Imaging of Endolymphatic Hydrops at 7T MRI

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorKing's College Hospital NHS Trust

About this trial

Imaging endolymphatic hydrops with 7T Sodium Imaging and 1.5 T gadolinium enhanced imaging: a comparison of diagnostic outcomes with 3T MRI

Duration of study 24 months

Study design Prospective cohort study

Number of patients 16 patients

1. To evaluate whether imaging both 1.5T and 3T have an equivalent performance in terms of diagnosing MD ears with delayed post gadolinium enhanced MRI (applying quantitative and semi-quantitative analysis) 2. To compare the diagnostic performance of Sodium Imaging at 7T (applying semi-quantitative analysis) with that of delayed post gadolinium enhanced 3T MRI in distinguishing symptomatic from asymptomatic Meniere's Disease (MD) ears.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male or female, 18 years of age or older

The capacity to understand the patient information sheet and the ability to provide written informed consent

Unilateral audio-vestibular symptoms which satisfy 2015 Barany criteria for unilateral Meniere's Disease of less than 5 years duration

Would be offered clinical MRI scanning for confirmation of a Meniere's disease diagnosis as part of standard of care

Disqualifiers

Standard contraindications to 7T MRI

Known allergy to Gadolinium contrast

Calculated GFR < 30 mls/min

Previous temporal bone surgery or trauma

Trial population

Secondary care. Otology and audio-vestibular clinics Guy's and St Thomas' hospital

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

The qualitative asymmetry of perilymphatic enhancement and the quantitative signal intensity ratio of the cochlea with delayed post gadolinium 3T and 1.5T.

Time frame
2.5 years
2

The semi-quantitative scoring of endolymphatic hydrops and the quantitative volume of endolymphatic and perilymphatic structures with delayed post gadolinium 3T and 1.5T.

Time frame
2.5 years
3

Semi-quantitative analysis (including ratios to internal references and the contralateral ear) of the vestibule on Sodium Imaging at 7T

Time frame
2.5 years

Secondary outcomes

Other outcomes

Sponsors and contacts

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King's College Hospital NHS Trust

Lead sponsor

King's College London

Collaborator

Guy's and St Thomas' NHS Foundation Trust

Collaborator