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Low accuracy of 1.5 Tesla magnetic resonance imaging in identification of the bony defect in patients with superior semi-circular canal dehiscence syndrome: case–control study

Published online by Cambridge University Press:  11 November 2021

V Jaiswal ,
C Fenlon ,
I McLaughlin ,
I McCrea  and
G Kontorinis Open the ORCID record for G Kontorinis [Opens in a new window]
V Jaiswal
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Queen Elizabeth University Hospital, Glasgow, Scotland, UK
C Fenlon
Affiliation:
Department of Radiology, Queen Elizabeth University Hospital, Glasgow, Scotland, UK
I McLaughlin
Affiliation:
Department of Radiology, Queen Elizabeth University Hospital, Glasgow, Scotland, UK
I McCrea
Affiliation:
Department of Radiology, Queen Elizabeth University Hospital, Glasgow, Scotland, UK
G Kontorinis*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Queen Elizabeth University Hospital, Glasgow, Scotland, UK
*
Author for correspondence: Prof Georgios Kontorinis, Department of Otolaryngology – Head and Neck Surgery, Queen Elizabeth University Hospital, 1345 Govan Road, GlasgowG51 4TF, Scotland, UK E-mail: gkontorinis@gmail.com
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Abstract

Objective

To determine the accuracy of 1.5 Tesla magnetic resonance imaging in identifying the bony defect in superior semi-circular canal dehiscence syndrome.

Methods

A retrospective case–control study was conducted in tertiary university settings. The study included 12 patients with a definite diagnosis of superior semi-circular canal dehiscence syndrome and a control group comprising 12 non-superior semi-circular canal dehiscence syndrome patients, all with available magnetic resonance imaging data. The imaging scans were anonymised, and reviewed blindly and independently by three experienced radiologists.

Results

There was low sensitivity and specificity, with average values of 47 per cent (range, 16.7–66.7 per cent) and 69 per cent (range, 66.7–75 per cent) respectively. Cohen's kappa was 0.75, indicating substantial inter-rater reliability.

Conclusion

Given the low accuracy of 1.5T magnetic resonance imaging in identifying the bony defect in superior semi-circular canal dehiscence syndrome, despite its value in inner-ear imaging, computed tomography or equivalent should be used when superior semi-circular canal dehiscence syndrome is suspected.

Keywords

Computed TomographyX-RayMagnetic Resonance ImagingLabyrinthVertigoSuperior Canal Dehiscence Syndrome
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 11 , November 2022 , pp. 1062 - 1065
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Prof G Kontorinis takes responsibility for the integrity of the content of the paper

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