and extensive studies are underway beyond simply comparing the EH seen in MD-MRI with various existing results. In particular, studies are underway to accurately determine the degree of EH by dividing the cochlea and vestibule into compartments or implementing a 3D model[15,16].


The diagnostic criteria for MD proposed by AAO-HNS have been widely used and recently were revised in 2015 (Table 1). However, the changed diagnostic criteria are entirely dependent on subjective symptoms, except for PTA, and other vestibular diseases must still be excluded.
In addition to PTA, electrocochleography (EcoG), video head impulse test (vHIT), vestibular evoked myogenic potential (VEMP) test, and the caloric test did not belong to the diagnostic criteria, they have been widely used as additional tests for diagnosis. Among them, EcoG has been the most widely used as an adjunct to MD diagnosis for over 30 years [4]. However, since EcoG cannot directly visualize the endolymph space and EH, the limitations are clear, and the diagnostic value of this test is still controversial in severalreports and literature [17]. Several studies have found no significant correlation between EH levels and the interaural difference ratio in cervical VEMP [18,19]. However, some studies have shown that MD progression and VEMP are related based on the decreased amplitude of cervical VEMP in the lesion side of the MD compared to the contralateral ear[20].
Canal paralysis is frequently observed on calorie tests in patients with MD. However, even with canal paresis, vHIT often shows normal findings. It was hypothesized that this was not because the function of the lateral canal was actually decreased, but because the convection was not occurred well due to the expansion of the endolymphatic space inside the lateral semicircular canal [21]. However, recent studies using human temporal bone specimens and inner ear MRI suggest that this is due to invasion of the saccule or utricle into the canal rather than the expansion of the endolymphatic space within the canal [22]. Likewise, evaluation of the endolymphatic space through MRI supplements several limitations of existing tests and is still being developed.


With the development of technology, MRI has higher resolution, high intuition and convenience, and involves no radiation exposure. Therefore, the use of MRI is expected to increase further in medical diagnosis and follow-up observation. In particular, inner ear MRI, which can directly confirm EH, is getting attention as an innovative test method for MD, which lacks an objective diagnostic method. Clinically, several grading systems have been introduced for reading and diagnosis,the most widely used of which was published in 2009 by Nakashima et al.[23](Table 2).
IV contrast-enhanced inner ear MRI has been widely recognized for its convenience and accuracy worldwide, and its scope of application is being extended beyond MD to the entire category of “Hydrophic Ear Disease” [24]. As summarized in Table 3 [13,25-44], many researchers have demonstrated that inner ear MRI shows a significant correlation with conventional tests, and the endolymphatic space seen on MRI is consistent with histopathological findings of temporal bone specimens of MD patients [22]. However, there are some limitations to measurement of EH using inner ear MRI. The first is that the image analysis process takes excessive time and effort and requires expertise. Second, since the resolution of MRI is not very high in 3T, errors can occur. Therefore,our group developed a deep learning algorithm using a convolutional neural network (CNN) for the analysis of EH (Fig. 2). Using this algorithm, quantitative analysis of EH in inner ear MRI proceeds quickly and conveniently, and the accuracy is very similar to that of an experienced radiologist or otolaryngologist. Specifically, compared with that measured by experienced physicians, the average interclass correlation coefficient (ICC) for all cases was 0.953; the average ICC of the vestibules was 0.968, and that of cochleae was 0.914. The time required for the fully automated system to accurately analyze the EH ratio in one patient’s one patient’s MR image stack stack was approximately 3.5 seconds [45]. Although further research is needed, it is likely that an algorithm using inner ear MRI and CNN will play an important role in the diagnosis of MD in the near future.


MD is one of the most difficult diseases to treat because it is difficult to diagnose, and the prognosis is not easy to predict. However, with recent development of MR equipment and the efforts of various researchers, an inner ear MRI protocol has been developed to directly view EH, simplifying clinical access. Although additional efforts such as research using deep learning are needed, the importance of inner ear MRI is expected to increase in various diseases including MD.


No potential conflict of interest relevant to this article was reported.



Conception or design: YSC, WHC.

Acquisition, analysis, or interpretation of data: YSC, BS.

Drafting the work or revising: YSC, WHC.

Final approval of the manuscript: BHC, WHC.


