The diagnostic value of intravenous gadolinium contrast MRI in the inner ear for suspected Meniere's disease
经静脉内耳钆造影MRI对可疑梅尼埃病的诊断价值

摘要

目的 探究经静脉内耳钆造影MRI在可疑梅尼埃病诊断中的应用价值。方法 选取我院2022年5月—2025年10月收治的86例可疑梅尼埃病患者为研究对象，所有患者均接受经静脉内耳钆造影MRI检查，以临床最终确诊结果为金标准，分析该检查方式对梅尼埃病的诊断效能。结果 86例可疑梅尼埃病患者经临床最终确诊为梅尼埃病72例，非梅尼埃病14例。经静脉内耳钆造影MRI诊断梅尼埃病的灵敏度为94.44%（68/72）、特异度为92.86%（13/14）、准确度为94.19%（81/86）、阳性预测值为98.55%（68/69）、阴性预测值为76.47%（13/17）。结论 经静脉内耳钆造影MRI属于科学、有效的诊断方式，对可疑梅尼埃病患者的识别有积极影响。

Abstract

Objective To explore the application value of intravenous gadolinium contrast MRI in the diagnosis of suspected Meniere’s disease.
Methods A total of 86 patients with suspected Meniere’s disease admitted to our hospital from May 2022 to October 2025 were selected as the research subjects. All patients underwent intravenous gadolinium contrast MRI examination of the inner ear. Taking the final clinical diagnosis result as the gold standard, the diagnostic efficacy of this examination method for Meniere’s disease was analyzed.
Results Among the 86 suspected Meniere’s disease patients, 72 cases were clinically diagnosed as Meniere’s disease and 14 cases as non-Meniere’s disease. The sensitivity of intravenous gadolinium contrast MRI in the diagnosis of Meniere’s disease was 94.44% (68/72), the specificity was 92.86% (13/14), the accuracy was 94.19% (81/86), the positive predictive value was 98.55% (68/69), and the negative predictive value was 76.47% (13/17).
Conclusion   Intravenous gadolinium contrast MRI of the inner ear is a scientific and effective diagnostic method, which has a positive impact on the identification of suspected Meniere’s disease patients.