Value of magnetic resonance imaging measurement of lateral semicircular canal Bone Island in Sensori neural hearing loss patients

Objective Dysplasia of lateral semicircular canal (LSCC) is a common inner ear anomaly that may exist in patients with sensorineural hearing loss (SNHL). The diagnosis of subtle anomaly is limited when depending on visual inspection alone to evaluate images. Our purpose is to prove that routine measurement of the bone island of LSCC can avoid missing subtle anomaly and to prove that MRI is a valuable tool in diagnosis. Patients and methods This is a retrospective study performed on 67 patients with severe to profound SNHL and on 12 patients with tinnitus. Patients were classified into the control group (46 ears of 34 patients), which had normal MRI findings by visual inspection (24 ears of the 12 patients with tinnitus and 22 normal ears of 22 patients with unilateral SNHL), and the SNHL group (116 ears of 67 patients), in whom inner ear structures were apparently normal in MRI. Patients with isolated vestibular aqueduct (VA) dilatation and patients with Mondini deformity were included in this group. We measured the transverse and the anteroposterior (AP) diameter of the LSCC bone island in two to three contiguous axial images. The width of VA at its midpoint and at its distal end was also measured. SPSS, 16.0, for windows, standardized Student’s t‑test and Pearson’s correlation coefficient were used for statistical analysis. Results There was no statistical difference in the bone island width or AP diameter in correlation to the age (P > 0.05). In the SNHL group, the width of the bone island was less than 2.8 mm in 18 (15.5%) ears, whereas the AP diameter was less than 2.8 mm in 21 (18.1%) ears. The bone island width and AP diameter tend to be smaller in patients with dilated VA than in patients with normal VA (P < 0.001). Significant negative correlation was found between the VA width and the bone island width (r = −0.41) and the bone island AP diameter (r = −0.42). Conclusion Developing normative radiological measurements by each institute and routine measurement of the bone island of LSCC are essential to avoid missing subtle anomalies by visual inspection alone.