This research was supported by the Bio & Medical Technology Development Program of the National Research Foundation of South Korea (NRF), funded by the Ministry of Science and ICT (NRF-2020R1F1A1073904).

Fig. 1.
Endolymphatic hydrops (EH), a histologic marker of Meniere's disease. EH increases the endolymphatic space, which can affect the inner and cause symptoms. Progression of MD is associated with progression of EH.
Fig. 2.
Process for calculating the endolymphatic hydrops ratio using a convolutional neural network. EH, endolymphatic hydrops; MRC, magnetic resonance cisternography; AI, artificial intelligence; HYDROPS-Mi2, HYDROPS (HYbriD of Reversed image Of Positive endolymph signal and native image of positive perilymph Signal) image Multiplied with heavily T2-weighted MR cisternography.
Table 1.
The AAO-HNS 1995 criteria and 2015 proposed new criteria for Meniere's disease
AAO-HNS 1995 criteria 2015 new criteria by Barany Society
Certain Meniere’s disease Definite Meniere’s disease, plus histopathological confirmation Deleted
Definite Meniere’s disease At least two definite spontaneous episodes of vertigo lasting at least 20 minutes At least two spontaneous episodes of vertigo, each lasting from 20 minutes to 12 hours
Audiometrically documented hearing loss on at least one occasion Audiometrically documented low- to medium-frequency sensorineural hearing loss in one ear, defining the affected ear on at least one occasion before, during, or after one of the episodes of vertigo
Tinnitus or aural fullness in the treated ear Fluctuating aural symptoms (hearing, tinnitus, or fullness) in the affected ear
Other causes excluded Not better accounted for by another vestibular diagnosis
Probable Meniere’s disease One definitive episode of vertigo At least two episodes of vertigo or dizziness, each lasting from 20 minutes to 24 hours
Audiometrically documented hearing loss on at least one occasion Fluctuating aural symptoms (hearing, tinnitus, or fullness) in the affected ear
Tinnitus or aural fullness in the treated ear Not better accounted for by another vestibular diagnosis
Other causes excluded
Possible Meniere’s disease Episodic vertigo of the Meniere type without documented hearing loss Deleted
Sensorineural hearing loss, fluctuating or fixed Other causes excluded disequilibrium, but without
definitive episode
Other causes excluded

AAO-HNS, American Association of Otolaryngology-Head and Neck Surgery.

Table 2.
The grading system of endolymphatic hydrops using magnetic resonance imaging [23]
Grade of hydrops Vestibule (area ratioa)) Cochlea
None ≤33.3% No displacement of Reissner's membrane
Mild >33.3%, ≤50% Displacement of Reissner's membrane, area of cochlear duct ≤ area of the scala vestibuli
Significant >50% Area of the cochlear duct exceeds the area of the scala vestibuli

a) Ratio of the area of the endolymphatic space to that of the fluid space (sum of endolymphatic and perilymphatic spaces) in the vestibule measured on tracings of images.

Table 3.
Previous studies using IT or IV-Gd enhanced inner ear MRI in MD
Study No. of participants Type of disease Injection route Compared tests Positive correlation findings with MRI
Gurkov et al. [25] 34 MD IT PTA, VEMP, Caloric test, ECoG PTA, VEMP
Hornibrook et al. [26] 30 MD IT EcoG ECoG
Sun et al. [27] 30 VM and MD IT PTA, VEMP PTA, VEMP (partial)
Seo et al. [28] 26 MD IT PTA, EcoG, VEMP PTA, EcoG
Yamamoto et al. [29] 17 MD IT EcoG ECoG
Fukuoka et al. [30] 20 MD IT EcoG ECoG
Kato et al. [31] 24 MD IT Caloric test
Fiorino et al. [32] 18 MD IT EcoG, VEMP, Caloric test VEMP
Jerin et al. [33] 39 MD IT VEMP
Sephadari et al. [34] 21 MD, delayed EH, SSNHL IV PTA PTA
Quatre et al. [13] 41 MD IV PTA, ECoG, DPOAE, VEMP PTA
Liu et al. [35] 69 MD IT PTA, VEMP, Caloric test, vHIT PTA, VEMP (partial), Caloric test, vHIT
Choi et al. [36] 16 MD IV Caloric test Caloric test
Kahn et al. [37] 31 MD IV PTA, vHIT, VEMP PTA, VEMP (partial)
Sun et al. [38] 21 MD IT PTA, EcoG, VEMP, Caloric test, vHIT PTA, EcoG, VEMP
Neri et al. [39] 35 MD IT PTA, Caloric test, VEMP, vHIT PTA, Caloric test, vHIT
Oh et al. [40] 62 VM and MD IV PTA, Caloric test, VEMP, vHIT PTA, Caloric test
Jasinska et al. [41] 38 MD IV PTA, Caloric test, EcoG PTA, Caloric test, EcoG
Cho et al. [42] 29 MD IV PTA, EcoG, VEMP, Caloric test PTA, EcoG, Caloric test
Yang et al. [43] 50 MD IT PTA, Suprathreshold function test, EcoG, Glycerol test PTA, Suprathreshold function test (partial), EcoG
Jerin et al. [44] 192 MD IT PTA, caloric test PTA

