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Lee MK, Lee JH, Kim JH, Kim H, Joo L, Kim M, Cho SJ, Suh CH, Chung SR, Choi YJ, Baek JH. Diagnostic Accuracy of MRI-Based Morphometric Parameters for Detecting Olfactory Nerve Dysfunction. AJNR Am J Neuroradiol 2020; 41:1698-1702. [PMID: 32763901 DOI: 10.3174/ajnr.a6697] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 06/09/2020] [Indexed: 12/16/2022]
Abstract
BACKGROUND AND PURPOSE Although olfactory dysfunction is a common cranial nerve disorder, there are no simple objective morphometric criteria to assess olfactory dysfunction. The aim of this study was to evaluate the diagnostic performance of MR imaging morphometric parameters for detecting olfactory dysfunction. MATERIALS AND METHODS This prospective study enrolled patients from those presenting with olfactory symptoms who underwent both an olfactory function test and MR imaging. Controls without olfactory dysfunction were recruited during the preoperative work-up for pituitary adenoma. Two independent neuroradiologists measured the olfactory bulb in 3D and assessed olfactory bulb concavity on MR imaging while blinded to the clinical data. Diagnostic performance was assessed using receiver operating characteristic curve analysis. RESULTS Sixty-four patients and 34 controls were enrolled. The patients were significantly older than the controls (mean age, 57.8 ± 11.9 years versus 47.1 ± 12.1 years; P < .001). Before age adjustment, the olfactory bulb height was the only olfactory bulb parameter showing a significant difference between patients and controls (1.6 ± 0.3 mm versus 2.0 ± 0.3 mm, P < .001). After age adjustment, all parameters and olfactory bulb concavity showed significant intergroup differences, with the olfactory bulb height having the highest area under the curve (0.85). Olfactory bulb height was confirmed to be the only significant parameter showing a difference in the detection of olfactory dysfunction in 22 pairs after matching for age and sex (area under the curve = 0.87, P < .001). Intraclass correlation coefficients revealed moderate-to-excellent degrees of inter- and intrareader agreement. CONCLUSIONS MR imaging morphometric analysis can differentiate patients with olfactory dysfunction, with the olfactory bulb height having the highest diagnostic performance for detecting olfactory dysfunction irrespective of age.
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Affiliation(s)
- M K Lee
- From the Department of Radiology and Research Institute of Radiology (M.K.L., J.H.L., H.K., L.J., M.K., S.J.C., C.H.S., S.R.C., Y.J.C., J.H.B.).,Department of Radiology (M.K.L.), Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - J H Lee
- From the Department of Radiology and Research Institute of Radiology (M.K.L., J.H.L., H.K., L.J., M.K., S.J.C., C.H.S., S.R.C., Y.J.C., J.H.B.)
| | - J H Kim
- Department of Otorhinolaryngology (J.H.K.), University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea
| | - H Kim
- From the Department of Radiology and Research Institute of Radiology (M.K.L., J.H.L., H.K., L.J., M.K., S.J.C., C.H.S., S.R.C., Y.J.C., J.H.B.)
| | - L Joo
- From the Department of Radiology and Research Institute of Radiology (M.K.L., J.H.L., H.K., L.J., M.K., S.J.C., C.H.S., S.R.C., Y.J.C., J.H.B.)
| | - M Kim
- From the Department of Radiology and Research Institute of Radiology (M.K.L., J.H.L., H.K., L.J., M.K., S.J.C., C.H.S., S.R.C., Y.J.C., J.H.B.)
| | - S J Cho
- From the Department of Radiology and Research Institute of Radiology (M.K.L., J.H.L., H.K., L.J., M.K., S.J.C., C.H.S., S.R.C., Y.J.C., J.H.B.)
| | - C H Suh
- From the Department of Radiology and Research Institute of Radiology (M.K.L., J.H.L., H.K., L.J., M.K., S.J.C., C.H.S., S.R.C., Y.J.C., J.H.B.)
| | - S R Chung
- From the Department of Radiology and Research Institute of Radiology (M.K.L., J.H.L., H.K., L.J., M.K., S.J.C., C.H.S., S.R.C., Y.J.C., J.H.B.)
| | - Y J Choi
- From the Department of Radiology and Research Institute of Radiology (M.K.L., J.H.L., H.K., L.J., M.K., S.J.C., C.H.S., S.R.C., Y.J.C., J.H.B.)
| | - J H Baek
- From the Department of Radiology and Research Institute of Radiology (M.K.L., J.H.L., H.K., L.J., M.K., S.J.C., C.H.S., S.R.C., Y.J.C., J.H.B.)
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Comfort A, Frey M, Musselman K, Chern J, Lee J, Joo L, Radford M, Ford S, Blank S, Boyd L, Curtin J, Pothuri B. Predictors of port site hernia necessitating operative intervention in patients undergoing robotic surgery. Gynecol Oncol 2017. [DOI: 10.1016/j.ygyno.2017.03.399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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