title: Separate visualization of endolymphatic space, perilymphatic space and bone by a single pulse sequence; 3D-inversion recovery imaging utilizing real reconstruction after intratympanic Gd-DTPA administration at 3 Tesla.
abstract: Twenty-four hours after intratympanic administration of gadolinium contrast material (Gd), the Gd was distributed mainly in the perilymphatic space. Three-dimensional FLAIR can differentiate endolymphatic space from perilymphatic space, but not from surrounding bone. The purpose of this study was to evaluate whether 3D inversion-recovery turbo spin echo (3D-IR TSE) with real reconstruction could separate the signals of perilymphatic space (positive value), endolymphatic space (negative value) and bone (near zero) by setting the inversion time between the null point of Gd-containing perilymph fluid and that of the endolymph fluid without Gd. Thirteen patients with clinically suspected endolymphatic hydrops underwent intratympanic Gd injection and were scanned at 3 T. A 3D FLAIR and 3D-IR TSE with real reconstruction were obtained. In all patients, low signal of endolymphatic space in the labyrinth on 3D FLAIR was observed in the anatomically appropriate position, and it showed negative signal on 3D-IR TSE. The low signal area of surrounding bone on 3D FLAIR showed near zero signal on 3D-IR TSE. Gd-containing perilymphatic space showed high signal on 3D-IR TSE. In conclusion, by optimizing the inversion time, endolymphatic space, perilymphatic space and surrounding bone can be separately visualized on a single image using a 3D-IR TSE with real reconstruction.
authors.affiliation: Department of Radiology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Shouwa-ku, Nagoya, 466-8550, Japan. naganawa@med.nagoya-u.ac.jp
authors.forename: Shinji
authors.initials: S
authors.lastname: Naganawa
authors.forename: Hiroko
authors.initials: H
authors.lastname: Satake
authors.forename: Minako
authors.initials: M
authors.lastname: Kawamura
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Fukatsu
authors.forename: Michihiko
authors.initials: M
authors.lastname: Sone
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Nakashima
mesh_terms: D000328:Adult; D000368:Aged; D003051:Cochlea / Q000473:pathology; D003287:Contrast Media / Q000008:administration & dosage*; D007758:Ear, Inner / Q000473:pathology; D004710:Endolymph; D018159:Endolymphatic Hydrops / Q000175:diagnosis*; D005260:Female; D019786:Gadolinium DTPA / Q000008:administration & dosage*; D006319:Hearing Loss, Sensorineural / Q000473:pathology; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D021621:Imaging, Three-Dimensional; D007267:Injections; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010498:Perilymph; D013701:Temporal Bone / Q000473:pathology; D014432:Tympanic Membrane
chemical_list: D003287:Contrast Media; D019786:Gadolinium DTPA