IT, intratympanic; IV-Gd, intratympanic-gadolinium; MRI, magnetic resonance imaging; MD, Ménière's disease; PTA, pure tone audiometry; VEMP, vestibular evoked myogenic potential; ECoG, electrocochleography; VM, vestibular migraine; EH, endolymphatic hydrops; SSNHL, sudden sensorineural hearing loss; IV, intravenous; DPOAE, distortion product otoacoustic emission; vHIT, video head impulse test.


1. Politzer A. Ueberläsion des labyrinthes. Arch Ohrenheilkd 1867;2:88–99.
crossref pdf
2. Baloh RW. Prosper Meniere and his disease. Arch Neurol 2001;58:1151–6.
crossref pmid
3. Hallpike CS, Cairns H. Observations on the pathology of Ménière’s syndrome: (Section of Otology). Proc R Soc Med 1938;31:1317–36.
pmid pmc
4. Yamakawa K. Hearing organ of a patient who showed Meniere’s symptoms. J Otolaryngol Soc Jpn 1938;44:2310–2.

5. American Academy of Otolaryngology-Head and Neck Foundation. Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Meniere’s disease. Otolaryngol Head Neck Surg 1995;113:181–5.
crossref pmid pdf
6. Lopez-Escamez JA, Carey J, Chung WH, Goebel JA, Magnusson M, Mandala M, et al. Diagnostic criteria for Meniere’s disease. J Vestib Res 2015;25:1–7.
7. Bruderer SG, Bodmer D, Stohler NA, Jick SS, Meier CR. Population-based study on the epidemiology of Meniere’s disease. Audiol Neurootol 2017;22:74–82.
8. da Costa SS, de Sousa LC, Piza MR. Meniere’s disease: overview, epidemiology, and natural history. Otolaryngol Clin North Am 2002;35:455–95.
crossref pmid
9. Nakashima T, Pyykko I, Arroll MA, Casselbrant ML, Foster CA, Manzoor NF, et al. Meniere’s disease. Nat RevDis Primers 2016;2:16028.
10. Duan M, Skjonsberg A, et al. Imaging of the guinea pig cochlea following round window gadolinium application. Neuroreport 2004;15:1927–30.
crossref pmid
11. Sugiura M, Teranishi M, Sone M, Hayashi H, et al. Visualization of endolymphatic hydrops in patients with Meniere’s disease. Laryngoscope 2007;117:415–20.
crossref pmid
12. Naganawa S, Suzuki K, Nakamichi R, Bokura K, Yoshida T, Sone M, et al. Semi-quantification of endolymphatic size on MR imaging after intravenous injection of single-dose gadodiamide: comparison between two types of processing strategies. Magn Reson Med Sci 2013;12:261–9.
crossref pmid
13. Quatre R, Attye A, Karkas A, Job A, Schmerber S. Relationship between audio-vestibular functional tests and inner ear MRI in Meniere’s disease. Ear Hear 2019;40:168–76.
crossref pmid
14. Iida T, Teranishi M, Yoshida T, Otake H, Sone M, Kato M, et al. Magnetic resonance imaging ofthe inner ear after both intratympanic and intravenous gadolinium injections. Acta Otolaryngol 2013;133:434–8.
crossref pmid
15. Attye A, Eliezer M, Boudiaf N, Tropres I, Chechin D, Schmerber S, et al. MRI of endolymphatic hydrops in patients with Meniere’sdisease: a case-controlledstudy witha simplified classification based on saccular morphology. Eur Radiol 2017;27:3138–46.
crossref pmid pdf
16. Connor SEJ, Pai I. Endolymphatic hydrops magnetic resonance imaging in Meniere’s disease. Clin Radiol 2021;76:76.

17. Ziylan F, Smeeing DP, Stegeman I, Thomeer HG. Click stimulus electrocochleography versus MRI with intratympanic contrast in Meniere’s disease: a systematic review. Otol Neurotol 2016;37:421–7.
18. Young YH, Wu CC, Wu CH. Augmentation of vestibular evoked myogenic potentials: an indication for distended saccular hydrops. Laryngoscope 2002;112:509–12.
crossref pmid
19. Manzari L, Burgess AM, Curthoys IS. Dissociation between cVEMP and oVEMP responses: different vestibular origins of each VEMP? Eur Arch Otorhinolaryngol 2010;267:1487–9.
crossref pmid
20. van Tilburg MJ, Herrmann BS, Guinan JJ Jr, Rauch SD. Serial cVEMP testing is sensitive to disease progression in Meniere patients. Otol Neurotol 2016;37:1614–9.
21. McGarvie LA, Curthoys IS, MacDougall HG, Halmagyi GM. What does the head impulse test versus caloric dissociation reveal about vestibular dysfunction in Meniere’s disease? Ann N Y Acad Sci 2015;1343:58–62.
crossref pmid
22. Cho YS, Kim JS, Kim MB, Koh SM, Lee CH, Kim YK, et al. Validation of inner ear MRI in patients with Meniere’s disease by comparing endolymphatic hydrops from histopathologic specimens. Sci Rep 2021;11:17738.
pmid pmc
23. Nakashima T, Naganawa S, Pyykko I, Gibson WP, Sone M, Nakata S, et al. Grading of endolymphatic hydrops using magnetic resonance imaging. Acta Otolaryngol Suppl 2009;560:5–8.
24. Gurkov R. Meniere and friends: imaging and classification of hydropic ear disease. Otol Neurotol 2017;38:e539–44.
25. Gurkov R, Flatz W, Louza J, Strupp M, Ertl-Wagner B, Krause E. In vivo visualized endolymphatic hydrops and inner ear functions in patients with electrocochleographically confirmed Meniere’sdisease. Otol Neurotol 2012;33:1040–5.
26. Hornibrook J, Flook E, Greig S, Babbage M, Goh T, Coates M, et al. MRI inner ear imaging and tone burst electrocochleography in the diagnosis of Meniere’s disease. Otol Neurotol 2015;36:1109–14.
pmid pmc
27. Sun W, Guo P, Ren T, Wang W. Magnetic resonance imaging of intratympanic gadolinium helps differentiate vestibular migraine from Meniere disease. Laryngoscope 2017;127:2382–8.
28. Seo YJ, Kim J, Choi JY, Lee WS. Visualization of endolymphatic hydrops and correlation with audio-vestibular functional testing in patients with definite Meniere’s disease. Auris Nasus Larynx 2013;40:167–72.
crossref pmid
29. Yamamoto M, Teranishi M, Naganawa S, Otake H, Sugiura M, Iwata T, et al. Relationship between the degree of endolymphatic hydrops and electrocochleography. Audiol Neurootol 2010;15:254–60.
crossref pmid
30. Fukuoka H, Takumi Y, Tsukada K, Miyagawa M, Oguchi T, Ueda H, et al. Comparison of the diagnostic value of 3 T MRI after intratympanic injection of GBCA, electrocochleography, and the glycerol test in patients with Meniere’s disease. Acta Otolaryngol 2012;132:141–5.
crossref pmid
31. Kato M, Teranishi M, Katayama N, Sone M, Naganawa S, Nakashima T. Association between endolymphatic hydrops as revealed by magnetic resonance imaging and caloric response. Otol Neurotol 2011;32:1480–5.
crossref pmid
32. Fiorino F, Pizzini FB, Beltramello A, Barbieri F. MRI performed after intratympanic gadolinium administration in patients with Meniere’s disease: correlation with symptoms and signs. Eur Arch Otorhinolaryngol 2011;268:181–7.
crossref pmid
33. Jerin C, Berman A, Krause E, Ertl-Wagner B, Gurkov R. Ocular vestibular evoked myogenic potential frequency tuning in certain Meniere’s disease. Hear Res 2014;310:54–9.
34. Sepahdari AR, Ishiyama G, Vorasubin N, Peng KA, Linetsky M, Ishiyama A. Delayed intravenous contrast-enhanced 3D FLAIR MRI in Meniere’s disease: correlation of quantitative measures of endolymphatic hydrops with hearing. Clin Imaging 2015;39:26–31.
crossref pmid
35. Liu Y, Zhang F, He B, He J, Zhang Q, Yang J, et al. Vestibular endolymphatic hydrops visualized by magnetic resonance imaging and its correlation with vestibular functional test in patients with unilateral Meniere’s disease. Front Surg 2021;8:673811.
crossref pmid pmc
36. Choi JE, Kim YK, Cho YS, Lee K, Park HW, Yoon SH, et al. Morphological correlation between caloric tests and vestibular hydrops in Meniere’s disease using intravenousGd enhanced inner ear MRI. PLoS One 2017;12:e0188301.
crossref pmid pmc
37. Kahn L, Hautefort C, Guichard JP, Toupet M, Jourdaine C, Vitaux H, et al. Relationship between video head impulse test, ocular and cervical vestibular evoked myogenic potentials, and compartmental magnetic resonance imaging classification in Meniere’s disease. Laryngoscope 2020;130:E444–52.
38. Sun Q, Jiang G, Xiong G, Sun W, Wen W, Wei F. Quantificationof endolymphatichydrops andits correlation with Meniere’s disease clinical features. Clin Otolaryngol 2021;46:1354–61.
crossref pmid
39. Neri G, Tartaro A, Neri L. MRI with intratympanic gadolinium: comparison between otoneurological and radiological investigation in Meniere’s disease. Front Surg 2021;8:672284.
pmid pmc
40. Oh SY, Dieterich M, Lee BN, Boegle R, Kang JJ, Lee NR, et al. Endolymphatic hydrops in patients with vestibular migraine and concurrent Meniere’s disease. Front Neurol 2021;12:594481.
crossref pmid pmc
41. Lachowska M, Wnuk E, Pierchał aK, Rowinski O, Niemczyk K. Correlation between magnetic resonance imaging classification of endolymphatic hydrops and clinical manifestations and audiovestibular test results in patients with definite Meniere’s disease. Auris Nasus Larynx 2022;49:34–45.
crossref pmid
42. Cho YS, Ahn JM, Choi JE, Park HW, Kim YK, Kim HJ, et al. Usefulness of intravenous gadolinium inner ear MR imaging in diagnosis of Meniere’s disease. Sci Rep 2018;8:17562.
pmid pmc
43. Yang S, Zhu H, Zhu B, Wang H, Chen Z, Wu Y, et al. Correlations between the degree of endolymphatic hydrops and symptoms and audiological test results in patients with Meniere’s disease: a reevaluation. Otol Neurotol 2018;39:351–6.
44. Jerin C, Floerke S, Maxwell R, Gurkov R. Relationship between the extent of endolymphatic hydrops and the severity and fluctuation of audiovestibular symptoms in patients with Meniere’s disease and MRI evidence of hydrops. Otol Neurotol 2018;39:e123–30.
45. Park CJ, Cho YS, Chung MJ, Kim YK, Kim HJ, Kim K, et al. A fully automated analytic system for measuring endolymphatic hydrops ratios in patients with Meniere disease via magnetic resonance imaging: deep learning model development study. J Med Internet Res 2021;23:e29678.
crossref pmid pmc


Browse all articles >


Browse all articles >

Editorial Office
Sungkyunkwan University School of Medicine
2066 Seobu-ro, Jangan-gu, Suwon, Gyeonggi-do 16419, Korea
Tel: +82-31-299-6038    Fax: +82-31-299-6029    E-mail: pfmjournal@skku.edu                

Copyright © 2024 by Sungkyunkwan University School of Medicine.

Developed in M2PI

Close layer
prev next